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Toward a Taxonomy of Psychopathology: The Purpose of Psychiatric Classification

Published online by Cambridge University Press:  29 January 2018

Roger K. Blashfield
Affiliation:
Psychology Department, The Pennsylvania State University, University Park, Pa. 16802, USA
Juris G. Draguns
Affiliation:
Psychology Department, The Pennsylvania State University, University Park, Pa. 16802, USA

Extract

The topic of psychiatric classification has generated more interest and controversy in the last decade than for a long time. Several trends have coalesced to foster its resurgence as a subject of debate. First, a sociological perspective on psychopathology has gained widespread attention (Becker, 1963; Matza, 1969; Scheff, 1966). The exponents of this perspective have focused on the effects of ‘labelling.’ Their writings have stimulated mental health professionals to examine the consequences of applying classificatory systems in psychiatry. Second, the rapid development of behaviour modification has been a source of numerous polemical attacks on the ‘medical model’ and on the classification system derived from the notion that psychological disturbances constitute a finite number of varieties of mental illness (e.g., Ullmann and Krasner, 1975). Third, criticisms have been voiced of the unsatisfactory reliability of the standard/accepted national and international psychiatric classification schemes (e.g., Scharfetter, 1971; Spitzer and Wilson, 1974). Such criticisms have sparked the development of new classificatory systems notable for the specificity and explicitness of rules of diagnostic assignment (Feighner et al, 1972; Spitzer, Endicott, and Robins, 1974).

