One of the most debated proposals for the DSM 5 was a proposal to re-structure the DSM into five clusters of mental disorders that shared certain external validating factors. While this proposal was not entirely adopted in the actual DSM 5, many concepts and ideas from this proposed idea were used. The idea behind this metastructure originated from advances in the field of psychiatry since the DSM IV that demonstrated that many disorders share external validating factors such as genetic risk factors, rates of co-morbidity, and likely course (Andrews, Goldberg, Krueger, Carpenter, Hyman, Sachdev, & Pine, 2009). These ideas were backed up by twin studies that showed how important genetic and environmental risk factors are and raised concerns about the current structure of the DSM IV, because it focused more on excluding false-positive results in diagnosis. Consequently, categorical groups were too limited and this resu...
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