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Vol. 35, No. 2-3, 2002
Issue release date: March–June 2002
Section title: Conceptual Bases for the Development of Future Diagnostic Systems
Psychopathology 2002;35:162–165
(DOI:10.1159/000065138)

Comprehensive Diagnosis: A Conceptual Basis for Future Diagnostic Systems

Mezzich J.E.
International Center for Mental Health, Mount Sinai School of Medicine, New York University, New York, N.Y., USA

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Article / Publication Details

First-Page Preview
Abstract of Conceptual Bases for the Development of Future Diagnostic Systems

Published online: 7/17/2002
Issue release date: March–June 2002

Number of Print Pages: 4
Number of Figures: 0
Number of Tables: 0

ISSN: 0254-4962 (Print)
eISSN: 1423-033X (Online)

For additional information: http://www.karger.com/PSP

Abstract

A discussion of the objectives of diagnosis, participants and architecture leads to the consideration of diagnostic schemas of increasing complexity. Examined first is the conventional case of single-label diagnosis. The case of multiple illness formulation is considered concerning the plurality of mental disorders as well as of general medical disorders. The formulation of a whole clinical condition where contextualized pathology and problems are described is then followed by the consideration of positive aspects of health as well as quality of life. Finally, a comprehensive diagnostic model is reviewed. It integrates a standardized multiaxial formulation (illness, disabilities, contextual factors and quality of life) and an idiographic personalized formulation (culturally informed and contextualized clinical problems, patient’s assets pertinent to care, and expectations of health restoration and promotion as jointly understood by clinician, patient and family). Such integrative diagnostic schemas may offer a richer informational basis for clinical description and care as well as a more effective focus for the surveillance of population health.


  

Author Contacts

Prof. Juan E. Mezzich, Secretary General, World Psychiatric Association
International Center for Mental Health, Mount Sinai School of Medicine
New York University, Fifth Avenue and 100th Street, Box 1093
New York, NY 10029-6574 (USA)
Tel. +1 718 334 5094, Fax +1 718 334 5096, E-Mail juan.mezzich@mssm.edu

  

Article Information

Number of Print Pages : 4
Number of Figures : 0, Number of Tables : 0, Number of References : 24

  

Publication Details

Psychopathology (International Journal of Descriptive Psychopathology Phenomenology and Clinical Diagnositcs)
Founded 1897 as ‘Monatsschrift für Psychiatrie und Neurologie’

Vol. 35, No. 2-3, Year 2002 (Cover Date: March-June 2002)

Journal Editor: E. Gabriel, Vienna; C. Mundt, Heidelberg
ISSN: 0254–4962 (print), 1423–033X (Online)

For additional information: http://www.karger.com/journals/psp


Article / Publication Details

First-Page Preview
Abstract of Conceptual Bases for the Development of Future Diagnostic Systems

Published online: 7/17/2002
Issue release date: March–June 2002

Number of Print Pages: 4
Number of Figures: 0
Number of Tables: 0

ISSN: 0254-4962 (Print)
eISSN: 1423-033X (Online)

For additional information: http://www.karger.com/PSP


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