Type
Papers
Copyright
Copyright © Royal College of Psychiatrists, 1976 

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References

Allport, G. W. (1961) Pattern and Growth of Personality. New York: Holt, Rinehart, and Winston.Google Scholar
American Psychiatric Association, Committee on Nomenclature and Statistics, (1968) Diagnostic and Statistical Manual of Mental Disorders (DSM-II). Second Edition. Washington: American Psychiatric Association.Google Scholar
Anderberg, M. R. (1973) Cluster Analysis for Applications. New York: Academic Press.Google Scholar
Ash, P. (1949) The reliability of psychiatric diagnosis. Journal of Abnormal and Social Psychology, 44, 272–6.CrossRefGoogle Scholar
Bailey, K. D. (1973) Monothetic and polythetic typologies and their relation to conceptualization, measurement, and scaling. American Sociological Review, 38, 1833.CrossRefGoogle Scholar
Bailey, K. D. (1974) Cluster analysis. In Sociological Methodology. (eds. Heise, D.) San Francisco: Jossey-Bass.Google Scholar
Bartko, J. J., Strauss, J. S. & Carpenter, W. T. (1971) An evaluation of taxometric techniques for psychiatric data. Classification Society Bulletin, 2, 228.Google Scholar
Becker, H. (1963) Outsiders. New York: Free Press of Glencoe.Google Scholar
Blashfield, R. K. (1973) Evaluation of the DSM-II classification of schizophrenia as a nomenclature. Journal of Abnormal Psychology, 82, 382–9.CrossRefGoogle ScholarPubMed
Blashfield, R. K. (1976) Mixture model tests of cluster analysis: Accuracy of four agglomerative hierarchical method. Psychological Bulletin, 83, 382–8.CrossRefGoogle Scholar
Blashfield, R. K. & Draguns, J. G. (1976) Evaluation criteria for psychiatric classification. Journal of Abnormal Psychology, 85, 140–50.CrossRefGoogle ScholarPubMed
Bleuler, E. (1911) Dementia Praecox or the Group of Schizophrenias (translated 1950 by Zinkin, J.). New York: International Universities Press.Google Scholar
Bleuler, M. (1972) Die schizophrenen Geistesstörungen im Lichte lang jähriger Kranken- and Familiengeschichten. Stuttgart: Thieme.Google Scholar
Chapman, L. J. & Chapman, J. P. (1967) Genesis of popular but erroneous psychodiagnostic observations. Journal of Abnormal Psychology, 72, 193204.CrossRefGoogle ScholarPubMed
Cromwell, R. L., Blashfield, R. K. & Strauss, J. S. (1975) Criteria for classification system. In Issues in the Classification of Children (Vol 1) (ed. Hobbs, N.). San Francisco: Jossey-Bass.Google Scholar
Crown, S. (1975) ‘On being sane in insane places’: A comment from England. Journal of Abnormal Psychology, 84, 453–5.CrossRefGoogle ScholarPubMed
Cunningham, K. M., & Ogilvie, J. C. (1972) Evaluation of hierarchical grouping techniques—a preliminary study. Computer Journal, 15, 209–15.Google Scholar
Deutsch, K. W. (1966) On theories, taxonomies and models as communication codes for organizing information. Behavioural Science, 11, 117.CrossRefGoogle ScholarPubMed
Everitt, B. S. (1974) Cluster Analysis. London: Halstead Press.Google Scholar
Fabrega, H. (1972) The study of disease in relation to culture. Behavioural Science, 17, 183203.CrossRefGoogle Scholar
Feighner, J. P., Robins, E., Guze, S. B., Woodruff, R. A., Winokur, G. & Muñoz, R. (1972) Diagnostic criteria for use in psychiatric research. Archives of General Psychiatry, 26, 5763.CrossRefGoogle ScholarPubMed
Fischer, M. (1974) Development and validity of a computerized method for diagnosis of functional psychoses Acta Psychiatrica Scandinavica, 50, 243–88.CrossRefGoogle ScholarPubMed
Friedman, H. P. & Rubin, J. (1967) On some invariant criteria for grouping data. Journal of the American Statistical Association, 62, 1159–78.CrossRefGoogle Scholar
Garmezy, N. (1968) Process and reactive schizophrenia: Some conceptions and issues. In The Role of Methodology and Classification in Psychiatry and Psychopathology, (eds. Katz, M. M., Cole, J. O. and Barton, W. E.). Chevy Chase, Maryland: US Department of Health, Education, and Welfare.Google Scholar
Gasking, D. (1960) Clusters. The Australian Journal of Philosophy, 38, 136.CrossRefGoogle Scholar
General Register Office (1968) A Glossary of Mental Disorders. London: HMSO.Google Scholar
Goldstein, M. J., Held, J. M. & Cromwell, R. (1968) Premorbid adjustment and paranoid-nonparanoid status in schizophrenia. Psychological Bulletin, 70, 382–5.CrossRefGoogle ScholarPubMed
Gregg, J. R. (1954) The Language of Taxonomy. New York: Columbia University Press.CrossRefGoogle Scholar
Hempel, C. G. (1966) Aspects of Scientific Explanation. New York: Free Press.Google Scholar
Jakubaschk, J. & Werner, J. (1974a) Die Zuverlässigkeit psychiatrischer Diagnosen bei einer Wiederholungsuntersuchung. Nervenarzt, 45, 305–11.Google Scholar
