One principle guiding the creation of the DSM-5 was that “the DSM will continue to exist as a living, evolving document that can be updated and reinterpreted.”1 Following the publication of DSM-5 in 2013, the American Psychiatric Association (APA) began to design an empirically driven continuous improvement model, in which changes are made on an ongoing basis rather than at set intervals. This Viewpoint presents the rationale for this approach and the mechanism being developed to implement it.
First MB, Kendler KS, Leibenluft E. The Future of the DSMImplementing a Continuous Improvement Model. JAMA Psychiatry. Published online November 16, 2016. doi:10.1001/jamapsychiatry.2016.3004