DSM-5 and the Reconceptualization of Obsessive-Compulsive Disorder. An Anthropological Perspective from the Neuroscience Laboratory - HAL-SHS - Sciences de l'Homme et de la Société Accéder directement au contenu
Chapitre D'ouvrage Année : 2015

DSM-5 and the Reconceptualization of Obsessive-Compulsive Disorder. An Anthropological Perspective from the Neuroscience Laboratory

Résumé

In the DSM-5, obsessive-compulsive disorder (OCD) has been removed from the category of “Anxiety Disorders” and classified into a new separate diagnostic category of “Obsessive-Compulsive and Related Disorders”. According to the diagnostic criteria, anxiety, which was the central emotional component of the OCD definition in the DSM-IV and that articulated the relation between obsessions and compulsions, will no longer have to be systematically identified in OCD patients at all. The importance of this transformation is visible in the debates that took place about the possibility of introducing a new category in the DSM-5, “Obsessive-Compulsive Spectrum Disorders”. Although it was ultimately rejected, this category was supposed to include OCD as well as Tourette syndrome, stereotypic movement disorders, or impulse control disorders. The anxious component that defined OCD as an anxiety disorder in the DSM-IV would have been used only to distinguish OCD from other diseases within the spectrum. This chapter will clarify how this transformation is characterized conceptually by the shift in the criteria of OCD from affect to behavior, and institutionally by the entrance in the DSM of a diagnostic category that originates mostly from a research, rather than a clinical, setting. My analysis will be based on an ethnographic research of a French neuroscience team that developed experimental therapeutics for OCD.
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Dates et versions

halshs-01418344 , version 1 (16-12-2016)

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Citer

Baptiste Moutaud. DSM-5 and the Reconceptualization of Obsessive-Compulsive Disorder. An Anthropological Perspective from the Neuroscience Laboratory. Demazeux S. et Singy P. (eds.) The DSM-5 in Perspective: Philosophical Reflections on the Psychiatric Babel, Springer, pp.225-238, 2015, ⟨10.1007/978-94-017-9765-8_13⟩. ⟨halshs-01418344⟩
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