Diagnosis and Assessment in Autism pp 111-122
Multiaxial Diagnostic Approaches
This chapter deals with diagnostic approaches in child psychiatry. The chapter begins with a discussion of why diagnostic classification is desirable and a summary of the basic principles of such classification. The goals and requirements of a classification system are outlined, and four types of classification systems (categorical, dimensional, uniaxial, and multiaxial) are explained. The type of multiaxial classification system used in DSM-III is explained, and two case histories of autistic children are provided to illustrate how such an approach is superior to a uniaxial system. Finally, some of the unresolved issues having to do with the DSM-III classification system are presented, and the relevance of these issues to the diagnosis and classification of autism is noted.
Unable to display preview. Download preview PDF.
- Cantwell, D. P. (1975). The hyperactive child: Diagnosis, management, and current research. New York: Spectrum.Google Scholar
- Goodwin, D. W., & Guze, S. B. (1979). Psychiatric diagnosis. New York: Oxford University Press.Google Scholar
- Kanner, L. (1943). Autistic disturbances of affective contact. Nervous Children, 2, 217–250.Google Scholar
- Kanner, L. (1958). The specificity of early infantile autism. Keitscheift für Zinderpsychiatrie, 25, 108–13.Google Scholar
- Klerman, G. L. (1983). Evaluation of diagnostic classification. Presented at the American Psychiatric Association Workshop, DSM-III: An interim appraisal, Washington, D.C., October 12-15.Google Scholar
- Rutter, M., Shaffer, D., & Shepard, M. (1975). A multiaxial classification of child psychiatric disorders. Geneva: World Health Organization.Google Scholar
- Spitzer, R. L., & Williams, J. B. W. (1980). Classification of mental disorders and DSM-III. In H. I. Kaplan, A. M. Freedman, and B. J. Sadock (Eds.), Comprehensive textbook of psychiatry (Vol. III, pp. 1035–1072). Baltimore: Williams & Wilkins.Google Scholar