Psychiatric Diagnosis and Classification - ResearchGate

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Psychiatric Diagnosis and Classification. Edited by Mario Maj, Wolfgang Gaebel, Juan JoseÂ LoÂpez-Ibor and Norman Sartorius Copyright # 2002, John Wiley & Sons, Ltd. ISBNs: 0±471±49681±2 Hardback); 0±470±84647±X Electronic) CHAPTER 9 Psychiatric Diagnosis and Classification in Primary Care David Goldberg 1 , Greg Simon 2 and Gavin Andrews 3 1 Institute of Psychiatry, King's College, London, UK 2 Center for Health Studies, Group Health Cooperative, Seattle, WA, USA 3 School of Psychiatry, University of New South Wales at St. Vincent's Hospital, Darlinghurst, Australia INTRODUCTION Karl Jaspers stressed that: when we design a diagnostic schema, we can only do so if we forego something at the outset . . . and in the face of facts we have to draw the line where none exists . . . A classification therefore has only a provisional value. It is a fiction which will discharge its function if it proves to be the most apt for the time [1]. Different professional groups quite legitimately need classifications for different purposes, and it is most unlikely that the purposes of psychiatrists working mainly in private practice will be remotely the same as those of primary care physicians working in community settings. Where family doctors are concerned, they can avoid diagnosis altogether, or take one of three major official choices when they are confronted by a mentally ill patient: 1. They can use adaptations of those classifications produced by their colleagues such as the ICHPPC-2 International Classification of Health Problems in Primary Care) of the WONCA World Organization of National Colleges, Academies and Academic Associations of General Practitioners) or, in the United Kingdom, the Read codes. 2. They can use tri-axial classifications, with separate assessments of physical health, psychological adjustment and social adjustment. 3. They can use what are essentially classifications designed by psychiatrists such as the ICD-10 or the DSM-IV). Psychiatric Diagnosis and Classification. Edited by Mario Maj, Wolfgang Gaebel, Juan JoseÂ LoÂpez-Ibor and Norman Sartorius. # 2002 John Wiley & Sons, Ltd.
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PREFACE xi world who are interested
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2 PSYCHIATRIC DIAGNOSIS AND CLASSIF
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10 PSYCHIATRIC DIAGNOSIS AND CLASSI
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IMPLICATIONS OF COMORBIDITY 81 Fina
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Table 4.2 Matrix of levels and subl
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108 PSYCHIATRIC DIAGNOSIS AND CLASS
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THE ROLE OF PHENOMENOLOGY IN PSYCHI
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282 INDEX AsociacioÂn PsiquiaÂtri
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