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Manchester, June 28 th 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 28 th 2013. What does DSM stand for? 1. Diagnosis for Simple Minds 2. Diagnosis as a Source of Money. Manchester, June 28 th 2013.

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Manchester, June 28 th 2013

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  1. 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

  2. What does DSM stand for?1. Diagnosis for Simple Minds2. Diagnosis as a Source of Money Manchester, June 28th 2013

  3. Summary of the major criticisms of DSM No independent validityToo many diagnosesToo much pharma influenceScientific justification for changes poorTurf wars among Task ForcesWeak leadership Manchester, June 28th 2013

  4. Can ICD-11 do any better?Yes, but only if it:Stops being a sheepPuts more resources into ICD-11 revisionMaintains its focus on clinical utilityHas the courage to drop redundant diagnoses Manchester, June 28th 2013

  5. Can ICD-11 do any better?Stops being a sheepEver 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

  6. Puts more resources into ICD-11 revisionThe 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

  7. Example of clinical utilityDSM-5 has not included personality disorders as even they found the Task Force for personality disorder beyond the pale when they saw its recommendationsICD-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

  8. 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 2015Your will all be invited Manchester, June 28th 2013

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