Abstract
Nosology, or the science of disease classification, is one of the basic sciences of medicine. Whether the physician is engaged in clinical work, research, or administration, the accurate classification of a patient’s syndrome, disease, or other pathological state is the key to effectiveness. Clinically, medicine relies heavily upon the categorization of patients to determine appropriate treatment and prognosis. Sometimes a change in nosology precedes changes in treatment. For example, until the separation of diabetes into diabetes insipidus and diabetes mellitus (Garrison, 1929), the advent of appropriate treatment was not possible. In other cases, the nosologic changes reflect a new understanding of a disorder. An example of this is the separation of schizophreniform disorder from schizophrenia (Andreasen, 1987; Helzer, Kendell, & Brockington, 1983), categories which reflect a particular view of prognosis.
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References
Akiskal, H. S. (1983). Dysthymic disorder: Psychopathology of proposed chronic depressive subtypes. American Journal of Psychiatry, 140, 11–20.
American Psychiatric Association. (1952). Diagnostic and statistical manual of mental disorders. Washington, DC: Author.
American Psychiatric Association. (1968). Diagnostic and statistical manual of mental disorders (2nd ed.). Washington, DC: Author.
American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: Author.
American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders (3rd ed., rev.). Washington, DC: Author.
Andreasen, N. C. (1987). Schizophrenia and schizophreniform disorders. In G. L. Tischler (Ed.), Diagnosis and classification in psychiatry: A critical appraisal of DSM-III (pp. 103–123). Cambridge: Cambridge University Press.
Andreasen, N. C., & Grove, W. M. (1982). The classification of depression: Traditional versus mathematical approaches. American Journal of Psychiatry, 139, 45–52.
APA Commission on Psychotherapies. (1982). Psychotherapy research: Methodological and efficacy issues. Washington: American Psychiatric Association.
Arana, G. W., Baldessarini, R. J., & Ornsteen, M. (1985). The Dexamethasone Suppression Test for diagnosis and prognosis in psychiatry. Archives of General Psychiatry, 42, 1193–1204.
Baldessarini, R. J. (1983). Biomedical aspects of depression and its treatment. Washington: American Psychiatric Press.
Blazer, D., Swartz, M., Woodbury, M., Manton, K. G., Hughes, D., & George, L. K. (1988). Depressive symptoms and depressive diagnoses in a community population. Archives of General Psychiatry, 45, 1078–1084.
Bleuler, E. (1950). Dementia praecox or the group of schizophrenias. New York: International Universities Press.
Bordley, J., III, & Harvey, A. M. (1976). Two centuries of American medicine: 1776–1976. Philadelphia: W.B. Saunders.
Boyd, J. H., Burke, J. D., Gruenberg, E., Holzer, C. E., Rae, D. S., George, L. K., Karno, M., Stoltzman, R., McEvoy, L., & Nestadt, G. (1984). The exclusion criteria of DSM-III: A study of the co-occurrence of hierarchy-free syndromes. Archives of General Psychiatry, 41, 983–989.
Burke, J. D., Jr. (1987). Diagnostic assessment. In A. E. Skodol & R. L. Spitzer, An annotated bibliography of DSM-III (pp. 13–22). Washington, DC: American Psychiatric Press.
Cannon, M. S., & Lock, B. Z. (1977). Being black is detrimental to one’s mental health: Myth or reality? Phylon, 38, 408–428.
Cohen, J. (1968). Weighted kappa: Nominal scale agreement with provision for scaled disagreement or partial credit. Psychological Bulletin, 70, 213–220.
Cohen, J., & Cohen, P (1983). Applied multiple regression/correlation analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum.
Colby, K. M., & Spar, J. E. (1984). The fundamental crisis in psychiatry: Unreliability of diagnosis. Springfield, IL: Charles C Thomas.
Cooper, J. E., Kendell, R. E., Gurland, B. J., Sharpe, L., Copeland, J. R. M., & Simon, R. (1972). Psychiatric diagnosis in New York and London. London: Oxford University Press.
Coryell, W., & Zimmerman, M. (1988). The heritability of schizophrenia and schizoaffective disorder. Archives of General Psychiatry, 45, 323–327.
Eaton, W. W., & Kessler, L. G. (Eds.). (1985). Epidemiology field methods in psychiatry: The NIMH Epidemiology Catchment Area Program. Orlando: Academic Press.
Endicott, J., & Spitzer, R. L. (1978). A diagnostic interview: The schedule for affective disorders and schizophrenia. Archives of General Psychiatry, 35, 837–844.
