Hostname: page-component-848d4c4894-mwx4w Total loading time: 0 Render date: 2024-06-21T11:13:09.653Z Has data issue: false hasContentIssue false
  • English
  • Français

Diagnosis in psychiatry; a piece of cake?

Published online by Cambridge University Press:  04 January 2019

W.M.A. Verhoeven ,
F.M.M.A. van der Heijden ,
S. Tuinier  and
J.J.M. Egger
W.M.A. Verhoeven*
Affiliation:
en bijzonder hoogleraar Faculteit der Geneeskunde en Gezondheidswetenschappen, Erasmus Universiteit, Rotterdam
F.M.M.A. van der Heijden
Affiliation:
Vincent van Gogh Instituut voor Psychiatrie, Venray
S. Tuinier
Affiliation:
Vincent van Gogh Instituut voor Psychiatrie, Venray
J.J.M. Egger
Affiliation:
Vincent van Gogh Instituut voor Psychiatrie, Venray
*
Vincent van Gogh Instituut voor Psychiatrie Stationsweg 46 5803 AC Venray Tel. 0478-527339 Fax. 0478-527110
Get access Rights & Permissions [Opens in a new window]

Summary

The unrestricted use of the DSM as diagnostic instrument for psychiatric disorders results in an arbitary and over the time inconsistent application of labels whether or not accompanied by the adjective NOS. Moreover, the European psychiatric tradition is often regarded as irrelevant and the results from modern genetics, behavioural neurology and other neuroscience research are not considered. The neuropsychiatric paradigm and the need to focus on psychological dysfunctions and their putative neurobiological substrate are discussed on the basis of four case reports. This paper illustrates the pitfalls of a careless use of the DSM.

Keywords

Nosologyclassificationneuropsychiatry
Type
Articles
Information
Acta Neuropsychiatrica , Volume 13 , Issue 2 , June 2001 , pp. 53 - 60
Copyright
Copyright © Cambridge University Press 2001

