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Organic mental disorders--an American perspective.

Z J Lipowski

    The British Journal of Psychiatry : the Journal of Mental Science
    |May 1, 1984
    PubMed
    Summary

    The revised American psychiatric classification (DSM-III) broadens the definition of organic mental disorders. This new approach includes conditions without cognitive impairment, expanding diagnostic possibilities in psychiatry.

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    Area of Science:

    • Psychiatry
    • Neurology
    • Mental Health

    Background:

    • The Diagnostic and Statistical Manual of Mental Disorders, Third Edition (DSM-III) represents a significant shift in psychiatric classification.
    • Previous classifications of organic mental disorders were often narrowly defined, primarily focusing on cognitive impairment.

    Purpose of the Study:

    • To discuss the highlights and implications of the new approach to organic mental disorders in the DSM-III.
    • To analyze the expanded concept of organicity and its impact on psychiatric diagnosis.

    Main Methods:

    • Review and analysis of the diagnostic criteria outlined in the DSM-III.
    • Conceptual analysis of the term 'organicity' within the context of psychiatric disorders.

    Main Results:

    • The DSM-III liberalizes the concept of organicity, including psychiatric correlates of cerebral disorders.
    • The revised classification accommodates conditions that do not involve cognitive impairment.
    • Some organic mental disorders now present with symptoms resembling affective, paranoid, and schizophrenic disorders.

    Conclusions:

    • The DSM-III's expanded definition of organic mental disorders offers a more inclusive diagnostic framework.
    • This broadened approach necessitates a re-evaluation of the relationship between cerebral disorders and psychiatric presentations.
    • The implications for clinical practice and future research in psychiatry are substantial.

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