scholarly journals What's so special about conversion disorder? A problem and a proposal for diagnostic classification

2010 ◽  
Vol 196 (6) ◽  
pp. 427-428 ◽  
Author(s):  
Richard A. Kanaan ◽  
Alan Carson ◽  
Simon C. Wessely ◽  
Timothy R. Nicholson ◽  
Selma Aybek ◽  
...  
Keyword(s):  
Conversion Disorder ◽  
Diagnostic Classification ◽  
Psychiatric Classification ◽  
Icd 10 ◽  
Dsm Iv ◽  
The Right

SummaryConversion disorder presents a problem for the revisions of DSM–IV and ICD–10, for reasons that are informative about the difficulties of psychiatric classification more generally. Giving up criteria based on psychological aetiology may be a painful sacrifice but it is still the right thing to do.

scholarly journals Classification in psychiatry: ICD–10 v. DSM–IV

1999 ◽  
Vol 175 (3) ◽  
pp. 205-209 ◽  
Author(s):  
Michael B. First ◽  
Harold Alan Pincus
Keyword(s):  
Mental Disorders ◽  
American Psychiatric Association ◽  
Classification Systems ◽  
Diagnostic Classification ◽  
Two Systems ◽  
Icd 10 ◽  
Harmful Use ◽  
Dsm Iv

The editorial by Andrews et al (1999) usefully calls attention to issues of compatibility between diagnostic classification systems but we believe that the editorial greatly overstates the compatibility problem as well as its implications. The article begins with the suggestion that the DSM–IV authors' position is to downplay the differences between DSM–IV and ICD–10. After stating that the American Psychiatric Association “felt sufficiently confident to publish a DSM–IV International Version in which the DSM–IV criteria are listed against the ICD–10 codes”, the authors go on to report concordances between the classifications for the main mental disorders as ranging from a low of 33% (for substance harmful use or abuse) to 87% (for dysthymia), with an overall concordance of only 68%. The authors conclude that if this “unnecessary dissonance between the classification systems continues, patients, researchers and clinicians will be all the poorer”. Although we acknowledge that there are a number of differences between the two systems, the authors fail to assess fully the sources, significance and solutions for this compatibility problem.

Reflections on the Clinical Utility of the ICD-10 and DSM-IV Classifications and their Diagnostic Criteria

1999 ◽  
Vol 33 (2) ◽  
pp. 166-173 ◽  
Author(s):  
Aksel Bertelsen
Keyword(s):  
Clinical Practice ◽  
Clinical Psychiatry ◽  
Clinical Utility ◽  
The Other ◽  
Diagnostic Classification ◽  
Full Understanding ◽  
Clinical Diagnoses ◽  
Icd 10 ◽  
Dsm Iv ◽  
Quality And Reliability

Objective: The change to non-theoretical, criteria-based diagnostic classification in ICD-10 and DSM-III/IV has presented a major innovation in clinical psychiatry. The aim of the present paper is to provide a provisional evaluation of their utility in clinical practice. Method: The method involved a close scrutiny of ICD-10 and DSM-IV with a view to identifying difficulties and problems in their use. Results and Conclusions: The criteria-based classifications are no longer just coding conventions, but have become part of the conceptual framework of the discipline itself. The advantages, particularly as to the quality and reliability of clinical diagnoses, outweigh the disadvantages with temptations to mechanistic and reductionistic applications of criteria and incomplete nosological evaluation. Comprehensive clinical evaluation, however, should work at two separate levels: one, the initial, syndromatical diagnostic level, followed by the other, the nosological level, with evaluation of factors possibly influencing course and outcome of the psychiatric disorders. Only when both the syndromatical diagnosis and nosological factors are taken into consideration, is it possible to get a full understanding of the disorder necessary for optimal treatment. In this way, clinical psychiatry can be kept as it was intended: a healing discipline.

The Nature of Psychiatric Classification: Issues Beyond ICD-10 and DSM-IV

1999 ◽  
Vol 33 (2) ◽  
pp. 137-144 ◽  
Author(s):  
Assen Jablensky
Keyword(s):  
Cultural Context ◽  
Goodness Of Fit ◽  
Synergistic Effects ◽  
Classification Systems ◽  
Major Step ◽  
Psychiatric Classification ◽  
Economic Forces ◽  
Icd 10 ◽  
Dsm Iv ◽  
The Impact

Objective: The aim of this paper is to provide an overview of the methodological underpinnings of current classification systems in psychiatry, their impact on clinical and social practices, and likely scenarios for future development, as an introduction to a series of related articles in this issue. Method: The method involved a selective literature review. Results: The role and significance of psychiatric classifications is placed in a broader social and cultural context; the ‘goodness of fit’ between ICD-10 and DSMIV on one hand, and clinical reality on the other hand, is examined; the nature of psy chiatric classification, compared to biological classifications, is discussed; and questions related to the impact of advances in neuroscience and genetics on psychiatric classification are raised for further discussion. Conclusions: The introduction of explicit diagnostic criteria and rule-based classification, a major step for psychiatry, took place concurrently with the ascent to dominance of a biomedical paradigm and the synergistic effects of social and economic forces. This creates certain risks of conceptual closure of clinical psychiatry if phenomenology, intersubjectivity and the inherent historicism of key concepts about mental illness are ignored in practice, education and research.