Jakubaschk, J. & Werner, J. (1974b) Übereinstimmung bei der Charakterisierung und Möglichkeiten zur Abgrenzung von zehn psychiatrischen Diagnosen-Ergebnisse aus einer Voruntersuchung für eine Reliabilitätsstudie. Social Psychiatry, 9, 4759.CrossRefGoogle Scholar
Jakubaschk, J. & Werner, J. (1975) Die Abgrenzbarkeit psychiatrischer Diagnosen. Nervenarzt, 46, 7684.Google Scholar
Jardine, N. & Sibson, R. (1971) Scientific Taxonomy, London: John Wiley and Sons.Google Scholar
Kanfer, F. H. & Saslow, G. (1965) Behavioural analysis: an alternative to diagnostic classification. Archives of General Psychiatry, 12, 848–53.CrossRefGoogle ScholarPubMed
Kellett, J. M., Copeland, J. R. M. & Kelleher, M. J. (1975) Information leading to accurate diagnosis in the elderly. British Journal of Psychiatry, 126, 423–30.CrossRefGoogle ScholarPubMed
Kendell, R. E. (1973a) Psychiatric diagnoses: A study of how they are made. British Journal of Psychiatry, 122, 437–45.CrossRefGoogle Scholar
Kendell, R. E. (1973b) The influence of the 1968 Glossary on the diagnoses of English psychiatrists. British Journal of Psychiatry, 123, 527–30.CrossRefGoogle ScholarPubMed
Kendell, R. E. (1974) The stability of psychiatric diagnoses. British Journal of Psychiatry, 124, 352–8.CrossRefGoogle Scholar
Kraepelin, E. (1907) Clinical Psychiatry. New York: Macmillan.Google Scholar
Leroy, A. & Mellegard, M. (1971) The use of information in diagnostic decisions. Acta Psychiatrica Scandinavica, 118, 609–16.Google Scholar
Lord, F. M. & Novick, M. R. (1968) Statistical Theories of Mental Test Scores. Reading, Massachusetts: Addison-Wesley.Google Scholar
Lorr, M. (ed.) (1966) Explorations in Typing Psychotics, Oxford: Pergamon Press.Google Scholar
Lorr, M. Klett, C. J. & McNair, B. (1963) Syndromes of Psychosis, London: Pergamon Press.Google Scholar
Lubin, A. (1968) Discussion: descriptive and phenomenological approaches. In The Role and Methodology of Classification in Psychiatry and Psychopathology, (eds. Katz, M. M., Cole, J. O. & Barton, W. E.) Chevy Chase, Maryland: US Department of Health, Education, and Welfare.Google Scholar
Magnusson, D. (1966) Introduction to Test Theory. Reading, Massachusetts: Addison-Wesley.Google Scholar
Mattsson, N. B. & Gerard, R. W. (1968) Typology of schizophrenia based on multidisciplinary observational victors. In The Role and Methodology of Classification in Psychiatry and Psychopathology. Chevy Chase, Maryland: US Department of Health, Education, and Welfare.Google Scholar
Matza, D. (1969) Becoming Deviant. Englewood Cliffs, New Jersey: Prentice-Hall.Google Scholar
Mayr, E. (1969) Principles of Systematic Zoology. New York: McGraw-Hill.Google Scholar
McQuitty, L. L. (1967) A mutual development of some typological theories and pattern-analytic methods. Educational and Psychological Measurement, 17, 2146.CrossRefGoogle Scholar
Menninger, K. (1963) The Vital Balance. New York: Viking Press.Google Scholar
Millon, T. (1975) Reflections on Rosenhan's On being sane in insane places. Journal of Abnormal Psychology, 84, 456–61.CrossRefGoogle ScholarPubMed
Morrison, J. R. (1974) Changes in subtype diagnosis of schizophrenia: 1920–1966. American Journal of Psychiatry, 131, 674–7.CrossRefGoogle ScholarPubMed
Ollerenshaw, D. P. (1973) The classification of the functional psychoses. British Journal of Psychiatry, 122, 517–30.CrossRefGoogle ScholarPubMed
Pannekoek, A. (1961) A History of Astronomy. New York: Interscience Publishers.Google Scholar
Panzetta, A. F. (1974) Toward a scientific psychiatric nosology. Archives of General Psychiatry, 30, 154–71.CrossRefGoogle Scholar
Paul, G. L. (1969) Chronic mental patient: current status—future directions. Psychological Bulletin, 71, 8194.CrossRefGoogle ScholarPubMed
Pethö, B. (1969) Zur methodologischen Neubesinnung in der Psychiatric Erste Mitteilung: Von der Entwicklung einiger psychiatrischer Richtungen, mit besonder Rücksicht auf ihr Relationssystem sowie auf die Methoden des Verstehens und des Erklärens. Fortschritte der Neurologie, Psychiatrie und ihrer Grenzgebiete, 37, 405–47.Google Scholar
Pethö, B. (1974) Zur methodologischen Neubesinnung in der Psychiatrie. Zweite Mitteilung: Von der Entwicklungsgeschichte der psychiatrischen Nosologie und den aktuellen Problemen ihrer Weiterentwicklung. Fortschritte der Neurologie, Psychiatrie und ihrer Grenzgebiete, 42, 475542.Google Scholar
Rosenhan, D. L. (1973) On being sane in insane places. Science, 179, 250–8.CrossRefGoogle ScholarPubMed
Sánchez, L. J. (1973) Logica y moral del diagnoAstico psiquiSátrico. Revista de Neuro-psiquiatria, 36, 8191.Google Scholar
