Abstract
For any field of scientific investigation to advance, a consensually agreed upon way to classify the phenomena of interest is required. In the United States, the prevailing way to classify the problems that bring people to mental health professionals is the Diagnostic and Statistical Manual, 3rd edition, revised (DSM-III-R, American Psychiatric Association, 1987). The DSM-III-R is primarily a categorical system, although it has dimensional components (e.g., the Axis V ratings of level of adaptive functioning). In a categorical nosology, sets of criteria are used to determine which diagnostic category best fits a person’s presenting problems. Categorical nosologies assume discontinuity and qualitative differences between categories.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Akiskal, H.S. (1985). Anxiety: Definition, relationship to depression, and proposal for an integrative model. In A.H. Tuma & J. Maser (Eds.), Anxiety and the anxiety disorders, (pp. 787–797). Hillsdale, New Jersey: Erlbaum.
Alloy, L.B., Kelly, K.A., Mineka, S., & Clements, C.M. (1990). Comorbidity in anxiety and depressive disorders: A helplessness/hopelessness perspective. In J.D. Maser & R. Cloninger (Eds.), Comorbidity of anxiety and mood disorders. Washington, D.C., American Psychiatric Press, Inc.
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.
Angst, J., & Dobler-Mikola, A. (1985). The Zurich Study: VI. A continuum from depression to anxiety disorders? European Archives of Psychiatry and Neurological Science, 235, 179–186.
Angst, J., Vollrath, M., Merikangas, K.R., & Ernst, C. (1990). Comorbidity of anxiety and depression in the Zurich cohort study of young adults. In J.D. Maser & CR. Cloninger, (Eds.). Comorbidity of anxiety and mood disorders. Washington, D.C., American Psychiatric Press, Inc.
Barlow, D.H., Di Nardo, P.A., Vermilyea, B.B., Vermilyea, J., & Blanchard, E.B. (1986). Comorbidity and depression among anxiety disorders: Issues in diagnosis and classification. The Journal of Nervous and Mental Disease, 174, 63–72.
Barlow, D.H. (1988). Anxiety and its disorders. New York: Guilford Press.
Becker, J. & Kleinman, A. (in press). Psychosocial aspects of mood disorders. Hillsdale, NJ: Erlbaum.
Benshoof, B.B., Moras, K., Di Nardo, P., & Barlow, D.H. (1989). A comparison of symptomatology in anxiety and depressive disorders. Unpublished manuscript, State University of New York, Center for Stress and Anxiety Disorders, Albany.
Blashfield, R.K. (1990). Co-Morbidity and classification. In J. Maser & CR. Cloninger (Eds.), Comorbidity in anxiety and mood disorders, Washington, D.C.: American Psychiatric Press.
Cantor, N., Smith, E.E., French, R., & Mezzich, J. (1980). Psychiatric diagnosis as prototype categorization. Journal of Abnormal Psychology, 89, 181–193.
Clark, L.A. (1989). The anxiety and depressive disorders: Descriptive psychopathology and differential diagnosis. In P.C. Kendall & D. Watson (Eds.), Anxiety and depression: Distinctive and overlapping features (pp. 83–129). San Diego: Academic Press.
Clark, L.A., & Watson, D. (1989). Psychometric issues relevant to a potential DSM-IV category of mixed anxiety-depression. Review paper for the DSM-IV Generalized Anxiety Disorder and Mixed Anxiety Depression Workgroup. Southern Methodist University, Dallas.
De Ruiter, C., Ruken, H., Garssen, B., van Schaik, A., & Kraaimaat, F. (1989). Comorbidity among the anxiety disorders. Journal of Anxiety Disorders, 3, 57–68.
Di Nardo, P.A., & Barlow, D.H. (1990). Syndrome and symptom comorbidity in the anxiety disorders. In J.D. Maser & C.R. Qoninger (Eds.), Comorbidity of anxiety and mood disorders. Washington, D.C.: American Psychiatric Press.
Dobson, K.S. (1985). The relationship between anxiety and depression. Clinical Psychology Review, 5, 307–324.
Eysenck, H.J. (1970). A dimensional system of psychdiagnostics. In A. R. Mahrer (Ed.), New approaches to personality classification (pp. 169–207). New York: Columbia University Press.
Frances, A. & Widiger, T.A. (1986). Methodological issues in personality disorder diagnosis. In T. Millon & G. L. Klerman (Eds.), Contemporary directions in psychopathology: Toward the DSM-IV (pp. 381–402). New York: Guilford Press.
Frances, A., Widiger, T., Fyer, M.R. (1990). The influence of classification methods on comorbidity. In J.D. Maser & CR. Cloninger (Eds.), Comorbidity of anxiety and mood disorders. Washington, D.C.: American Psychiatric Association Press.
Gotlib, I.H., & Cane, D.B. (1989). Self-report assessment of depression and anxiety. In P.C. Kendall & D. Watson (Eds.), Anxiety and depression: Distinctive and overlapping features (pp. 131–169). San Diego: Academic Press.
Hamilton, M. (1959). The assessment of anxiety states by rating. British Journal of Medical Psychology, 32, 50–55.
Hamilton, M. (1960). A rating scale for depression. Journal of Neurology, Neurosurgery and Psychiatry, 23, 56–62.
Harris, E.L., Noyes, R., Crowe, R.R., & Chaudhry, D.R. (1983). Family study of agoraphobia: Report of a pilot study. Archives of General Psychiatry, 40, 1061–1064.
