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When persistent complaints become a diagnostic category

The category fell out of use because, in the words of the standard account, it had been misused to stigmatize people pursuing valid grievances; Lester, Wilson, Griffin and Mullen revived attention in 2004 ("Unusually persistent complainants," BJPsych 184:352) and 2006…

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What the record says

Worldwide register by region (Batch 2) · Batch 8

Jurisdiction / date
Psychiatric nosology, 1879–present
Mechanism
Diagnostic category: querulous (litigious) paranoia — Krafft-Ebing 1879, Kraepelin 1904; ICD-10 F22.8 paranoia querulans
What is documented
The category fell out of use because, in the words of the standard account, it had been misused to stigmatize people pursuing valid grievances; Lester, Wilson, Griffin and Mullen revived attention in 2004 ("Unusually persistent complainants," BJPsych 184:352) and 2006 (Behavioral Sciences & the Law 24), proposing management by complaints bodies and courts; a published reply, "In defence of complainants" (BJPsych 2004), warned that the diagnosis "runs the risk of misuse by those who wish to use psychiatry as a manner of silencing criticism" and that complaint merit is judged by each psychiatrist's prejudices
Finding or status
Peer-reviewed (Cambridge Core, Lester et al. 2004; reply, "In defence of complainants"; Mullen & Lester 2006 abstract; Monash University Law Review on vexatious-litigant sanctions)
Limits
Lester et al. studied complaints officers' perceptions, not independently verified complaint merit (the reply's central objection); the category is in ICD-10 but not DSM-5
Label
VERIFIED — the one diagnostic category whose own definition is the act of complaining
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Reference and provenance

1904-ICD-QUERULOUS-PARANOIA

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