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Neurotic illness: conserving a threatened concept.

British Journal of Clinical Pharmacology

|January 1, 1985

Summary

The term neurosis remains clinically relevant despite classification changes. Common features like self-experience disturbance and interpersonal problems unite neurotic disorders, guiding practical treatment approaches.

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Area of Science:

Psychiatry
Clinical Psychology

Background:

The concept of 'neurosis' has faced challenges, particularly with the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, 3rd Edition (DSM-III).
This questioning stems largely from the psychodynamic interpretations associated with the term in the United States.

Purpose of the Study:

To re-evaluate the clinical utility and classification of neurosis.
To highlight the enduring pragmatic, epidemiological, behavioral, and phenomenological implications of the term 'neurosis'.

Main Methods:

Analysis of the historical development and evolving definitions of neurosis.
Examination of diagnostic criteria, including the World Health Organization's International Classification of Diseases, 9th Revision (ICD-9).
Review of commonalities and differences among neurotic disorders.

Main Results:

Neurotic disorders share core features: disturbances in self-experience, interpersonal relationship problems, and non-organic bodily symptoms.
These disorders are highly prevalent across general populations, primary care, and psychiatric outpatient settings.
The commonalities among neurotic disorders are more significant for classification than their differences.

Conclusions:

The concept of neurosis offers a valuable framework for understanding and classifying a significant group of psychiatric conditions.
Shared characteristics of neurotic disorders suggest unified treatment approaches and service provision strategies.
Focusing on commonalities aids in developing effective, broadly applicable treatments for neuroses.

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