Advertisement

Diagnostic Classification: 0-3R. A Tool for Early Interactive Clinical Assessment

  • Matylda Alecian
  • François MedjkaneEmail author
Chapter

Abstract

iInternational diagnostic classifications such as the DSM-5 and the ICD-10 are currently in use both in adult and child psychiatry. However, they lack developmental and interactive perspective. They are therefore insufficiently relevant to the field of infancy and early childhood. In fact, the specific nature of psychiatric diagnosis for children is now well recognized. To address this essential issue, the Zero to Three Diagnostic Classification (DC: 0-3) appeared in 1994. In the absence of sufficient data on the practice of the new broader classification from 0 to 5, published at the end of 2016, we aim to describe the current use of the revised edition of this unique classification which is widely used and translated around the world. We will first describe the five axes of the classification. The clinical diagnostic, and therapeutic effectiveness of the DC: 0-3 will be illustrated by two clinical cases.

The five axes that constitute the DC: 0-3R have the merit of clearly expressing the idea that a clinical situation needs to be apprehended globally. The tool presented here includes a vast array of elements ranging from the infant’s symptoms and interactive capacities to his/her relationships and the environmental impact he/she is submitted to longitudinally. It opens a new way of assessing what is "not going well" as much as how to try to reorganize the resources available in order to move forward in a more positive direction.

Keywords

Classification DC: 0-3 Very young infants Early development 

References

  1. 1.
    Chatoor I, Pine DS, Narrow WE (2007) Diagnosis of psychopathology in infants, toddlers, and preschool children. In: Narrow WE, First MB, Sirovatka PJ, Regier DA (eds) Age and gender considerations in psychiatric diagnosis: a research agenda for DSM-V. American Psychiatric Association, Arlington, VA, p 145150Google Scholar
  2. 2.
    Kreisler L (2004) 112. Sémiologie et catégories cliniques en psychiatrie du très jeune enfant. Problèmes de classification et communication interdisciplinaire. In: Lebovici S, Diatkine R, Soulé M (eds) Nouveau traité de psychiatrie de l’enfant et de l’adolescent, vol 2. Presses Universitaires de France, Paris, pp 1953–1970Google Scholar
  3. 3.
    Lebovici S, Diatkine R, Soulé M (2004) Nouveau traité de psychiatrie de l’enfant et de l’adolescent, vol 2. Presses Universitaires de France, Paris, pp 1953–1970Google Scholar
  4. 4.
    Spielberger CD, Sydeman SJ (1994) State-trait anxiety inventory and state-trait anger expression inventory. Lawrence Erlbaum Associates, Inc, Hillsdale, NJGoogle Scholar
  5. 5.
    Thomas JM, Harmon RJ (1998) La classification diagnostique des troubles de la santé mentale et du développement de la première et de la petite enfance un système dynamique pour la connaissance et le traitement des nourrissons, des jeunes enfants et de leurs familles. Devenir 10(1):35–50Google Scholar
  6. 6.
    Berman C, Shaw E, Meisels SJ, Fenichel E (1996) Family-directed child evaluation and assessment under the Individuals with Disabilities Education Act (IDEA). In: Meisels SJ, Fenichel E (eds) New visions for the developmental assessment of infants and young children. Zero to Three, Washington, DC, pp 361–390Google Scholar
  7. 7.
    Guedeney A (1999) La classification diagnostique 0-3 ans. Carnet/Psy 44:28–32Google Scholar
  8. 8.
    Fenichel E, Emde RN, Egger H, Guedeney A, Wise BK, Wright HH (2005) Présentation de la révision de la Classification Diagnostique 0-3 ans (DC: 0-3R). Devenir 17(4):347–360CrossRefGoogle Scholar
  9. 9.
    Perret P (2009) L’édition révisée de la Classification diagnostique 0-3 ans et sa traduction française. Devenir (5):7–13CrossRefGoogle Scholar
  10. 10.
    Thomas JM, Guskin KA, Klass CS (1997) Early Development Program: Col- laborative structures and processes. Infant Mental Health Journal 18(2):198–208CrossRefGoogle Scholar
  11. 11.
    Scholl JM (2007) Classification Diagnostique 0-3 ans Révisée: une nouvelle présentation des Troubles de la Régulation du traitement des stimuli sensoriels. Devenir 19(2):109–130CrossRefGoogle Scholar
  12. 12.
    Guedeney N, Mintz AS, Rabouam C, Le Nestour A, Guédeney A, Danon G, Morales-Huet M, Jacquemain F, Roujeau S (2002) À propos des systèmes de classification en psychiatrie du très jeune enfant: utilisation de la classification diagnostique Zero to three. La Psychiatrie de l’Enfant 45(2):483–531CrossRefGoogle Scholar
  13. 13.
    Garez V, Devouche E, Bobin-Bègue A, Alecian M, Minjollet P, Vallerent A, Poget M, Oguibenine H, Heroux C, Medjkane F, Apter A (2018) La liaison en “Périnatalogie”: Des soins entre réseau, liaison et prise en charge mobile. L’Encéphale 44(3):239–246CrossRefGoogle Scholar
  14. 14.
    Vallerent A, Garez V, Minjollet P, Heroux C, Devouche E, Apter G (2016) PPUMMA: Expérience d’une unité mobile de pédopsychiatrie au sein d’un réseau périnatal. Pratiques en Santé Mentale 4:5–9CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Maternité, Hôpital Privé de Marne La Vallée, Bry sur Marne (94)Bry-sur-MarneFrance
  2. 2.Service de Psychiatrie de l’Enfant et de l’AdolescentCHU Lille, Universitary Hospital of LilleLilleFrance

Personalised recommendations