Table 2.
Steps that need to be taken immediately
| 1. | Change our thinking to accept that: | |
| a) | we must move towards a classification offering greater clinical utility | |
| b) | this will be an iterative process and the first steps must facilitate this | |
| c) | clinical utility requires biological validity | |
| 2. | Change our practice to ensure that: | |
| a) | clinical psychiatrists are supported in treating across diagnostic categories | |
| b) | researchers routinely use and report more sophisticated clinical phenotypes | |
| c) | the diagnostic utility of schizoaffective spectrum illness is better recognized | |
| 3. | Change our organization such that: | |
| a) | clinical service provision is not constrained by invalid diagnostic boundaries | |
| b) | research is encouraged across the functional psychosis spectrum |