Sarbin, R. R. & Mancuso, J. C. (1972) Paradigms and moral judgments: improper conduct is not a disease. Journal of Consulting and Clinical Psychology, 39, 68.CrossRefGoogle ScholarPubMed
Scharfetter, C. (1971) Die Zuverlässigkeit psychiatrischer Diagnostik: Schwierigkeiten und Wege zu ihrer Lösung. Schweizer Archiv für Neurologie, Neurochirurgie und Psychiatrie, 109, 419–26.Google Scholar
Scheff, T. J. (1966) Being Mentally Ill: A Sociological Theory. Chicago: Aldine.Google Scholar
Shakow, D. (1968) The role of classification in the development of the science of psychopathology with particular reference to research. In The Role of Methodology and Classification in Psychiatry and Psychopathology (eds. Katz, M. M., Cole, J. O. and Barton, W. E.). Chevy Chase, Maryland: US Department of Health, Education, and Welfare.Google Scholar
Simpson, G. G. (1961) Principles of Animal Taxonomy. New York: Columbia University Press.CrossRefGoogle Scholar
Slovic, P. & Lichtenstein, S. (1971) Comparison of Bayesian and regression approaches to the study of information processing in judgment. Organizational Behaviour and Human Performance, 6, 649744.CrossRefGoogle Scholar
Sneath, P. H. A. & Sokal, R. R. (1973) Numerical Taxonomy. San Francisco: W. H. Freeman.Google Scholar
Spitzer, R. L. (1975) On pseudoscience in science, logic in remission, and psychiatric diagnosis: A critique of Rosenhan's ‘On being sane in insane places’. Journal of Abnormal Psychology, 84, 442–52.CrossRefGoogle ScholarPubMed
Spitzer, R. L. Endicott, J. & Robins, E. (1974) Research Diagnostic Criteria. New York: Biometrics Research, New York State Department of Mental Hygiene.Google Scholar
Spitzer, R. L. Endicott, J., Robins, E., Kuriansky, J. & Gurland, B. Preliminary report on the reliability of research diagnostic criteria applied to psychiatric case records. In Prediction in Psychopharmacology (eds. Sudilofsky, A., Beer, B. and Gershon, S.). New York: Raven Press. (In press.)Google Scholar
Spitzer, R. L. & Fleiss, J. L. (1974) A re-analysis of the reliability of psychiatric diagnosis. British Journal of Psychiatry, 125, 341–7.CrossRefGoogle ScholarPubMed
Spitzer, R. L. & Wilson, P. T. (1974) Nosology and the official psychiatric nomenclature. In Comprehensive Textbook of Psychiatry (eds. A. Freedman and H. Kaplan). Baltimore: Williams and Wilkins.Google Scholar
Szasz, T. S. (1969) Psychiatric classification as a strategy of personal constraint. In Ideology and Insanity (ed. Szasz, T. S.). Garden City: Doubleday.Google Scholar
Temkin, O. (1968) The history of classification in medical science. In The Role of Methodology and Classification in Psychiatry and Psychopathology (eds. Katz, M. M., Cole, J. O. and Barton, W. E.). Chevy Chase, Maryland: US Department of Health, Education, and Welfare.Google Scholar
Tryon, R. C. & Bailey, D. E. (1970) Cluster Analysts. New York: McGraw-Hill.Google Scholar
Ullmann, L. P. & Krasner, L. (1975) A Psychological Approach to Abnormal Behavior. Englewood Cliffs: Prentice-Hall (2nd edition).Google Scholar
Ward, C. H., Beck, A. T., Mendelson, M., Mock, J. E. & Erbaugh, J. K. (1962) The psychiatric nomenclature. Archives of General Psychiatry, 7, 198205.CrossRefGoogle ScholarPubMed
Weinger, B. (1975) ‘On being sane in insane places’: a process (attributional) analysis and critique. Journal of Abnormal Psychology, 84, 433–51.Google Scholar
Welner, A., Liss, J. L. & robins, E. (1973) Undiagnosed psychiatric patients. Part III: The undiagnosable patient. British Journal of Psychiatry, 123, 91–8.CrossRefGoogle Scholar
Welner, A., Liss, J. L., Robins, E. & Richardson, M. (1972) Undiagnosed psychiatric patients. I: Record study. British Journal of Psychiatry, 120, 315–19.CrossRefGoogle ScholarPubMed
Wilson, P. T. (1968) A plan for refining the nosology of mental illness. In The Role of Methodology and Classification in Psychiatry and Psychopathology (eds. Katz, M. M., Cole, J. O. and Barton, W. E.). Chevy Chase, Maryland: US Department of Health, Education, and Welfare.Google Scholar
Wing, J. K. & Brown, G. (1970) Institutionalism and Schizophrenia. Cambridge: University Press.CrossRefGoogle Scholar
Yates, A. J. (1970) Behavior Therapy. New York: John Wiley and Sons.Google Scholar
Yusin, A., Nihira, K. & Mortashed, C. (1974) Major and minor criteria in schizophrenia. American Journal of Psychiatry, 131, 688–92.CrossRefGoogle ScholarPubMed
Zubin, J. Salzinger, K., Fleiss, J. L., Gurland, B., Spitzer, R. L., Endicott, J. & Sutton, S. (1975) Biometric approach to psychopathology. Annual Review of Psychology, 26, 621–71.CrossRefGoogle ScholarPubMed
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