Feinstein, A. R. (1977). A critical overview of diagnosis in psychiatry. In V. M. Rakoff, H. C. Stancer, & H. B. Kedward (Eds.), Psychiatric diagnosis (pp. 189–206). New York: Brunner/Mazel.
Fisher, W., Mehr, J., & Truckenbrod, P. (1974). Human services: The third mental health revolution. New York: Alfred Publishing.
Fleiss, J. L. (1981). Statistical methods for rates and proportions (2nd ed.). New York: Wiley-Interscience.
Frances, A. J., Widiger, T. A., & Pincus, H. A. (1989). The development of DSM-IV. Archives of General Psychiatry, 46, 373–375.
Garrison, F. H. (1929). An introduction to the history of medicine (4th ed.). Philadelphia: W.B. Saunders.
Goldberg, D. (1983). Training family physicians in mental health skills: Implications of recent research findings. In D. L. Parron & F. Solomon (Eds.), Mental health services in primary care settings: Report of a conference April 2–3, 1979, Washington, DC. (pp. 70–87). (U.S. Department of Health and Human Services, DHHS Publication No. ADM 83-995). Washington, DC: National Institute of Mental Health.
Goodwin, D. W., & Guze, S. B. (1979). Psychiatric diagnosis (2nd ed.). New York: Oxford University Press.
Guze, S. B., Cloninger, C. R., Martin, R. L., & Clayton, P. J. (1983). A follow-up and family study of schizophrenia. Archives of General Psychiatry, 40, 1273–1280.
Hawk, A. B., Carpenter, W. T., & Strauss, J. S. (1975). Diagnostic criteria and five year outcome in schizophrenia. Archives of General Psychiatry, 32, 343–347.
Helzer, J. E., Robins, L. N., Croughan, J. L., & Welner, A. (1981). Renard Diagnostic Interview: Its reliability and procedural validity with physicians and lay interviewers. Archives of General Psychiatry, 38, 393–398.
Heizer, J. E., Kendell, R. E., & Brockington, I. F. (1983). Contribution of the six-month criterion to the predictive validity of the DSM-III definition of schizophrenia. Archives of General Psychiatry, 40, 1277–1280.
Henderson, A. S. (1988). An introduction to social psychiatry. Oxford: Oxford University Press.
Hirschfeld, R. M. A., & Klerman, G. L. (1979). Personality attributes and affective disorders. American Journal of Psychiatry, 136, 67–70.
Holzman, P. S., Proctor, L. R., & Hughes, D. W. (1973). Eye tracking patterns in schizophrenia. Science, 181, 179–181.
Howells, J. G. (1975). Introduction. In J. G. Howells (Ed.), World history of psychiatry (pp. vii–xviii). New York: Brunner/Mazel.
Hudson, J. I., & Pope, H. G., Jr. (1990). Affective spectrum disorder: Does antidepressant response identify a family of disorders with a common pathology? American Journal of Psychiatry, 147, 552–564.
Jaskiw, G. E., Andreasen, N. C., & Weinberger, D. R. (1987). X-Ray computed tomography and magnetic resonance imaging in psychiatry. In R. E. Hales & A. J. Frances (Eds.), American Psychiatry Association annual review, Vol. 6 (pp. 260–299). Washington, DC: American Psychiatric Press.
Jenkins, C. D., Hurst, M. W., & Rose, R. M. (1979). Life changes: Do people really remember? Archives of General Psychiatry, 36, 379–384.
Katz, M. M., Secunda, S. K., Hirschfeld, R. M. A., & Koslow, S. H. (1979). NIMH Clinical Research Branch Collaborative Program on the Psychobiology of Depression. Archives of General Psychiatry, 36, 765–777.
Kendell, R. E. (1975). The role of diagnosis in psychiatry. Boston: Blackwell Scientific Publications.
Kendell, R. E. (1982). The choice of diagnostic criteria for biological research. Archives of General Psychiatry, 39, 1334–1339.
Kendell, R. E., Brockington, I. E., & Leff, J. P. (1979). Prognostic implications of six alternative definitions of schizophrenia. Archives of General Psychiatry, 36, 25–31.
Kendler, K. S. (1983). Overview: A current perspective on twin studies of schizophrenia. American Journal of Psychiatry, 140, 1413–1425.
Kessler, L. G., Amick, B.C., III, & Thompson, J. (1985). Factors influencing the diagnosis of mental disorder among primary care patients. Medical Care, 23, 50–62.
