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Psychiatric Classification

ISQs on Psychiatric Classification systems

Thursday, December 11, 2003

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Psychiatric classification

1. An adequate system of classification in psychiatry would be based on aetiology if known T
2. An adequate system of classification in psychiatry would be purely descriptive F
3. An adequate system of classification in psychiatry could be pent axial T
4. An adequate system of classification in psychiatry would be mutually inclusive & jointly exclusive T
5. An adequate system of classification in psychiatry would be both reliable & valid T
6. Syndromatic classification in psychiatry is idiothetic F
7. Syndromatic classification in psychiatry is polythetic T
8. Syndromatic classification in psychiatry uses dimensions F
9. Syndromatic classification in psychiatry relies on continuity F
10. Syndromatic classification in psychiatry is based on aetiology.
11. Neurosis is not a category in DSM IV T
12. DSM IV Is atheoritical T
13. DSM IV is Multiaxial T
14. DSM IV is Hierarchical T
15. DSM IV is Operational T
16. Dimensional approach gives clear cut categories F
17. Dimensional approach allows co morbidity to be included F
18. Low IQ can be categorised T
19. Multiaxial classification allows description of medical conditions T
20. Current classification systems are pentaxial T
21. ICD 10 no longer relies on distinction neurosis & psychosis T
22. ICD 10 has a category for culture bound syndromes
23. ICD 10 has a category for organic mental disorders T
24. ICD 10 takes in to account social functioning F
25. DSM IV is a Multiaxial classification T
26. Neurosis is not a category in DSM IV T
27. DSM IV developed in co-ordination with ICD 10 T
28. Axis 2 in DSM IV includes general medical conditions F
29. DSM IV Is available in all widely spoken languages F

The American psychiatric association developed DSM IV to be compatible with ICD 10; it was published in 1994.
It is Multiaxial with 5 axes;
I clinical disorders
II personality disorders /learning disability
III General medical conditions
IV Severity of psychosocial stressors
V highest level of adaptive functioning in that year
It is published in the UK alone, unlike ICD 10, which is available in many other languages. From DSM III onwards neurosis & hysteria no longer existed as terms & affective disorders were all grouped together

30. ICD 10 has a category for culture bound syndromes F
31. ICD 10 has a Multiaxial classification available T
ICD 10 no longer uses the difference between psychosis & neurosis as a mean of classification. The version that most of us are familiar with is a descriptive classification with some aetiology in 10 chapters.
1.organic, 2.substance use, 3.schizophrenia, psychotic & delusional disorders. 4.mood disorders 5.neurotic stress related & somatoform disorders, 6. Eating / sleep /sexual & puerperal disorders, 8.mental retardation, 9.disorders of psychological development, 10. Child adolescent behavioural /emotional disorders.
There are other versions of ICD including research version, primary care version, and multiaxial version.

32. Dimensional classifications are associated with Eysenck T
33. In psychiatric classification a dimensional approach gives a clear cut category F
34. In psychiatric classification low IQ can be categorised T
35. In psychiatric classification Multi-axial system allows description of medical conditions T
36. Anankastic is a cluster B personality trait in DSM IV F
37. Histrionic is a cluster B personality trait in DSM IV T
38. Dependent is a cluster B personality trait in DSM IV F
39. Borderline is a cluster B personality trait in DSM IV T
40. Paranoid is a cluster B personality trait in DSM IV F
Cluster A: paranoid, schizoid, and schizotype.
Cluster B: antisocial, borderline, histrionic, and narcissistic
Cluster C: avoidant, dependent. Obsessive compulsive

41. Good system of classification should ideally posses Operational criteria
42. Good system of classification should ideally posses categories that are highly reliable & valid T
43. Good system of classification should ideally posses diagnostic & prognostic indicators F
44. Good system of classification should ideally posses diagnosis based on aetiology T
45. Good system of classification should ideally posses categories based upon psycho-dynamic principles F
46. DSM IV contains operational definitions T
47. DSM IV attempts to be atheoritical T
48. DSM IV uses a hierarchical system of classification T
49. DSM IV has 5 axis T
50. DSM IV is based on common symptoms T
51. In ICD 10 hypochondriasis is classified under dissociative (conversion) disorders F
52. In DSM IV classification system of mental illness & PD are coded on different axes T
53. In DSM IV classification system physical illnesses can be coded T
54. The DSM IV classification favours a dimensional rather than a categorical diagnosis F
55. DSM IV classification system does not allow one diagnosis on a single axis F
56. Classification in Psychiatry is based symptomatology T
57. Organic mental disorders is not a diagnostic term in DSM IV T
58. Mental retardation is classified under axis II in DSM IV T
59. ICD 10 has a version for daily clinical use & another for research T
60. ICD 10 attempts to explain the aetiology of different psychiatric disorders F
61. ICD 10 is a multiaxial system of classification F
62. The DSM IV has a broader definition of schizophrenia than ICD 10 F








posted by Najat  # 9:16 AM

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