New Zealand Psychiatrists Views on Global Features of ICD-10 and DSM-IV

Graham W Mellsop · Gaelle Dutu

23 citations0/0 files storedAustralian & New Zealand Journal of Psychiatry

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Mental Health and Psychiatry Historical Psychiatry and Medical Practices Medical Research and Practices

Abstract

OBJECTIVE: The present accepted classificatory systems (ICD-10 and DSM-IV) represent the culmination of 100 years of post-Kraepelinian evolution. The present paper reports on a study to ascertain the views of New Zealand psychiatrists on their requirements of a classificatory system, and their opinions on those currently in use. METHOD: An anonymous postal survey of 542 psychiatrists and trainees was undertaken in New Zealand. RESULTS: A total of 235 questionnaires were returned, completed. New Zealand psychiatrists primarily use DSM-IV and do so because that is what they were taught on. They make relatively limited use of the multiaxiality. The purposes of classificatory systems that they value most highly are reliable interclinician communication, and to inform patient management planning. The two purposes they valued least were usefulness for a national statistical base, or to indicate prognosis. CONCLUSIONS: New Zealand psychiatrists' views are consistent with some of the stated objectives of ICD-10 and DSM-IV, but there is significant diversity in the former and over-ambition in the latter, with much to be resolved.

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References

2013Diagnostic and Statistical Manual of Mental Disorders 2012Diagnostic and Statistical Manual of Mental Disorders 2000Diagnostic and Statistical Manual of Mental Disorders.2004Clinical Utility as a Criterion for Revising Psychiatric Diagnoses 2005Beyond major depression 2004Five factor model of personality disorder: Integrating science and practice 2005Categories, Dimensions and Prototypes: Critical Issues for Psychiatric Classification 2004The Global Mental Health Assessment Tool--Primary Care Version (GMHAT/PC). Development, reliability and validity.

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2011The WPA‐WHO Global Survey of Psychiatrists’ Attitudes Towards Mental Disorders Classification 2013Psychologists' perspectives on the diagnostic classification of mental disorders: Results from the WHO‐IUPsyS Global Survey 2018Do mental health professionals use diagnostic classifications the way we think they do? A global survey

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