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date: 06 July 2022

Abstract and Keywords

Efforts to expand and update the description of relational processes in the Diagnostic and Statistical Manual of Mental Disorders (DSM) to enhance its clinical utility began with DSM-IV, but met with limited success. The current effort to revise the description of relational problems has focused on both the DSM-V and the International Classification of Diseases (ICD)-11, with an emphasis on (1) documenting a solid empirical foundation for inclusion of relational processes in these diagnostic systems and (2) creating categories and symptom sets that reflect that empirical foundation. In this chapter we describe the process that led to the current revisions, along with steps that were taken to ensure broad consensus and relevance for a range of countries and cultures. We also briefly recap several arguments for continued attention to relational processes as well as additional changes that might be considered in future revisions. Finally, we also briefly discuss the issue of whether some relational processes are better thought of as categories in addition to being dimensions. Scientific aspects of the project have been very productive. However, revision of relational problem descriptions in DSM-V was limited and final revisions to the ICD-11 are still underway.

Keywords: DSM-5, ICD-11, relational processes, diagnostic systems

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