VII World Congress of Psychiatry [antikvár]

Nomenclature and ClassificationPU PROGRAMMES POR WHO DIRECTED TOWARDS IMPR0VIN6 THE NOMENCLATURE AND CLASSIFICATION IN MENTAL HEALTHNorman Sartorius, M.D. Director, Division of Mentái Health, WHO, Geneva, SwitzerlandThe WHO Constitution lists the standardization of diagnostic procedures and the establishment and revision of international nomenclatures of diseases, the causes of death and of public health practices among the Organization's basic functions. To ful-fil this function, WHO has inter alia launched a long-term pro-gramme on diagnosis and classification in the field of mentái health. Underway for nearly two decades, this programme brought together leading institutions and experts from a large number of countries. The products of the effort so far have been the classification of mentái and neurological disorders in the successive revisions of the International Classification of Diseases; inter-nationally acceptable glossaries of diagnostic terms; methods for the exploration of the diagnostic process; a series of publica-tions; instruments for the assessment of the mentái state, and other characteristics of individuals applicable in a wide variety of cultures; and methods for recording and presentation of data about the mentally and neurologically ill.These achievements were possible because of collaboration with many countries. Most recently a major project has been launched in collaboration with the US Alcohol, Drug Abuse and Mentái Health Administration involving experts and institutions from more than fifty countries. The project and other efforts of WHO resulted in a perspective plan of work for the next decade which will be pre-sented in outline.PL2 DSM-III: RATIONALE AND BASIC CONCEPTSRóbert L. Spitzer, M.D. Columbia University and Biometrics Research Department, New York State Psychiatric Insitute, New York City, New York, U.S.A This paper reviews the major innovations in approach to psychiatric diagnosis incorporated into DSM-III. These include the classification of mentái disorders according to shared descriptive clinical features, the use of specified diagnostic criteria for making psychiatric diagnoses, and the multiaxial system of patient evaluation. The paper will alsó discuss criticisms that have been made of DSM-III, the ra-tionale for the departure of DSM-III from the 1CD-9, and possible ways in which DSM-IV and ICD-10 can be convergent.