Kleinbaum, D. G., & Kupper, L. L. (1978). Applied regression analysis and other multivariable methods. North Scituate, MA: Duxbury Press.
Kleinbaum, D. G., Kupper, L. L., & Morgenstern, H. (1982). Epidemiologic research: Principles and quantitative methods. Belmont, CA: Lifetime Learning Publications.
Klerman, G. L. (1984). The advantages of DSM-III. American Journal of Psychiatry, 141, 539–542.
Klerman, G. L., Hirschfeld, R. M. A., Andreasen, N. C., Coryell, W., Endicott, J., Fawcett, J., Keller, M. B., & Scheftner, W A. (1987). Major depression and related affective disorders. In G. L. Tischler (Ed.), Diagnosis and classification in psychiatry: A critical appraisal of DSM-III (pp. 3–31). Cambridge: Cambridge University Press.
Kramer, M. (1969). Cross-national study of diagnosis of the mental disorders: Origins of the problem. American Journal of Psychiatry, 125 (Supplement), I–II.
Krupp, M. A., Chatton, M. J., & Werdegar, D. (1985). Current medical diagnosis and treatment, 1985. Los Altos, CA: Lange Medical Publications.
Light, R. J. (1971). Measures of response agreement for qualitative data: Some generalizations and alternatives. Psychological Bulletin, 76, 465–477.
Lipkowitz, M. H., & Idupaganti, S. (1983). Diagnosing schizophrenia in 1980: A survey of U.S. psychiatrists. American Journal of Psychiatry, 140, 52–55.
Livesley, W. J., & Jackson, D. N. (1986). The internal consistency and factorial structure of behaviors judged to be associated with DSM-III personality disorders. American Journal of Psychiatry, 143, 1473–1474.
Loeb, A., Wolf, A., Rosen, M., & Rutman, I. D. (1968). The influence of diagnostic label and degree of abnormality on attitudes toward former mental patients. Community Mental Health Journal, 4, 334–339.
MacMahon, B., & Pugh, T. F. (1970). Epidemiology: Principles and methods. Boston: Little, Brown.
Martinez, C., Jr. (1986). Hispanics: Psychiatric issues. In C. B. Wilkinson (Ed.), Ethnic psychiatry (pp. 61–88). New York: Plenum Press.
McGlashan, T. H. (1983). The borderline syndrome: I. Testing three diagnostic systems. Archives of General Psychiatry, 40, 1311–1318.
Menninger, K., Mayman, M., & Pruyser, P. (1963). The vital balance: The life process in mental health and illness. New York: Viking Press.
Merikangas, K. R. (1987). Genetic epidemiology of psychiatric disorders. In R. E. Hales & A. J. Frances, American Psychiatric Association annual review, Vol. 6 (pp. 625–646). Washington, DC: American Psychiatric Press.
Mezzich, J. E. (1980). Multiaxial diagnostic systems in psychiatry. In H. I. Kaplan, A. M. Freedman, & B. J. Sadock (Eds.), Comprehensive textbook of psychiatry/III (3rd ed., pp. 1072–1079). Baltimore: Williams & Wilkins.
Mezzich, J. E., Fabrega, H., & Mezzich, A. C. (1987). On the clinical utility of multiaxial diagnosis. In G. L. Tischler (Ed.), Diagnosis and classification in psychiatry: A critical appraisal of DSM-III (pp. 449–463). Cambridge: Cambridge University Press.
Modan, M., Harris, M. I., & Halkin, H. (1989). Evaluation of WHO and NDDG criteria for impaired glucose tolerance: Results from two national samples. Diabetes, 38, 1630–1635.
Mora, G. (1980a). Historical and theoretical trends in psychiatry. In A. I. Kaplan, A. M. Freedman, & B. J. Sadock (Eds.), Comprehensive textbook of psychiatry/III (3rd ed., pp. 4–98). Baltimore: Williams & Wilkins.
Mora, G. (1980b). Theories of personality and psychopathology: Adolph Meyer. In A.I. Kaplan, A. M. Freedman, & B. J. Sadock (Eds.), Comprehensive textbook of psychiatry/III (3rd ed., pp. 805–812). Baltimore: Williams & Wilkins.
Mora, G. (1987). Introduction. In V. Chiarugi, On insanity and its classification (pp. xiii–cxli). Canton, MA: Science History Publications.
