Seven reasons why binary diagnostic categories should be replaced with empirically sounder and less stigmatizing dimensions

JCPP Adv. 2022 Oct 9;2(4):e12108. doi: 10.1002/jcv2.12108. eCollection 2022 Dec.

Abstract

Background: An ongoing positive revolution advocates a new approach to the individual differences in human emotions, cognitions, and behavior that cause distress and impair functioning. This revolution endorses the long-proposed, but still unrealized rejection of the medical model, which attributes psychological problems to a sick brain or mind. In addition, it advocates replacing the binary diagnoses used in ICD and DSM, which assume a clear discontinuity between "normal" and "abnormal" functioning, with continuous dimensions of psychological problems.

Method: Selective literature review.

Results and discussion: Seven strong reasons are provided for adopting a dimensional approach.

Keywords: dimensional approach; stigma; taxonomy.