Abstract
The problem of inhomogeneous categories and the difficulty of drawing boundaries as well as individual progression of the severity of psychopathologic phenomena necessitate a change of paradigm from categorical to dimensional diagnostics. Not only pathogenetic factors but also disorder maintaining factors such as the stigmatization and the significance of the disorder for the patient must be factored into the diagnostic process to ensure therapy relevancy. In addition to this deficiency-oriented approach holistic person-centred diagnostics focuses on the integration of resources, i.e. the abilities and skills, talents and inclinations of the patient, in order to adequately help a patient to resume/live an autonomous life that is as happy as possible.
Similar content being viewed by others
References
Andreasen NC (2007) DSM and the death of phenomenology in America: an example of unintended consequences. Schizophr Bull 33(1):108–112
Angst J, Cassano G (2006) The mood spectrum: improving the diagnosis of bipolar disorder. Bipolar Disord 2(Suppl. 4):4–12
Angst J, Gamma A, Endrass J, Rössler W, Ajdacic-Gross V, Eich D, Herrel R, Merikangas K (2005) Is the association of alcohol use disorders with major depressive disorder a consequence of undiagnosesd bipolar-II disorder? Eur Arch Psychiatry Neurol Sci 256:452–457
Bates ME (2000) Integrating person-centered and variable-centered approaches in the study of developmental courses and transitions in alcohol use: introduction to the special section. Alcohol Clin Exp Res 24(6):878–888
Coenen M, Indlekofer W, Küfner H (2006) PREDI–Psychosoziale Ressourcen-orientierte Diagnostik. Dustri, München
Cohen AS, Junginger J (2006) A three-dimensional typology of delusions. Schizophr Res 83:293–295
Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (1994) American Psychiatric Association
Eriksson A, Tengström A, Hodgins S (2007) Typologies of Alcohol use disorders among men with schizophrenic disorders. Addict Behav 32:1146–1163
Fabisch K, Fabisch H, Langs G, Mascheiner H, Fitz W, Hönigl D (2001) Basic symtoms and their contribution to the differential typology of acute schizophrenic and schizoaffective disorders. Psychopathology 34:15–22
Gaebel W (2004) Course typologies, treatment principles, and research concepts. Pharmacopsychiatry 37(2):90–97
Hasin DS, Grant BF (2002) Major depression in 6050 former drinkers: association with past alcohol dependence. Arch Gen Psychiatry 59:794–800
Heidegger M (1927/1977) Sein und Zeit. Gesamtausgabe, Bd. II. Frankfurt/Main
Horn JL (2000) Comments on integrating person-centered and variable-centered research on problems associated with the use of alcohol. Alcohol Clin Exp Res 24(6):924–930
Internationale Klassifikation psychischer Störungen, ICD-10 (1993). Hans Huber, Bern
Kasper S (2001) Depression and anxiety—separate or continuum. World J Biol Psychiatry 2:162–163
Küfner H, Vogt M (1996) Die Entwicklung des psychosozialen ressourcen-orientierten Diagnosesystems (PREDI). In: Nickolai G, Kawamura Krell W & Reindl R (Hrsg) Straffällig. Lebenslagen und Lebenshilfen. Lambertus Freiburg, pp 155–169
Lecrubier Y (2008) Refinement of diagnosis and disease classification in psychiatry. Eur Arch Psychiatry Neurol Sci 258(suppl 1):6–11
Maser JD, Cloninger CR (1990) Comorbidity of mood and anxiety disorders. American Psychiatric Press, Washington, DC
McLellan AT, Luborsky L, Woody GE et al (1983) Co-morbidity complicates treatment, often leading to increased hospitalisation and treatment cost, decreased compliance, and poor response. Arch Gen Psychiatry 40:620–625
Mezzich JE, Salloum IM (2007) On person-centered integrative diagnosis. Die Psychiatrie 4:262–265
Mezzich JE, Salloum IM (2007) Towards innovative international classification and diagnostic system: ICD-11 and person-centered integrative diagnosis. Acta Psychiatr Scand 116:1–5
Mezzich JE, Salloum IM (2008) Clinical complexity and person-centered integrative diagnosis. World Psychiatry 7:1–2
Moggi F (2002) Doppeldiagnosen. Komorbidität psychischer Störungen und Sucht. Hans Huber, Bern
Musalek M (2003) Meaning and causes of delusions. In: Fulford B, Sadler J, Stanghellini G, Morris K (eds) Nature and narrative. International perspectives in philosophy and psychiatry. Oxford University Press, NY
Musalek M (2004) Die Diagnose Sucht. Entwicklung des Suchtbegriffes, Diagnose, Kriterien. In: R.Brosch. R.Mader (Hrsg.) Sucht-Problematik und Behandlung in Österreich. LexisNexis, pp 3–15
Musalek M (2005) Die unterschiedliche Herkunft von Schizophrenien und ihre philosophischen Grundlagen. Fortschritte Neurol Psychiat 73(S1):16–24
Musalek M (2005b) Unser therapeutisches Handeln im Spannungsfeld zwischen Warum und Wozu. Krankheitskonzepte und ihre Auswirkungen auf die tägliche Praxis. Wiener Zeitschrift für Suchtforschung 28/3 & 4:5–22
Musalek M (2007) Alkoholkrankheit–State of the Art. Österreichische Ärztezeitung 9:39–46
Musil R (1978) Der Mann ohne Eigenschaften. Rowohlt, Lübeck
Muthén B, Muthén LK (2000) Integrating person-centered and variable-centered analyses: growth mixture modeling with latent trajectory classes. Alcohol Clin Exp Res 24(6):882–891
Nietzsche F (1882/1988) Die fröhliche Wissenschaft. In: Colli G, Montanari M (eds) Friedrich Nietzsche Sämtliche Werke. Kritische Studienausgabe. De Gruyter
Regier DA, Farmer ME, Rae DS et al (1990) Comorbidity of mental disorders with alcohol and other drug abuse. Results from the epidemilogic catchment area (ECA) Study. JAMA 264:2511–2518
Scheibenbogen O, Feselmayer S (2008) Über die Bedeutung der Epidemiologie komorbider Störungen in der Suchtbehandlung. Spektrum Psychiatrie 1:48–50
Sham P, Castle DJ, Wessely S, Farmer AE, Murray RM (1995) Farther exploration of latent class typology of schizophrenia. Schizophr Res 20:105–115
Conflict of interest statement
The authors declare that there are no conflicts of interest.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Musalek, M., Scheibenbogen, O. From categorical to dimensional diagnostics. Eur Arch Psychiatry Clin Neurosci 258 (Suppl 5), 18–21 (2008). https://doi.org/10.1007/s00406-008-5007-1
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00406-008-5007-1