Manchester, June 28th 2013
Preparing ICD-11: Can we learn the lessons of
DSM-5?
Peter Tyrer, Imperial College and Member of
DSM-5/ICD-11 Harmonisation Group
Manchester, June 28th 2013
What does DSM stand for?
1. Diagnosis for Simple Minds
2. Diagnosis as a Source of Money
Manchester, June 28th 2013
Summary of the major criticisms of DSM
No independent validity
Too many diagnoses
Too much pharma influence
Scientific justification for changes poor
Turf wars among Task Forces
Weak leadership
Manchester, June 28th 2013
Can ICD-11 do any better?
Yes, but only if it:
Stops being a sheep
Puts more resources into ICD-11 revision
Maintains its focus on clinical utility
Has the courage to drop redundant diagnoses
Manchester, June 28th 2013
Can ICD-11 do any better?
Stops being a sheep
Ever since DSM-III the WHO has been on the back
foot with regard to mental health classification, and this
is sad as ICD is still the formal diagnostic system used
everywhere in the world – including the US
Manchester, June 28th 2013
Puts more resources into ICD-11 revision
The Royal College of Psychiatrists will be producing
four books after publication of ICD-11 to aid research,
help in coding, promote better usage and provide case
history examples of all categories
Manchester, June 28th 2013
Example of clinical utility
DSM-5 has not included personality disorders as even
they found the Task Force for personality disorder
beyond the pale when they saw its recommendations
ICD-11 has one diagnosis for personality disorder, with
five groupings: no personality disorder, personality
difficulty, mild, moderate and severe personality
disorder
Manchester, June 28th 2013
When will you find out if we have succeeded?
The Royal College of Psychiatrists will be hosting a
conference at the end of 2014 or beginning of 2015
Your will all be invited