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9780521323666: Diagnosis and Classification in Psychiatry: A Critical Appraisal of DSM-III
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The diagnosis and classification of mental disorders are essential elements of psychiatric practice. Labeling and classifying phenomena enables the conveyance of a host of information about the clinical picture, etiology, pathogenesis, prognosis, and treatment of a patient's condition. Recent developments have introduced a new rigor and precision into a diagnostic process previously viewed as highly idiosyncratic and imprecise. This volume reviews the major clinical syndromes in the light of current research, and offers recommendations for improving and refining our approach to diagnosing and classifying psychiatric disorders. The authors address issues involved in constructing classification systems and considers the value of multiaxial approaches to the diagnostic process. The implications of diagnostic and classificatory systems for clinical practice, mental health education, and program administration are thoroughly examined. Particular attention is paid to evaluation of the new system of classification adopted by the American Psychiatric Association, which is the focus of much interest worldwide. Together, these chapters constitute a comprehensive appraisal of contemporary approaches to the diagnosis and classification of mental disorders, and of the impact of diagnosis and classification in the field.

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Contenuti:
Preface; Part I. The Affective Disorders: 1. Major depression and related affective disorders; 2. Validity of major depression: a psychobiological perspective; 3. The boundaries of mood disorders: implications for defining temperamental variants, atypical subtypes, and schizoaffective disorder; 4. Bipolar and schizoaffective disorders; 5. Overview; Part II. The Nonaffective Functional Psychoses: 6. Schizophrenia and schizophreniform disorders; 7. Paranoid disorders in DSM-III: a critical review; 8. Overview; Part III. Organic Mental Disorders, Substance-Use Disorders, and Psychosexual Disorders: 9. DSM-III organic mental disorders; 10. An evaluation of the DSM-III substance-use disorders; 11. Current review of psychosexual disorders; 12. Overview; Part IV. The Anxiety and Somatoform Disorders: 13. The psychoanalytic view of anxiety: basic concepts and recent advances; 14. The classification; 15. Diagnosis of somatoform disorders: a critique of DSM-III; 16. Overview; Part V. The Personality Disorders: 17. A critical review of four DSM-III personality disorders: borderline, aviodant, dependent, and passive-aggressive; 18. Histrionic, narcissistic, and compulsive personality disorders; 19. An evaluation of the DSM-III categories of paranoid, schizoid, and schizotypal personality disorders; 20. Overview; Part VI. Disorders Of Infancy, Childhood, and Adolescence: 21. Pervasive developmental disorders and schizophrenia occuring in childhood: a review of critical commentary; 22. Diagnosis of depressive disorders in children: an interim appraisal of the pertinent DSM-III categories; 23. An evaluation of the DSM-III diagnosis of conduct disorder; 24. Overview; Part VII. Nosologic Principles and Diagnostic Criteria: 25. The exclusion criteria of DSM-III: a study of the co-occurence of hierarchy-free syndromes; 26. Revising DSM-III: the process and major issues; 27. DSM-III in evolution; 28. Overview; Part VIII. The Multiaxial Approach: 29. On the clinical utility of multiaxial diagnosis: experience and perspectives; 30. An empirically derived hierarchy of adaptive mechanisms and its usefulness as a potential diagnostic axis; 31. A preliminary proposal for strengthening the multiaxial approach of DSM-III: possible family-oriented revisions; 32. Overview; Part IX. Clinical, Educational, and Administrative Applications of DSM-III: 33. DSM-III and the psychiatric practitioner; 34. Applicability of DSM-III to psychiatric education; 35. Third-party payments, cost containment, and DSM-III; 36. Overview; Index.
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