'Crisis reactions' as problems in differential diagnosis at a community mental health center Is the DSM-III-R useful in the diagnostic procedure?

Autor:	Anna Maria Carlsson, JÖRgen Herlofson, Pär Svanborg
Rok vydání:	1993
Předmět:	medicine.medical_specialty Adjustment disorders Dsm iii r Classification of mental disorders Age and sex medicine.disease Psychodynamics Mental health Psychiatry and Mental health medicine Differential diagnosis Medical diagnosis Psychiatry Psychology Clinical psychology
Zdroj:	Nordic Journal of Psychiatry. 47:133-139
ISSN:	1502-4725 0803-9488
DOI:	10.3109/08039489309095023
Popis:	The concept “crisis” originates from psychodynamic theory and describes a psychologic process but is often used as a psychiatric diagnosis, especially at community mental health centers. This wide applicability may result in confusion and the “underdiagnosing” of psychiatric disorders. The aim of this paper is to elucidate the concept of “crisis reactions” in relation to the descriptive classification of the DSM-III-R. Two groups of patients, matched for age and sex, were selected for the study, one with DSM-III “adjustment disorders” and the other with “V-codes” - that is, conditions not attributable to a known mental disorder. The reliability of the diagnostic evalutions made by the members of the psychiatric team was studied at new diagnostic evaluations by two senior psychiatrists. The results showed that 48% of the original diagnoses were incorrect and that the diagnoses of the two senior psychiatrists in 40% of the cases were classified into categories higher in the DMS-III-R hierarchy than the orig...
Databáze:	OpenAIRE
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