We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

The Development of DSM-IV

Allen J. Frances, MD; Thomas A. Widiger, PhD; Harold Alan Pincus, MD
Arch Gen Psychiatry. 1989;46(4):373-375. doi:10.1001/archpsyc.1989.01810040079012.
Text Size: A A A
Published online


In May, 1988, the Board of Trustees of the American Psychiatric Association (APA), Washington, DC, appointed a task force to begin work on the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), scheduled to be published in 1993. In a recent article that appeared in the NEWS AND VIEWS section of the ARCHIVES, Zimmerman1 suggested that such an endeavor might be premature and expressed concern that any revisions to DSM-III-R would be necessarily rushed and whimsical, would be unresponsive to research, and would contribute to the confusing array of alternative diagnostic criteria sets already available in the literature. Similar concerns have been expressed elsewhere.2-5 We will provide here the background for the decision to publish DSM-IV in 1993, the rationale for beginning this work in 1988, and the procedural safeguards we have instituted to minimize arbitrary and idiosyncratic revisions.



Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.