Introduction |
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xiii | |
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1 Problems before agreed psychiatric classifications were available |
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1 | (6) |
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1.1 The development of idiosyncratic ideas |
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1 | (1) |
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1.2 Difficulties encountered by mental health professionals when trying to understand publications |
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1 | (3) |
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1.2.1 Publications on concepts of psychiatric illness |
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1 | (1) |
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1.2.2 Difficulties in understanding publications on the epidemiology of psychiatric disorders |
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2 | (1) |
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1.2.3 Difficulties in understanding publications on large-scale mental health statistics, particularly from other countries |
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3 | (1) |
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1.3 The proliferation of individual and national classifications |
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4 | (1) |
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1.4 The facilitation of abuse of psychiatric diagnosis for political and other purposes |
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5 | (1) |
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1.5 Change in diagnosis caused by change in doctor |
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6 | (1) |
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2 First steps towards international agreement on diagnosis and classification |
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7 | (4) |
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2.1 The British Glossary and ICD-8 |
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7 | (1) |
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2.2 Reliable foundations for diagnoses; the Present State Examination (PSE) and the Mental Status Schedule (MSS) |
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7 | (4) |
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3 Large-scale collaborative studies on diagnosis |
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11 | (6) |
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3.1 Cross-national: The US/UK Diagnostic Project |
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11 | (1) |
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3.1.1 Large-scale national statistics of admissions to mental hospitals |
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11 | (1) |
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3.1.2 Detailed study of individual diagnoses |
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12 | (1) |
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3.2 International: The WHO Programmes on the Standardization of Psychiatric Diagnosis and Classification; A, B, C, and D |
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12 | (5) |
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4 Developments in the USA |
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17 | (3) |
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17 | (1) |
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17 | (1) |
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4.2 The St Louis group and the Feighner criteria |
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17 | (1) |
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18 | (1) |
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4.4 DSM-HI-R, DSM-[ V, and DSM-IV-TR |
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18 | (2) |
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5 The first internationally understandable epidemiological studies |
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20 | (4) |
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5.1 The IPSS and DOSMED studies of the WHO |
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20 | (1) |
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5.2 The WHO Determinants of Outcome of Severe Mental Disorders (DOSMED) study |
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21 | (1) |
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5.3 The International Study of Schizophrenia (ISOS) |
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22 | (2) |
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6 Large community-based diagnostic studies in the USA |
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24 | (4) |
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6.1 The NIMH Epidemiological Catchment Areas Programme (ECA) (1982-1983) |
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24 | (1) |
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6.2 The results of the ECA programme |
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25 | (1) |
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6.3 The NIMH National Co-Morbidity Survey (1990-1992) and the NIMH National Co-Morbidity Replication Survey (2001-2003) |
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26 | (2) |
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7 Other large community-based diagnostic surveys |
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28 | (7) |
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7.1 The Chinese National Epidemiological Survey of Mental Disorders (1982) |
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28 | (1) |
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7.2 In the UK: OPCS Survey of Psychiatric Morbidity in Great Britain |
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29 | (1) |
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7.3 Across Europe: The European Study of the Epidemiology of Mental Disorders (ESEMeD) |
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30 | (1) |
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7.4 In seventeen countries world wide: The World Mental Health Survey of the World Health Organization |
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30 | (1) |
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7.5 Do large-scale surveys of mental disorders have any effect on the provision of mental health services? |
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31 | (2) |
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7.6 General conclusions from the results of surveys |
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33 | (2) |
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8 Some problems with research methods used in diagnostic surveys |
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35 | (7) |
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8.1 Expressed complaints and inferred symptoms |
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35 | (1) |
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8.2 Comparison of complaints and symptoms in field studies |
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36 | (3) |
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8.2.1 Comparison of the DIS and the PSE |
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36 | (2) |
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8.2.2 Comparison of SCAN and CIDI |
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38 | (1) |
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8.3 The use of short rather than lengthy rating scales |
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39 | (1) |
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8.4 Differences between `bottom-up' and `top-down' interviewing schedules |
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39 | (3) |
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9 Translation and use of interviewing schedules for use in more than one language and culture |
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42 | (5) |
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9.1 Equivalence and authenticity |
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42 | (3) |
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9.2 Guidelines for schedules to be used in more than one language |
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45 | (1) |
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9.3 Culture-specific disorders |
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45 | (2) |
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10 Towards international agreement on classification |
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47 | (4) |
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10.1 The development of ICD-9 |
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47 | (1) |
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10.2 The Joint Project: Collaboration between the World Health Organization and the National Institute of Mental Health of the USA |