International Psychiatric Classification: ICD-10 and DSM-IV

2001 ◽  
pp. 435-450
Author(s):  
J. van Drimmelen-Krabbe ◽  
A. Bertelsen ◽  
C. Pull
Keyword(s):  
Psychiatric Classification ◽  
Icd 10 ◽  
Dsm Iv

Autismus-Spektrum Störung nach DSM-5

2014 ◽  
Vol 42 (3) ◽  
pp. 185-192 ◽  
Author(s):  
Christine M. Freitag
Keyword(s):  
Dsm 5 ◽  
Icd 10 ◽  
Dsm Iv

Die Autismus-Spektrum Störung (ASS) wird in DSM-5 als eine Erkrankung aus den ICD-10 bzw. DSM-IV TR-Diagnosen frühkindlicher Autismus, Asperger Syndrom und atypischer Autismus/PDD-nos zusammengefasst und weist entsprechend revidierte Kriterien auf. In dem vorliegenden Artikel werden diese Kriterien vergleichend dargestellt, Studien zu Validität und Reliabilität der neuen ASS-Diagnose präsentiert und offene Fragen diskutiert. Ein Ausblick auf die klinische und wissenschaftliche Bedeutung wird gegeben.

Das Konzept der «Multiple Complex Developmental Disorder» (MCDD)

2012 ◽  
Vol 40 (5) ◽  
pp. 341-349 ◽  
Author(s):  
Inge Kamp-Becker ◽  
Klaus Baumann ◽  
Linda Sprenger ◽  
Katja Becker
Keyword(s):  
Developmental Disorder ◽  
Wird Eine ◽  
Icd 10 ◽  
Dsm Iv ◽  
Multiple Complex Developmental Disorder ◽  
Complex Developmental Disorder

Fragestellung: Die «Multiple complex developmental disorder» (MCDD) ist ein wenig bekanntes Störungsbild, das durch Auffälligkeiten in der Emotionsregulation, der sozialen Interaktion und Denkstörungen gekennzeichnet ist. Weder im Klassifikationssystem des ICD-10, noch im DSM-IV kommt diese Diagnose vor. Methodik: In der vorliegenden Arbeit wird eine Übersicht über die diagnostischen Kriterien und den aktuellen Forschungsstand zum Konzept der MCDD gegeben und anhand einer Kasuistik eines 17-jährigen Jugendlichen illustriert. Ergebnis: Das Störungsbild der MCDD weist Überschneidungen zu autistischen Störungen, aber auch zu Störungen aus dem schizophrenen Formenkreis auf. Eine klare Abgrenzung bzw. Zuordnung ist bisher nicht eindeutig möglich. Schlussfolgerungen: Viele Fragen bezüglich des Störungsbildes bleiben offen, weitere Forschung ist hier vonnöten.

Störungen des Sozialverhaltens

2012 ◽  
Vol 40 (1) ◽  
pp. 7-19 ◽  
Author(s):  
Christina Stadler
Keyword(s):  
Icd 10 ◽  
Dsm Iv ◽  
Prädiktive Validität ◽  
Störungen Des Sozialverhaltens

Dieser Beitrag diskutiert die prädiktive Validität der allgemeinen Diagnosekriterien von Störungen des Sozialverhaltens nach ICD-10 und DSM-IV-TR. Dabei wird Bezug genommen auf aktuelle Befunde, die eine Phänotypisierung früh beginnender Störungen des Sozialverhaltens auf der Basis neurobiologischer und persönlichkeitsspezifischer Faktoren nahelegen. Untersuchungsergebnisse, die auf defizitäre neurobiologische Mechanismen aggressiven Verhaltens in Bezug auf Prozesse der Emotionswahrnehmung und Emotionsregulation hinweisen, werden dargestellt, wobei auch die Bedeutung möglicher mediierender Einflüsse früher psychosozialer Erfahrungen auf neurobiologische Funktionen erörtert wird. Die klinischen Implikationen für die Klassifikation, den Verlauf und die Behandlung von Störungen des Sozialverhaltens werden abschließend diskutiert.

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