Normal and Abnormal Anxiety in the Age of DSM-5 and ICD-11

Dan J. Stein, Randolph Nesse

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Despite the effort on DSM-5 and ICD-11, few appear satisfied with these classification systems. We suggest that the core reason for dissatisfaction is expecting too much from them; they do not provide discrete categories that map to specific causes of disease, they describe clinical syndromes intended to guide treatment choices. Here we review work on anxiety and anxiety disorders to argue that while clinicians draw a pragmatic distinction between normal and abnormal emotions based on considerations such as severity and duration, understanding the evolutionary origins and utility of the emotions, including the adaptive value of adverse emotions, is key for formulating comprehensive assessments of an individual patients symptoms and for providing a conceptual foundation for pharmacotherapy, psychotherapy, and public health.

Original languageEnglish (US)
Pages (from-to)223-229
Number of pages7
JournalEmotion Review
Volume7
Issue number3
DOIs
StatePublished - Jul 11 2015

Fingerprint

Emotions
Anxiety
Anxiety Disorders
Psychotherapy
Public Health
Drug Therapy
Emotion
Therapeutics
Causes
Pharmacotherapy
Syndrome
Clinicians
Evolutionary
Classification System

Keywords

  • anxiety
  • anxiety disorders
  • emotion
  • evolutionary theory
  • psychiatric classification

ASJC Scopus subject areas

  • Experimental and Cognitive Psychology
  • Social Psychology
  • Arts and Humanities (miscellaneous)

Cite this

Normal and Abnormal Anxiety in the Age of DSM-5 and ICD-11. / Stein, Dan J.; Nesse, Randolph.

In: Emotion Review, Vol. 7, No. 3, 11.07.2015, p. 223-229.

Research output: Contribution to journalArticle

@article{ba0029af87694a83abba96d7018cb1d8,
title = "Normal and Abnormal Anxiety in the Age of DSM-5 and ICD-11",
abstract = "Despite the effort on DSM-5 and ICD-11, few appear satisfied with these classification systems. We suggest that the core reason for dissatisfaction is expecting too much from them; they do not provide discrete categories that map to specific causes of disease, they describe clinical syndromes intended to guide treatment choices. Here we review work on anxiety and anxiety disorders to argue that while clinicians draw a pragmatic distinction between normal and abnormal emotions based on considerations such as severity and duration, understanding the evolutionary origins and utility of the emotions, including the adaptive value of adverse emotions, is key for formulating comprehensive assessments of an individual patients symptoms and for providing a conceptual foundation for pharmacotherapy, psychotherapy, and public health.",
keywords = "anxiety, anxiety disorders, emotion, evolutionary theory, psychiatric classification",
author = "Stein, {Dan J.} and Randolph Nesse",
year = "2015",
month = "7",
day = "11",
doi = "10.1177/1754073915575407",
language = "English (US)",
volume = "7",
pages = "223--229",
journal = "Emotion Review",
issn = "1754-0739",
publisher = "SAGE Publications Ltd",
number = "3",

}

TY - JOUR

T1 - Normal and Abnormal Anxiety in the Age of DSM-5 and ICD-11

AU - Stein, Dan J.

AU - Nesse, Randolph

PY - 2015/7/11

Y1 - 2015/7/11

N2 - Despite the effort on DSM-5 and ICD-11, few appear satisfied with these classification systems. We suggest that the core reason for dissatisfaction is expecting too much from them; they do not provide discrete categories that map to specific causes of disease, they describe clinical syndromes intended to guide treatment choices. Here we review work on anxiety and anxiety disorders to argue that while clinicians draw a pragmatic distinction between normal and abnormal emotions based on considerations such as severity and duration, understanding the evolutionary origins and utility of the emotions, including the adaptive value of adverse emotions, is key for formulating comprehensive assessments of an individual patients symptoms and for providing a conceptual foundation for pharmacotherapy, psychotherapy, and public health.

AB - Despite the effort on DSM-5 and ICD-11, few appear satisfied with these classification systems. We suggest that the core reason for dissatisfaction is expecting too much from them; they do not provide discrete categories that map to specific causes of disease, they describe clinical syndromes intended to guide treatment choices. Here we review work on anxiety and anxiety disorders to argue that while clinicians draw a pragmatic distinction between normal and abnormal emotions based on considerations such as severity and duration, understanding the evolutionary origins and utility of the emotions, including the adaptive value of adverse emotions, is key for formulating comprehensive assessments of an individual patients symptoms and for providing a conceptual foundation for pharmacotherapy, psychotherapy, and public health.

KW - anxiety

KW - anxiety disorders

KW - emotion

KW - evolutionary theory

KW - psychiatric classification

UR - http://www.scopus.com/inward/record.url?scp=84937036089&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84937036089&partnerID=8YFLogxK

U2 - 10.1177/1754073915575407

DO - 10.1177/1754073915575407

M3 - Article

VL - 7

SP - 223

EP - 229

JO - Emotion Review

JF - Emotion Review

SN - 1754-0739

IS - 3

ER -