Beyond the DSM‐IV: Assumptions, Alternatives, and Alterations

Current diagnostic processes reflect the limitations and utility of the framework of the Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM‐IV ; American Psychiatric Association, 1994). Clinical information in the DSM‐IV 's 5‐axis system almost exclusively focuses on weaknesses and pathology and is summarized in a flawed categorical system. Hence, the authors describe 3 adjunctive, or alternative, means of conceptualizing behavior; several means of altering the current DSM‐IV system; and 2 future directions in the diagnosis of strengths.