Hiller, W., Zaudig, M., & Bose, M. (1989). The overlap between depression and anxiety on different levels of psychopathology. Journal of Affective Disorders, 16, 223–231.
Katz, M.M., Cole, J.O., & Barton, W.E. (Eds.). (1968). The role and methodology of classification in psychiatry and psychopathology (DHEW Publication No. HSM 72–9015). Washington, D.C., U.S. Government Printing Office.
Kendall, P.C., & Watson, D. (Eds.). (1989). Anxiety and depression: Distinctive and overlapping features. San Diego: Academic Press.
Kendell, R.E. (1975). The role of diagnosis in psychiatry. Oxford, England: Blackwell Scientific Publications.
Lesser, I.M., Rubin, R.T., Pecknold, J.C., Rifkin, A., Swinson, R.P., Lydiard, R.B., Burrows, G.D., Noyes, R., & DuPont, R.L. (1988). Secondary depression in panic disorder and agoraphobia: 1. Frequency, severity, and response to treatment Archives of General Psychiatry, 45, 437–443.
Lorr, M. (1986). Classifying psychotics: Dimensional and categorical approaches. In T. Millon & G. L. Klerman (Eds.), Contemporary directions in psychopathology: Toward the DSM-IV, (pp. 331–345). New York: The Guilford Press.
Maser, J.D., & Cloninger, C.R. (Eds.). (1990). Comorbidity of anxiety and mood disorders. Washington, D.C.: American Psychiatric Press.
McCauley, P.A., Di Nardo, P.A., & Barlow, D.H. (1987, November). Differentiating anxiety and depression using a modified scoring system for the Hamilton scales. Poster presented at the annual meeting of the Association for Advancement of Behavioral Therapy, Boston.
Meehl, P.E., & Golden, R. (1982). Taxometric methods. In P. Kendall & J. Butcher (Eds.), Handbook of research methods in clinical psychology (pp. 127–181), New York: Wiley.
Moras, K. (1989). Diagnostic comorbidity in the DSM-IE and III-R Anxiety and Mood Disorders: Implications for the DSM-IV. Review paper for the DSM-IV Generalized Anxiety Disorder and Mixed Anxiety Depression Workgroup. Center for Stress and Anxiety Disorders, State University of New York, Albany.
Pepper, S. (1966). World hypotheses. Berkeley: University of California Press.
Racagni, G., & Smeraldi, E. (Eds.). (1987). Anxious depression: Assessment and treatment. New York: Raven Press.
Riskind, J.H., Beck, A.T., Brown, G., & Steer, R.A. (1987). Taking the measure of anxiety and depression: Validity of the reconstructed Hamilton scales. The Journal of Nervous and Mental Disease, 175, 474–479.
Robins, L.N., Heizer, J.E., Croughan, J., & Ratcliff, K.S. (1981). National Institute of Mental Health Diagnostic Interview Schedule: Its history, characteristics, and validity. Archives of General Psychiatry, 38, 381–389.
Rosch, E. (1978). Principles of categorization. In E. Rosch & B. Lloyd (Eds.), Cognition and categorization. Hillsdale, NJ: Erlbaum.
Russell, J.A. (1980). A circumplex model of affect. Journal of Personality and Social Psychology, 39, 1161–1178.
Sanderson, W.C, Di Nardo, P.A., Rapee, R.M, & Barlow, D.H. (in press). Syndrome co-morbidity in patients diagnosed with a DSM-III-Revised anxiety disorders. Journal of Abnormal Psychology.
Sanderson, W.C, & Beck, A. T. (1989). Syndrome co-morbidity in patients with major depression or dysthymia: Prevalence and temporal relationships. Manuscript submitted for publication.
Skinner, H.A. (1986). Construct validation approach to psychiatric classification. In T. Millon and G.L. Klerman (Eds.), Contemporary directions in psychopathology: Toward the DSM-IV (pp. 307–330). New York: Guilford Press.
Spitzer, R.L., Endicott, J., & Robins, E. (1978). Research diagnostic criteria: Rationale and reliability. Archives of General Psychiatry, 35, 773–782.
Stavrakaki, C. & Vargo, B. (1986). The relationship of anxiety and depression: A review of the literature. British Journal of Psychiatry, 149, 7–16.
Tellegen, A. (1985). Structures of mood and personality and their relevance to assessing anxiety, with an emphasis on self-report. In A. H. Tuma & J. Maser (Eds.), Anxiety and the anxiety disorders, (pp. 787–797). Hillsdale, New Jersey: Erlbaum.
Van Valkenburg, C., Akiskal, H.S., Puzantian, V., & Rosenthal, T. (1984). Anxious depressions: Clinical, family history, and naturalistic outcome-comparisons with panic and major depressive disorders. Journal of Affective Disorders, 6, 67–82.
Watson, D., Clark, L.A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54, 1063–1070.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1991 Springer Science+Business Media New York
About this chapter
Cite this chapter
Moras, K., Barlow, D.H. (1991). Dimensional Approaches to Diagnosis and the Problem of Anxiety and Depression. In: Ehlers, A., Fiegenbaum, W., Florin, I., Margraf, J. (eds) Perspectives and Promises of Clinical Psychology. Applied Clinical Psychology. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-3674-5_3
Download citation
DOI: https://doi.org/10.1007/978-1-4899-3674-5_3
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4899-3676-9
Online ISBN: 978-1-4899-3674-5
eBook Packages: Springer Book Archive