This compendium has followed DSM-III or DSM-III-R in using a multi-axial approach to mental as well as somatic disorders in their clinical description. Thus, Chapters 2–4 have referred to axis 1 (mental disorders), Chapter 5 to axis 2 (personality disorders), Chapter 6 to axis 3 (somatic disorders), Chapter 7 to axis 4 (psychosocial Stressors), and Chapter 8 to axis S (social functioning and coping with illness). Chapter 9 deals with quality of life, which has no direct reference to an individual DSM-III axis. Quality of life is an integration of all five axis, is a hollistic concept, which has a close relationship to the concept of global improvement of illness during treatment as experienced by the patients themselves (Bech 1990a). In other words, health-related quality of life is a metaconcept which, inter alia, includes coping with illness.


Interpersonal Sensitivity Life Rate Clinical Disability Item Distribution Repertory Grid Technique 
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Copyright information

© Springer-Verlag Berlin Heidelberg 1993

Authors and Affiliations

  • Per Bech
    • 1
  1. 1.Department of PsychiatryFrederiksborg General HospitalHillerødDenmark

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