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Table 1 Importance given in discourse to some values according to group of stakeholders in the APS-debate and to the DSM-5

From: Values and DSM-5: looking at the debate on attenuated psychosis syndrome

  

Researchers in high-risk mental states

Psychotic Disorders Work Group

Patient advocacy groups (NAMI)

External stakeholders (Allen Frances)

DSM-5

Value-commitments

      

Aiding the ill by relieving suffering and preventing psychosis

[ethical]

+++

+++

+++

+

+

Scientific development by research expansion and knowledge acquisition

[epistemic/pragmatic]

++

++

-

-

+

Value-consequences

      

Stigmatization and inappropriate prescription of antipsychotic medication

[ethical]

++(+)

++

+++

+++

-

Value-entailments

      

Mental health commercialism and the influence of political and economic forces

[ontological/pragmatic]

(++)

-

++

+++

-

Neurobiological reductionism and reification

[ontological]

(++)

-

-

-

-

  1. - : absent; + : implicit; ++ : explicit; +++ : emphasized; ( ) : importance given by part of the group