[Erik Essen-Möller and the roots of multiaxial classification in psychiatry].

https://arctichealth.org/en/permalink/ahliterature134760
Source
Fortschr Neurol Psychiatr. 2011 May;79(5):277-82
Publication Type
Article
Date
May-2011
Author
M. Jäger
K. Frasch
T. Becker
Author Affiliation
Klinik für Psychiatrie und Psychotherapie II, Universität Ulm, Bezirkskrankenhaus Günzburg. markus.jaeger@bkh-guenzburg.de
Source
Fortschr Neurol Psychiatr. 2011 May;79(5):277-82
Date
May-2011
Language
German
Publication Type
Article
Keywords
Diagnostic and Statistical Manual of Mental Disorders
History, 20th Century
Humans
Mental Disorders - classification - diagnosis - psychology
Neuropsychological Tests
Psychiatric Status Rating Scales - history
Psychiatry - history
Sweden
Syndrome
Abstract
Against the background of the preparation of ICD-11 and DSM-V, the historical roots of a multiaxial diagnostic assessment in psychiatry are reviewed. The principles of such an approach are traced back to the Swedish psychiatrist Erik Essen-Möller who had proposed a distinction between aetiological and descriptive aspects in the classification of mental disorders. Furthermore, he suggested to break down the descriptive classification into the cross-sectional psychopathological picture and the clinical course. Nowadays, a multiaxial assessment is used in diagnostic systems such as DSM-IV. However, these current concepts differ considerably from Essen-Möller's suggestions. A return to the original approach of multiaxial diagnostic assessment comprising the axes "syndromes", "course types" and "aetiology" would be in line with current neurobiological findings and may provide a bridge between the traditional categorical diagnostic approach and dimensional models.
PubMed ID
21544760 View in PubMed
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