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Realism and operationism in psychiatric diagnosis
Journal article   Peer reviewed

Realism and operationism in psychiatric diagnosis

Benjamin J. Lovett and S. Brian Hood
Philosophical psychology, Vol.24(2), pp.207-222
04/2011
Web of Science ID: WOS:000289146000005

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Abstract

In the context of psychiatric diagnosis, operationists claim that mental disorders are nothing more than the satisfying of objective diagnostic criteria, whereas realists claim that mental disorders are latent entities that are detected by applying those criteria. The implications of this distinction are substantial in actual clinical situations, such as in the co-occurrence of disorders that may interfere with one another's detection, or when patients falsify their symptoms. Realist and operationist conceptions of diagnosis may lead to different clinical decisions in these situations, affecting treatment efficacy and ultimate patient outcomes.

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