
Contents
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Introduction Introduction
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What are Values? What are Values?
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Why be concerned with psychiatric diagnosis/classification? Why be concerned with psychiatric diagnosis/classification?
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Brief overview of this chapter Brief overview of this chapter
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Philosophical Value Theory in Understanding Diagnostic/Nosological Values Philosophical Value Theory in Understanding Diagnostic/Nosological Values
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Background Background
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Fulford on value terms Fulford on value terms
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Sadler on value heuristics and values analysis Sadler on value heuristics and values analysis
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Some Values in Diagnosis and Classification Some Values in Diagnosis and Classification
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Aesthetic values Aesthetic values
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Epistemic values Epistemic values
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Ethical and moral values Ethical and moral values
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Ontological values Ontological values
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DSM-5 proposal for (pedo)hebephilic disorder—a case study in the clash of values DSM-5 proposal for (pedo)hebephilic disorder—a case study in the clash of values
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Failure to follow DSM-5 Research Agenda methodology Failure to follow DSM-5 Research Agenda methodology
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Distinction of paraphilias from paraphilic disorders Distinction of paraphilias from paraphilic disorders
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Patient prevarication Patient prevarication
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Use in forensic settings Use in forensic settings
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Normative status of arousal to pubescent children Normative status of arousal to pubescent children
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Inadequate scientific research base Inadequate scientific research base
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Conceptual validity and strength of arguments Conceptual validity and strength of arguments
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Unanswered Questions Unanswered Questions
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References References
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45 Values in Psychiatric Diagnosis and Classification
Get accessJohn Z. Sadler, The University of Texas Southwestern Medical Center, Dallas, Texas, USA
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Published:05 September 2013
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Abstract
Values are action-guiding dispositions that are subject to praise or blame, and as such are fundamental in making choices and taking action in any human context, including clinical practice and research. The first half of the chapter reviews the contemporary role of philosophical value theory in understanding the clinical process of diagnosis and the development of formal classifications of psychopathology. The second half of the chapter discusses the kinds of values evident in these areas and raises unanswered questions for the field. Despite two decades of progress in understanding the key role of values in clinical and classificatory work, the open disclosure and negotiation of values in psychiatry remains a novel idea for many, and psychiatric and philosophical research into the area of values and diagnosis/classification is only in its infancy.
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