Psychiatric Diagnosis and Classification - part 1 ppsx

[...]... ``disorders'' in DSM-IV and ICD -1 0 do not form hierarchies and the current psychiatric classifications contain no supraordinate, higher-level organizing concepts DSM-IV and ICD -1 0 are certainly not systematic classifications in the usual sense in which that term is applied in biology A closer analogue to current psychiatric classifications can be found in the so-called indigenous or ``folk'' classifications... diagnostic criteria and, subsequently, rule-based classifications such as DSM-III [1] , DSM-III-R [2], ICD10 [3] and DSM-IV [4], it should be possible to examine the impact of these tools on psychiatric nosology The worldwide propagation of the new classification systems has resulted in profound changes affecting at least four domains of professional practice First and foremost, a standard frame of reference... important concern that needs to be taken 18 PSYCHIATRIC DIAGNOSIS AND CLASSIFICATION into account when developing, adapting, or translating diagnostic classifications Needs of Researchers Both DSM-III and its successors and, to a lesser extent, ICD -1 0 were welcomed and quickly adopted by researchers as rigorous diagnostic standards However, the performance of a classification as a research tool needs... presence and identity in the context of an experiment This term may be too demanding for psychiatry, where it may be more appropriate to speak of ``explicit'' rather than ``operational'' diagnostic criteria 14 PSYCHIATRIC DIAGNOSIS AND CLASSIFICATION and accessory symptoms of schizophrenia [37] and Schneider's distinction between ``first-rank'' and ``second-rank'' symptoms in the differential diagnosis. .. Âpez-Ibor and Norman Sartorius Psychiatric Diagnosis and Classification Edited by Mario Maj, Wolfgang Gaebel, Juan Jose Lo Copyright # 2002, John Wiley & Sons, Ltd ISBNs: 0±4 71 496 81 2 (Hardback); 0±470±84647±X (Electronic) CHAPTER 1 Criteria for Assessing a Classification in Psychiatry Assen Jablensky and Robert E Kendell Department of Psychiatry and Behavioural Science, University... Diagnosis and Classification Edited by Mario Maj, Wolfgang Gaebel, Juan Jose Lopez-Ibor and Norman Sartorius # 2002 John Wiley & Sons, Ltd 2 PSYCHIATRIC DIAGNOSIS AND CLASSIFICATION neuroscience and genetics are setting new, interdisciplinary agendas for psychiatric research and the results to be expected within the next few decades are likely to affect profoundly the theoretical basis of psychiatry, in particular... severity or change; and, perhaps most importantly, the complexity and cumbersomeness of dimensional models in everyday clinical practice These considerations seem to preclude, at least for the time being, a radical restructuring of psychiatric classification from a predominantly categorical 16 PSYCHIATRIC DIAGNOSIS AND CLASSIFICATION to a predominantly dimensional model However, if psychiatric classification. .. demystifying psychiatric diagnosis and making its logic transparent to non-professionals While acknowledging such gains, it is important to examine critically the current versions of standardized diagnostic criteria and rule-based classification systems in psychiatry for conceptual and methodological shortcomings At present, the discipline of psychiatry is in a state of flux Advances in   Psychiatric Diagnosis. .. stigma associated with psychiatric concepts and terms should be an important long-term objective In the past this has rarely been a primary consideration in the development of diagnostic classifications but there are good reasons to include ``stigma avoidance'' among the criteria on which the merits of psychiatric classifications and nomenclatures should be assessed Both ICD -1 0 and DSM-IV reflect the tendency... since then, and particularly since the publication of DSM-III in 19 80 and the research version of ICD -1 0 in 19 93 Clearly, this has been largely the result of the introduction of explicit or ``operational''* diagnostic criteria One of the earliest examples of explicit diagnostic criteria in medicine was the SNOP (Standardized Nomenclature of Pathology) adopted by the American Heart Association in 19 23 In . references and index. ISBN 0-4 7 1- 4 968 1- 2 (cased) 1. Mental illness Diagnosis Congresses. 2. Mental illness Classification Congresses. I. Maj, Mario, 19 53±II. World Congress of Psychiatry (11 th: 19 99:. Simon and Gavin Andrews 219 10 . Psychiatric Diagnosis and Classification in Developing Countries R. Srinivasa Murthy and Narendra N. Wig 249 Index 2 81 Acknowledgements 295 Psychiatric Diagnosis and. criteria and, sub- sequently, rule-based classifications such as DSM-III [1] , DSM-III-R [2], ICD- 10 [3] and DSM-IV[4], it should be possible to examine the impact of these tools on psychiatric