Nasrallah, H. A., Jacoby, C. G., McCalley-Whitters, M., & Kuperman, S. (1982). Cerebral ventricular enlargement in subtypes of chronic schizophrenia. Archives of General Psychiatry, 39, 774–777.
National Center for Health Statistics. (1980). International classification of diseases, 9th revision, clinical modification (Vol. 1). (DHHS Publication No. DHHS 80-1260). Washington, DC: Department of Health and Human Services.
Osier, W. (1972). The evolution of modern medicine. New York: Arno Press.
Rainer, J. D. (1980). Genetics and psychiatry. In A. I. Kaplan, A. M. Freedman, B. J. Sadock (Eds.), Comprehensive textbook of psychiatry/III (3rd ed., pp. 135–154). Baltimore: Williams & Wilkins.
Redick, R. W., Manderscheid, R. W., Witkin, M. J., & Rosenstein, M. J. (1983). A history of the U.S. national reporting program for mental health statistics: 1840–1983. (DHHS Publication No. ADM 83-1296). Washington, DC: Department of Health and Human Services.
Regier, D. A., & Burke, J. D. (1987). Psychiatric disorders in the community: The Epidemiologic Catchment Area Program. In R. E. Hales & A. J. Frances (Eds.), American Psychiatry Association annual review, Vol. 6 (pp. 610–624). Washington, DC: American Psychiatric Press.
Robins, L. N. (1987). The assessment of psychiatric diagnosis in epidemiological studies. In R. E. Hales & A. J. Frances, American Psychiatric Association annual review, Vol. 6 (pp. 589–609). Washington, DC: American Psychiatric Press.
Robins, L. N., Heizer, J. E., Croughan, J., Williams, J. B. W., & Spitzer, R. L. (1981). The NIMH Diagnostic Interview Schedule: Its history, characteristics, and validity. Archives of General Psychiatry, 38, 381–389.
Robins, L. N., Wing, J., Wittchen, H. U., Heizer, J. E., Babor, T. F., Burke, J., Farmer, A., Jablenski, A., Pickens, R., Regier, D. A., Sartorius, N., & Towle, L. H. (1988). The Composite International Diagnostic Interview. Archives of General Psychiatry, 45, 1069–1077.
Rodriquez, A. R. (1988). An introduction to quality assurance in mental health. In G. Stricker & A. R. Rodriquez (Eds.), Handbook of quality assurance in mental health (pp. 3–36). New York: Plenum Press.
Rush, B. (1962). Medical inquiries and observations upon the diseases of the mind. New York: Hafner Press.
Sargant, W. (1962). The treatment of anxiety states and atypical depressions by the monoamine oxidase inhibitor drugs. Journal of Neuropsychiatry, 3 (Suppl 1), 96–103.
Schwab, J. J., & Schwab, M. E. (1978). Sociocultural roots of mental illness: An epidemiologic survey. New York: Plenum Press.
Shagass, C., Roemer, R. A., & Straumanis, J. J. (1982). Relationships between psychiatric diagnosis and some quantitative EEG variables. Archives of General Psychiatry, 39, 1423–1435.
Sharfstein, S. S. (1987). Third-party payments, cost containment, and DSM-III. In G. L. Tischler (Ed.), Diagnosis and classification in psychiatry: A critical appraisal of DSM-III (pp. 530–538). Cambridge: Cambridge University Press.
Shore, J. H., Manson, S. M., Bloom, J. D., Keepers, G., & Neligh, G. (1987). A pilot study of depression among American Indian patients with Research Diagnostic Criteria. American Indian and Alaska Native Mental Health Research, 1, 4–15.
Siever, L. J., & Kendler, K. S. (1987). An evaluation of the DSM-III categories of paranoid, schizoid, and schizotypal personality disorders. In G. L. Tischler (Ed.), Diagnosis and classification in psychiatry: A critical appraisal of DSM-III (pp. 300–320). Cambridge: Cambridge University Press.
Simon, B. (1978). Mind and madness in ancient Greece: The classical roots of modern psychiatry. Ithaca, NY: Cornell University Press.
Simons, R. C., & Hughes, C. C. (Eds.). (1985). The culture-bound syndromes: Folk illnesses of psychiatric and anthropological interest. Dordrecht, Netherlands: D. Reidel.
Skodol, A. E., & Spitzer, R. L. (Eds.). (1987). An annotated bibliography of DSM-III. Washington, DC: American Psychiatric Press.
