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Rethinking Cognitive Enhancement$
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Ruud ter Meulen, Ahmed Mohammed, and Wayne Hall

Print publication date: 2017

Print ISBN-13: 9780198727392

Published to Oxford Scholarship Online: April 2017

DOI: 10.1093/acprof:oso/9780198727392.001.0001

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Psychiatric nosology and cognitive enhancement

Psychiatric nosology and cognitive enhancement

(p.222) Chapter 14 Psychiatric nosology and cognitive enhancement
Rethinking Cognitive Enhancement

Dan J. Stein

Oxford University Press

There has been renewed interest in psychiatric classification, with the recent development of the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), the 11th edition of the International Classification of Disease (ICD-11), and the Research Domain Criteria (RDoC) framework. This chapter will consider issues relevant to cognitive enhancement, particularly interventions for individuals with subthreshold symptoms, from the perspective of debates in psychiatric classification. DSM-5, ICD-11, and RDoC each take a somewhat different approach to delineation of the normal from the pathological, and so to the conceptualization of individuals with subthreshold symptoms. For the foreseeable future, an integrative approach to the assessment and treatment of patients with subthreshold symptoms will emphasize the fuzziness of the boundary between enhancement and treatment, will incorporate DSM, ICD, RDoC and a range of other constructs, and will weigh up a broad range of relevant facts and values in clinical decision-making.

Keywords:   psychiatric classification, Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), International Classification of Disease, 11th edition (ICD-11), Research Domain Criteria (RDoC)

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