This podcast summarizes an interview between James Leckman and Sir Michael Rutter about revisions to diagnostic classification systems like the DSM-5 and ICD-11. They discuss scientific advances and challenges regarding disorders like autism, ADHD, anxiety, and depression. Issues addressed include dimensionality of disorders, the search for pure disorders, consolidation versus proliferation of diagnoses, and the interface between classification systems. The interview references several research papers on these topics.
1. Annual Research Review 2012 Podcast
An interview with Sir Michael Rutter, Professor of Developmental Psychopathology at the Institute of
Psychiatry, Kings College, London
convened by James Leckman, Neison Harris Professor in the Child Study Center and
Professor of Pediatrics and of Psychiatry, Yale University
JCPP Annual Research Review 2012:
Nosology in developmental psychopathology:
DSM-5, ICD-11 and beyond
Edited by: James F. Leckman and Daniel S. Pine
wileyonlinelibrary.com/journal/JCPP
3. Part I of ARR 2012 Podcast: The challenges and potential of
DSM-5 and ICD-11 revisions1
Themes explored:
•Interface and harmonization between DSM-52 and ICD-113
•Scientific advances – problems and challenges
Schizophrenia and bipolar disorders
Autism and ADHD overlap
Dimensionality of disorders and risk factors – qualifiers and specifiers
Obsessional disorders and anxiety disorders
Language/communication and repetitive behaviour 4,5
Phenotype vs. genotype, genetics vs. clinical findings6
Syndrome concept
Anxiety and depression7,8: twin and general population samples
• Dimensions and categories9,10
The search for pure disorders – the search for the atypical
Consolidation of diagnostic categories vs profileration of diagnoses
• DSM-5 vs DSM-IV11,12
5. References for Parts I, II and III of AAR 2012 Podcast
2.Leckman, J.F. & Pine, D.S.. Editorial Commentary: The challenges and potential of DSM-5 and ICD-11 revisions,
J Child Psychol Psychiatry 2012; 53: 449–53
3.Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Am Psychiatric Assoc.: Washington, DC.
See: http://www.dsm5.org/about/Pages/DSMVOverview.aspx
4.International Classification of Diseases (ICD-11). WHO: Geneva. See:
http://www.who.int/classifications/icd/revision/en/index.html
5.Lord, C. & Jones, R.M.. Re-thinking the classification of autism spectrum disorders. J Child Psychol
Psychiatry 2012; 53: 490–509
6.Pickles, A., Simonoff, E., Conti-Ramsden et al. Loss of language in early development of autism
and specific language impairment. J Child Psychol Psychiatry 2009; 50:843– 852.
7.Addington, A.M., & Rapoport, J.L. Impact of advances in genetics in understanding developmental
psychopathology. J Child Psychol Psychiatry 2012; 53:510–518.
8.Lahey, B.B., & Waldman, I.D. Phenotypic and causal structure of conduct disorder in the broarder
context of prevalent forms of psychpathology. J Child Psychol Psychiatry 2012; 53:536–557.
9.Cosgrove, V.E., Rhee, S.H., Gelhorn, H.L. et al. Structure and etiology of co-occurring internalizing and externaliz-
ing disorders in adolescents. J Abnormal Child Psychol 2012; 39, 109–123
10.Zubin, J. Classification of the behavior disorders. Annu Rev Psychol 1967; 18: 373-406.
11.Coghill, D., & Sonuga-Barke, E.J.S. Categories versus dimensions in the classification and conceptual-
isation of child and adolescent mental disorders: Implications of recent empirical study. J Child Psychol Psychiatry 2012; 53:
469–489
6. 11. Rutter, M. Child psychiatric diagnosis and classification: concepts, findings, challenges and potential.
J Child Psychol Psychiatry 2011; 52, 647–660.
12. Rutter, M. Response: Growing consensus on classification needs. J Child Psychol Psychiatry 2011; 52:673–675 and
Commentary references therein.
13. Haubold, A., Peterson, B.S., & Bansal, R. Progress in using brain morphometry as a diagnostic tool for psychiatric
disorders. J Child Psychol Psychiatry 2012; 53, 519–535.
14. Rutter, M. Much to be done to improve the mental health of young people [Book Review: including review of
chapter by Ed Zigler]. Lancet 370: 647.
15. Rapee, R.M., Bogels, S.M., vander Sluis, et al. Conceptualising functional impairment in children and adolescents.
J Child Psychol Psychiatry 2012; 53:454–468.
16.Dirks, M.A., De Los Reyes, A., Briggs-Gowan, Met al. ‘‘Embracing not erasing’’ contextual variability in children’s
behaviour: Theory and utility in the selection and use of methods and informants in developmental psychopathology.
J Child Psychol Psychiatry 2012; 53:558–574.
17. Campo, J.V. Functional somatic symptoms, anxiety, and depression: developmental psychopathology in pediatric
practice.J Child Psychol Psychiatry 2012; 53:575–592.
18. Mataix-Cols, D., & Pertusa, A. Annual Research Review: Hoarding disorder: potential benefits and pitfalls of
a new mental disorder. J Child Psychol Psychiatry 2012 53, 608–618.
19.Snowling, M.J., & Hulme, C. The nature and classification of reading disorders:Acommentary on proposals for DSM-5.
J Child Psychol Psychiatry 2012 53, 593–607.
7. For Parts II and III of ARR 2012 Podcast – continue listening here:
To access the JCPP Annual Research Review 2012 please visit the journal at:
http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1469-7610
Acknowledgements
The Editorial team of JCPP and Wiley-Blackwell Publishers wish to thank Sir
Michael Rutter and James Leckman for their support in contributing to this
JCPP podcast
Contacts: Claire Shuttleworth (claire.shuttleworth@wiley.com) or Piers Allen (piers.allen@acamh.org.uk)