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An evaluation of the proposal for a multi-axial classification of child psychiatric disorders1

Published online by Cambridge University Press:  09 July 2009

M. Rutter
Affiliation:
From the Institute of Psychiatry, University of London
D. Shaffer
Affiliation:
From the Institute of Psychiatry, University of London
Michael Shepherd
Affiliation:
From the Institute of Psychiatry, University of London

Synopsis

As part of its programme on the standardization of psychiatric diagnosis, classification, and statistics, the World Health Organization has sponsored studies in different parts of the world to evaluate systematically a multi-axial approach to classification with particular reference to the field of child psychiatry. Preliminary findings from the United Kingdom study with 22 child psychiatrists are reported. The study included two parts: (1) a reliability study using the case histories of 17 patients; and (2) the testing of the classification in routine clinical practice. The ways in which these methods may be used to evaluate a new system of classification are described. It is concluded that a multi-axial system has such important advantages that it should be tried out further both in the field of child psychiatry and in other branches of psychiatry.

Type
Preliminary Communication
Copyright
Copyright © Cambridge University Press 1973

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References

REFERENCES

Essen-Möller, E. (1971). Suggestions for further improvement of the international classification of mental disorders. Psychological Medicine, 1, 308311.CrossRefGoogle ScholarPubMed
Helmchen, H. (1971). Problems in the use and acceptance of an international glossary to ICD 8. Paper read at the Fifth World Congress of Psychiatry, Mexico City, 1971. Typescript.Google Scholar
Rutter, M. (1965). Classification and categorization in child psychiatry. Journal of Child Psychology and Psychiatry, 6, 7183.CrossRefGoogle ScholarPubMed
Rutter, M., Lebovici, S., Eisenberg, L., Sneznevskij, A. V., Sadoun, R., Brooke, E., and Lin, T.-Y. (1969). A tri-axial classification of mental disorders in childhood. Journal of Child Psychology and Psychiatry, 10, 4161.CrossRefGoogle ScholarPubMed
Rutter, M., Shaffer, D., and Shepherd, M. (1973). An evaluation of the proposal for a multi-axial classification of child psychiatric disorders. (The British Study) Report to World Health Organization. (To be published.)CrossRefGoogle Scholar
Shepherd, M., Brooke, E. M., Cooper, J. E., and Lin, T.-Y. (1968). An experimental approach to psychiatric diagnosis: an international study. Acta Psychiatrica Scandinavica, Suppl. 201, Vol.44.Google Scholar
Tarjan, G., Tizard, J., Rutter, M., Begab, M., Brooke, E. M., de la Cruz, F., Lin, T.-Y., Montenegro, H., Strotzka, H., and Sartorius, N. (1972). Classification and mental retardation: issues arising in the Fifth WHO Seminar on Psychiatric Diagnosis, Classification and Statistics. American Journal of Psychiatry, 128, No. 11, May Suppl., 3445.Google Scholar
Wing, L. (1970). Observations on the psychiatric section of the International Classification of Diseases and the British Glossary of Mental Disorders. Psychological Medicine, 1, 7985.CrossRefGoogle ScholarPubMed