Multidimensional classification of mental disorders

Ottosson, Jan-Otto; Perris, C.

doi:10.1017/s0033291700048583

Cited by 78 publications

(28 citation statements)

References 4 publications

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“…A suggestion for a tetraxial system came from Sweden under the guidance of Ottoson and Perris [7] who separated 'severity' and 'course' as independent axes and added them to the ones proposed by Essen-Möller and Wohlfahrt [3].…”

Section: Historical Perspectivesmentioning

confidence: 99%

Experience with Current Multiaxial Diagnostic Systems: A Critical Review

Kastrup

2002

Psychopathology

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It is difficult to capture the complexity of the psychiatric condition with a single diagnostic category, and a multiaxial approach provides a more comprehensive picture of the current disorder. The WPA section on classification has developed a multiaxial schema based on the ICD-10 family of classifications. Four axes are proposed. Axis I: on clinical disorders; axis II: on disabilities; axis III: on contextual factors, and axis IV: on quality of life. Even though the multiaxial approach has been widely taught and surveys report on its international acceptability, daily use by clinicians of the ‘non-diagnostic’ axes have till now been limited, despite expressed interest by the very same clinicians. The multiaxial formulation is still developing and transcultural experiences need to be gained.

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Section: Historical Perspectivesmentioning

confidence: 99%

Experience with Current Multiaxial Diagnostic Systems: A Critical Review

Kastrup

2002

Psychopathology

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“…The introduction in DSM-II1 of the multiaxial diagnostic model is not unfamiliar to Scandinavian psychiatrists, as it has its origin in the work of the Scandinavian psychiatrists Essen-Moller and Wohlfahrt [8], further de veloped by Essen-Moller [9] and Oltosson and Perris [10], In our daily routine in Scan dinavia we use the descriptive diagnosis (main diagnosis), the personality diagnosis and the situation diagnosis. The new branches on the multiaxial diagnostic tree in DSM-I1I arc the somatic state and the highest level o f function.…”

Section: Diagnostic Systemsmentioning

confidence: 99%

Classification of Functional Psychoses with Special Reference to Follow-Up Studies

Retterstøl¹

1986

Psychopathology

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The classification of functional psychoses is still a controversial issue, as are also diagnoses in psychiatry. The predictive validity of the diagnosis is of crucial importance. Diagnostic systems are discussed. The author presents the Scandinavian concept of reactive psychoses, schizophreniform psychoses and schizophrenia, and demonstrates from his own material on paranoid psychoses the predictive value of these concepts, with a percentage recovery of 81 61 and 23 % after long-term follow-up. The concepts are discussed in relation to ICD-9 and DSM-III. The concepts of paranoid disorders, affective disorders and borderline conditions are mentioned. The paper also introduces other papers to be presented in this volume.

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“…A multiaspect classification model (MACM) comprising four different variables has been presented by Ottosson and Perris (1973). Be fore it was published the system was discussed and improved in a series of seminars and clinical demonstrations at the Department of Psychia try in Umea.…”

Section: Suggested By Ottosson and Perrismentioning

confidence: 99%

Multi-Aspects Classification of Mental Disorders (MACM)

Knorring¹,

Perris²,

Jacobsson³

et al. 1980

Neuropsychobiology

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The international classification of mental disorders (ICD-8) presented by the WHO has not been accepted in all countries and where it is used, local adjustments are made and sometimes parallel classification models are used. The diagnostic system has also been criticized as lacking in exactness and consistency and the reliability between diagnosticians has been shown to be low. As a consequence, international communication is made difficult and research is hampered. This problem is particularly relevant in the field of biological research. In fact, it can be suspected that most inconsistencies as regards results obtained in different places might depend upon an inconsistent use of the current diagnostic labels. A possible solution of this problem can be the use of a multiaspect classification model. Such a multiaspect model (MACM) including four variables – symptomatology, severity, course and supposed etiopathogenesis – has been tested for several years at Umeå. MACM is shown to be easy to communicate both in undergraduate training and in international communication. The reliability between diagnosticians is found to range from 56 to 82% as compared to 22-36% as concerns ICD-8. It is also shown that fairly homogeneous groups, both regarding course, supposed etiopathogenesis and biological basis, can be formed and that MACM seems to bear temporal stability. Computer programming of MACM diagnoses is as possible as with ICD-8 diagnoses. Furthermore, when MACM is used in clinical routine work, much more information valid in administrative routines is stored than what is possible when ICD-8 is used.

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Multidimensional classification of mental disorders

Cited by 78 publications

References 4 publications

Experience with Current Multiaxial Diagnostic Systems: A Critical Review

Experience with Current Multiaxial Diagnostic Systems: A Critical Review

Classification of Functional Psychoses with Special Reference to Follow-Up Studies

Multi-Aspects Classification of Mental Disorders (MACM)

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