Sowers, J. R., & Zemel, M. B. (1990). Clinical implications of hypertension in the diabetic patient. American Journal of Hypertension, 3(5 Pt. 1), 415–424.
Spitzer, R. L. (1983). Psychiatric diagnosis: Are clinicians still necessary? Comprehensive Psychiatry, 24, 399–411.
Spitzer, R. L., & Williams, J. B. W. (1980). Classification of mental disorders. In H. I. Kaplan, A. M. Freedman, & B. J. Sadock (Eds.), Comprehensive textbook of psychiatry IIII (3rd ed., pp. 1035–1072). Baltimore: Williams & Wilkins.
Spitzer, R. L., Forman, J. B. W., & Nee, J. (1979). DSM-III field trials: I. Initial interrater diagnostic reliability. American Journal of Psychiatry, 136, 815–817.
Spitzer, R. L., Williams, J. B. W., Gibbon, M., & First, M. B. (1990). User’s guide for the Structured Clinical Interview of DSM-III-R (SCID). Washington, DC: American Psychiatric Press.
Spitznagel, E. L., & Heizer, J. E. (1975). A proposed solution to the base rate problem in the kappa statistic. Archives of General Psychiatry, 42, 725–728.
Srole, L., & Fischer, A. K. (1980). The Midtown Manhattan Longitudinal Study vs ‘the mental paradise lost’ doctrine: A controversy joined. Archives of General Psychiatry, 37, 209–221.
Stewart, J. W., McGrath, P. J., Liebowitz, M. R., Harrison, W., Quitkin, F., & Rabkin, J. (1985). Treatment outcome validation of DSM-III depressive subtypes. Archives of General Psychiatry, 42, 1148–1153.
Strauss, J. S., & Carpenter, W. T. (1977). Prediction of outcome in schizophrenia. Archives of General Psychiatry, 34, 159–163.
Thompson, J. W., & Pincus, H. (1989). A crosswalk from DSM-III-R to ICD-9-CM. American Journal of Psychiatry, 146, 1315–1319.
Thompson, J. W., & Regier, D. A. (1985). The coding of diagnostic criteria for mental disorders and its integration into the general disease classification. In R. A. Cote, D.J. Protti, & J. R. Scherrer (Eds.), Role of informatics in health data coding and classification systems (pp. 271–288). Amsterdam: North-Holland.
Thompson, J. W., Green, D., & Savitt, H. L. (1983). Preliminary report on a crosswalk from DSM-III to ICD-9-CM. American Journal of Psychiatry, 140, 176–180.
Thompson, J. W., Burns, B. J., Bartko, J., Boyd, J. H., Taube, C. A., & Bourdon, K. A. (1988). The use of services by persons with and without phobia. Medical Care, 26, 183–198.
Vaillant, G. E., & Schnurr, P. (1988). What is a case? A 45-year study of psychiatric impairment within a college sample selected for mental health. Archives of General Psychiatry, 45, 313–319.
Walder, L. O., Cohen, S. I., Breiter, D. E., Warman, F. C., Orme-Johnson, D., & Pavey, S. (1972). Parents as agents of behavior change. In S. E. Golann & C. Eisendorfer, Handbook of community mental health (pp. 595–616). New York: Appleton-Century-Crofts.
Westermeyer, J. (1985). Psychiatric diagnosis across cultural boundaries. American Journal of Psychiatry, 142, 798–805.
Wing, J. K., Cooper, J. E., & Sartorius, N. (1974). Measurement and classification of psychiatric symptoms. New York: Cambridge University Press.
Wing, J. K., Bebbington, P., & Robins, L. N. (1981). Testing theories of psychiatric disorders in the community. In J. K. Wing, P. Bebbington, & L. N. Robins (Eds.), What is a Case? (p. 217). New York: Grant McIntyre Medical Books.
World Health Organization. (1967). International classification of diseases, 8th revision. Geneva: World Health Organization.
World Health Organization. (1978). International classification of diseases, 9th revision. Geneva: World Health Organization.
World Health Organization. (in press). International classification of diseases and related health problems, 10th revision. Geneva: World Health Organization.
Zanarini, M. C., Gunderson, J. G., Frankenburg, F. R., & Chauncey, D. L. (1990). Discriminating borderline personality disorder from other Axis II disorders. American Journal of Psychiatry, 147, 161–167.
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Thompson, J.W. (1992). Diagnostic Issues. In: Hsu, L.K.G., Hersen, M. (eds) Research in Psychiatry. Critical Issues in Psychiatry. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-0688-5_10
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