Normand Carrey1, John Gregson. 1. Maritime Psychiatry, IWK Health Center, Dalhousie University, Halifax, Nova Scotia. normand.carrey@iwk.nshealth.ca
Abstract
OBJECTIVE: To provide a context for classification in child psychiatry over last 45 years including debate over different approaches. METHOD: The context for classification of child psychiatric disorders has changed drastically since the introduction of categorical classification and the multi-axial formulation in the Diagnostic and Statistical Manual (DSM) and the International Classification of Disease (ICD). The authors review some historical factors including the shift in psychiatry to a universal classification system spanning the lifespan. RESULTS: The adaptation of categorical and universal diagnosis has resulted in a series of child-adult lifespan continuities and discontinuities about how problems are conceptualized within the categorical, multi-axial system. CONCLUSION: There is need for a more flexible classification system to incorporate emerging data from longitudinal and gene-environment (GxE) interaction studies within the framework of attachment, developmental and systems theory.
OBJECTIVE: To provide a context for classification in child psychiatry over last 45 years including debate over different approaches. METHOD: The context for classification of childpsychiatric disorders has changed drastically since the introduction of categorical classification and the multi-axial formulation in the Diagnostic and Statistical Manual (DSM) and the International Classification of Disease (ICD). The authors review some historical factors including the shift in psychiatry to a universal classification system spanning the lifespan. RESULTS: The adaptation of categorical and universal diagnosis has resulted in a series of child-adult lifespan continuities and discontinuities about how problems are conceptualized within the categorical, multi-axial system. CONCLUSION: There is need for a more flexible classification system to incorporate emerging data from longitudinal and gene-environment (GxE) interaction studies within the framework of attachment, developmental and systems theory.
Authors: Lisa M Broidy; Daniel S Nagin; Richard E Tremblay; John E Bates; Bobby Brame; Kenneth A Dodge; David Fergusson; John L Horwood; Rolf Loeber; Robert Laird; Donald R Lynam; Terrie E Moffitt; Gregory S Pettit; Frank Vitaro Journal: Dev Psychol Date: 2003-03