Bibliographic record
Abstract
This chapter reviews the DSM-5 system for the diagnosis of mental disorders, with an emphasis on its limitations and the danger of concept creep. Some alternatives to DSM have been proposed, but they do not have enough empirical support to replace that system. The chapter also considers how the same issues arise when using the International Classification of Diseases developed by the World Health Organization. The problems of overdiagnosis in psychiatry are reviewed with specific reference to major depression, bipolar disorder, attention-deficit hyperactivity disorder, autism spectrum disorders, and post-traumatic stress disorder. The issue of diagnostic inflation, related to concept creep, is examined, and the reasons why expansion of diagnoses has been so attractive to clinicians are discussed.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.008 | 0.021 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.003 | 0.001 |
| Science and technology studies | 0.004 | 0.014 |
| Scholarly communication | 0.005 | 0.009 |
| Open science | 0.002 | 0.006 |
| Research integrity | 0.002 | 0.009 |
| Insufficient payload (model declined to judge) | 0.014 | 0.006 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".