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Related Experiment Videos

Classification of pervasive developmental disorders: some concepts and practical considerations.

M Rutter1, E Schopler

  • 1Institute of Psychiatry, University of London.

Journal of Autism and Developmental Disorders
|December 1, 1992
PubMed
Summary

Effective classification systems must serve diverse clinical and research needs, considering diagnostic teaching and resource access. Separate schemes for clinical and research purposes are beneficial, with a multiaxial approach aiding neuropsychiatric understanding.

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Area of Science:

  • Psychiatry
  • Medical Classification Systems
  • Neurodevelopmental Disorders

Background:

  • Current classification systems face challenges in meeting diverse clinical and research requirements.
  • The utility of classifications for diagnostic teaching and resource allocation is critical.
  • The distinction between clinical and research needs necessitates careful consideration for classification design.

Purpose of the Study:

  • To evaluate the principles of classification in relation to clinical and research purposes.
  • To explore the implications of classification choices for diagnostic teaching and resource access.
  • To discuss the merits of a multiaxial approach and specific terminology for pervasive developmental disorders (PDD).

Main Methods:

  • Review of classification principles considering symptomatology and disease course.

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  • Analysis of the neuropsychiatric interface within classification frameworks.
  • Discussion of terminology, including autism and pervasive developmental disorders (PDD), and the lumping vs. splitting debate.

    • Main Results:

    • Separate clinical and research classification schemes offer distinct advantages.
    • A multiaxial approach is valuable for understanding the complexities of neuropsychiatric conditions.
    • The choice of descriptive terms (e.g., autism, PDD) and subcategorization impacts classification utility.

    Conclusions:

    • Classification systems should be tailored to specific purposes, acknowledging differences between clinical and research applications.
    • Careful consideration of diagnostic teaching and resource access is essential when developing or utilizing classifications.
    • The debate between lumping and splitting, particularly concerning pervasive developmental disorders (PDD), requires nuanced evaluation for optimal clinical and research utility.