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47 | (1) |
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10.3 The development of 1CD-10 Chapter V |
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48 | (1) |
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10.4 The family of documents of ICD-10 Chapter V |
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49 | (2) |
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11 Communication between health care professions |
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51 | (4) |
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11.1 Different versions for different purposes |
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51 | (2) |
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11.2 The importance of labels |
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53 | (2) |
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12 Understanding classification |
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55 | (5) |
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12.1 Classification as part of taxonomy: basic rules and definition of terms |
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55 | (1) |
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12.2 Successful classifications in the biological and physical sciences |
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56 | (4) |
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12.2.1 The classification of animals |
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56 | (2) |
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12.2.2 The periodic table of elements |
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58 | (2) |
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13 Special problems for psychiatric classification |
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60 | (4) |
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13.1 What is being classified? Definition of disease |
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60 | (1) |
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13.2 What is the real job of a modern, scientifically trained doctor? |
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61 | (1) |
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13.3 The concept of a disorder |
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62 | (2) |
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13.3.1 The definition of disorder used in ICD-10 |
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62 | (1) |
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13.3.2 The definition of disorder used in DSM-1V |
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62 | (1) |
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13.3.3 The definition of disorder used in DSIA-5 |
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63 | (1) |
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14 Diagnosis in psychiatry |
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64 | (7) |
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14.1 What is a diagnosis? |
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64 | (1) |
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14.2 Components of the diagnostic process in psychiatry |
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65 | (1) |
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14.3 Making more than one diagnosis |
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66 | (1) |
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14.4 Narrative descriptions versus lists of criteria |
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66 | (1) |
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14.5 The drawbacks of lists of criteria in clinical practice |
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67 | (1) |
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14.5.1 The risk of an appearance of spurious diagnostic precision |
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67 | (1) |
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14.5.2 Reluctance to arrive at a diagnosis and start treatment |
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68 | (1) |
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14.5.3 Reduction of the incentive to read widely |
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68 | (1) |
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14.6 The dimensional approach |
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68 | (1) |
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14.7 Participation in the development of classifications |
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69 | (1) |
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14.8 Lurnpers and splitters |
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69 | (2) |
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15 Classification beyond the diagnosis |
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71 | (3) |
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15.1 Limitations of the diagnosis |
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71 | (1) |
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15.2 The illness, the person, and interaction with other persons |
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72 | (1) |
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73 | (1) |
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16 Multi-axial classification |
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74 | (4) |
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74 | (1) |
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75 | (1) |
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16.3 Are multi-axial classification used widely in clinical practice? |
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76 | (2) |
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17 Psychiatric classification in a wider perspective |
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78 | (3) |
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17.1 National and international classifications |
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78 | (1) |
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17.2 Properties of an international classification |
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78 | (2) |
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17.3 Meta-effects of classifications |
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80 | (1) |
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18 How to use a psychiatric classification |
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81 | (3) |
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18.1 The future uses of the diagnosis and case-notes |
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81 | (1) |
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18.2 How to use a psychiatric classification badly |
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81 | (1) |
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18.3 How to use a classification properly |
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82 | (1) |
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18.4 Learning and teaching |
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82 | (1) |
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18.5 All classifications are imperfect |
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82 | (2) |
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84 | (5) |
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19.1 The development of ICD-11 and DSM-5 |
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84 | (1) |
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19.2 Conjectures on the future of classifications of mental disorders |
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85 | (4) |
Appendix 1 Foreword to The Glossary of Mental Disorders and Guide to their Classification |
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89 | (2) |
Appendix 2 Some results from the US/UK Diagnostic Project |
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91 | (2) |
Appendix 3 The WHO International Classification of Functions, Disability, and Health (ICF) |
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93 | (2) |
Appendix 4 The meta effects of classifying mental disorders |
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95 | (17) |
Appendix 5 International Statistical Classification of Diseases and Related Health Problems 10th Revision |
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112 | (2) |
Appendix 6 Glossary of terms (with annotations about other closely related terms) |
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114 | (5) |
Addendum to Section 13.3.3 |
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119 | (2) |
References |
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121 | (10) |
Author index |
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131 | (4) |
Subject index |
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135 | |