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Diagnostic concepts, multimodal and multiaxial approaches in psychotherapy and psychosomatics
W Schneider1, G Heuft, H J Freyberger
1Abteilung für Psychotherapie und Psychosomatik, Westfälischen Klinik für Psychiatrie, Ruhr-Universität Bochum, Dortmund, Germany.
Abstract:
Basic questions concerning diagnostic models in psychoanalytic psychotherapy and psychosomatics are discussed in this paper. Against the background of the different areas in psychodynamic-oriented diagnoses, the advantages and disadvantages of descriptive multiaxial diagnostical models like DSM-III-R and ICD-10 are examined. These conceptual reflections have been built on the findings from participation in Germany of a great number of psychotherapeutic/psychosomatic institutions in the field trials for the assessment of the Diagnostic Criteria for Research of ICD-10, chapter V. Some of the most important issues this study has raised are discussed.