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Literatuur

1. Spitzer, RL, Endicott, J, Robins, E. Research Diagnostic Criteria. Arch Gen Psychiatry 1978;35:773–782.Google Scholar
2. American Psychiatric Association. Diagnostic and statistical manual of mental disorders (DSM-III). American Psychiatric Association Press, Washington DC, 1980.Google Scholar
3. Van Praag, HM. Nosologomanie, een aandoening van de psychiatne. Tijdschr Psychiatrie 1999;12:703–712.Google Scholar
4. Othmer, E, Othmer, JP, Othmer, SC. Brain functions and psychiatric disorders. A clinical view. Psychiatr Clin North Am 1998;21:517–566.Google Scholar
5. ICD-10 Classificatie van Psychische Stoornissen en Gedragsstoornissen. Lisse, Swets & Zeitlinger BV, 1994.Google Scholar
6. Verhoeven, WMA, Tuinier, S. Symptomatology and pathophysiology of psychotic disorders in Parkinson's disease. Eur J Psychiatry 1995;9:37–46.Google Scholar
7. Micale, MS. On the ‘Disappearance of hysteria’. A study in the clinical deconstruction of a diagnosis. Isis 1993;84:496–526.Google Scholar
8. Amir, RE, Van den Veyver, IB, Wan, M, Tran, CQ, Franke, U, Zoghbi, HY. Rett syndrome is caused by mutations in X-linked MECP2, encoding methyl-CpG-binding protein 2. Nature Genet 1999;23:185–188.Google Scholar
9. Verhoeven, WMA, Curfs, LMG, Tuinier, S. Prader-Willi syndrome and cycloid psychoses. J Intellect Disabil Res 1998;42:455–462.Google Scholar
10. Verhoeven, WMA, Tuinier, S, Curfs, LMG. Prader-Willi psychiatric syndrome and velo-cardio-facial psychiatric syndrome. Genet Couns 2000;11:205–213.Google Scholar
11. Cummings, JL. Frontal-subcortical circuits and human behavior. Arch Neurol 1993;50:873–880.Google Scholar
12. Lishman, WA. Organic Psychiatry. Oxford, Blackwell Science, 1998.Google Scholar
13. Thomeer, EC, Verhoeven, WMA, Van de Vlasakker, CJW, Klompenhouwer, J.L. Psychiatric symptoms in MELAS; a case report. J Neurol Neurosurg Psychiatry 1998;64:692–693.Google Scholar
14. Mellies, JK, Calabrese, P, Roth, H, Gehlen, W. CADASIL. Khnik, Neuroradiologie, Genetik und Diagnose. Fortsch Neurol Psychiatne 1999;67:426–433.Google Scholar
15. Lesnik Oberstein, SAJ, Bakker, E, Ferrari, MD, Haan, J. Van gen naar ziekte; van Notch3 naar cerebrale autosomaal dominante arteriopathie met subcorticale infarcten en leuko-encefalopathie. Ned Tijdschr Geneesk 2001;145:359–360.Google Scholar
16. Phuhlmann, B. Das Konzept der zykloiden Psychosen. Fortschr Neurol Psychiatrie 1998;66:1–9.Google Scholar
17. Köchling, A, Wappler, G, Winkler, G, Schulte, J, Esch, AM. Rhabdomyolysis following severe physical exercise in a patient with predisposition to malignant hyperthermia. Anaesth Intensive Care 1998;26:315–318.Google Scholar
18. Gjessing, RR. A review of periodic catatonia. Biol Psychiatry 1974;8:23–45.Google Scholar
19. Leonhard, K. Aufteilung der endogenen Psychosen und ihre differenzierte Atiologie. George Thieme Verlag, Stuttgart, 1995.Google Scholar
20. Riimke, HC. De klinische differentiatie in de groep der schizophrenieën. In: Derde bundel studies en voordrachten over psychiatrie, Scheltema & Holkema, Amsterdam 1958;131-42.Google Scholar
21. Ey, H. Etudes Psychiatriques. Structures des psychoses aigues et déstructuration de la conscience. Paris, Desclée de Brouwer, 1954.Google Scholar
22. Sigmund, D, Mundt, C. The cycloid type and its differentiation from core schizophrenia: a phenomenological approach. Compr Psychiatry 1999;40:4–18.Google Scholar
23. Stöber, G, Franzek, E, Lesch, KP, Beckmann, H. Periodic catatonia: a schizophrenic subtype with major gene effect and anticipation. Eur Arch Psychiatry Clin Neurosci 1995;245:135–141.Google Scholar
24. Van Praag, HM. ‘Make-believes’ in psychiatry or the perils of progress. Clinical & Experimental Psychiatry Monograph No 7. New York, Brunner/Mazel, 1993.Google Scholar
25. Van Praag, HM. Over the mainstream: diagnostic requirements for biological psychiatric research. Psychiatry Res 1997;72:201–212.Google Scholar
26. Verhoeven, WMA, Tuinier, S. Neuropsychiatrie of biologische psychiatrie; een toekomstvisie in historisch perspectief. Acta Neuropsychiatrica 1999;11:80–84.Google Scholar
27. Verhoeven, WMA, Tuinier, S. Psychiatrie als neurowetenschap. Tijdschr Psychiatrie 2000;42:257–263.Google Scholar
28. Cowan, WM, Harter, DH, Kandel, ER. The emergence of modern neuroscience: some implications for neurology and psychiatry. Annu Rev Neurosci 2000;23:343–391.Google Scholar
29. Cummings, JL, Hegarty, A. Neurology, psychiatry and neuropsychiatry. Neurology 1994;44:209–218.Google Scholar
30. Van Praag, HM, Asnis, GM, Kahn, RS, Brown, SI, Korn, M, Harkavy Friedman, JM. et al. Nosological tunnel vision in biological psychiatry. A plea for a functional psychopathology. Ann N Y Acad Sci 1990;600:501–510.Google Scholar
31. Verhoeven, WMA, Tuinier, S. Two steps forward, one step back; paradigmatic changes in psychiatry. J Neural Transm 2001 in press.Google Scholar
32. Guze, SB. Nature of psychiatric illness: Why psychiatry is a branch of medicine. Compr Psychiatry 1978;19:295–307.Google Scholar
33. Tuinier, S, Verhoeven, WMA. Dimensional classification and behavioral pharmacology of personality disorders; a review and hypothesis. Eur Neuropharmacology 1995;5:135–146.Google Scholar
34. McGorry, PD, Singh, BS, Connell, S, McKenzie, D, Van Riel, RJ, Copolov, DL. Diagnostic concordance in functional psychosis revisited: A study of inter-relationships between alternative concepts of psychotic disorder. Psychol Med 1992;22:367–378.Google Scholar
35. McGorry, PD, Bell, RC, Dudgeon, PL, Jackson, HJ. The dimensional structure of first episode psychosis: an exploratory factor analysis. Psychol Med 1998;28:935–947.Google Scholar