Abstract • This study examines the resources of DSM-III for dealing with conditions that fall outside the domain of illnesses with specific, recognized, and clearly delineated symptom profiles. In discussing some of the theoretical and problematic aspects of the categories "Adjustment Disorder" (AD) and "not ill" (NI), AD is viewed as an example of a marginal or transitional illness category. Clinical psychopathologic features of subjects in the AD and NI categories are compared with those in the logical complementary category composed of all other specific diagnosis categories of DSM-III. The results support the descriptive validity of AD and NI in DSM-III. References 1. Mezzich JE: Multiaxial diagnostic systems in psychiatry , in Kaplan HI, Sadock BJ (eds): Comprehensive Textbook of Psychiatry , ed 4. Baltimore, Williams & Wilkins, 1984, pp 613-616. 2. Mezzich JE: New developments in multiaxial psychiatric diagnosis . Psychiatr Ann 1983;15:793-807.Crossref 3. Fabrega H: Disease and Social Behavior: An Interdisciplinary Perspective . Cambridge, Mass, Massachusetts Institute of Technology, 1974. 4. Boorse C: What a theory of mental health should be . J Theory Soc Behav 1976;6:62-84.Crossref 5. Redlich FC: The concept of normality . Am J Psychother 1952;6:553-563. 6. Taylor FK: Sydenham's disease entities . Psychol Med 1982;12:243-250.Crossref 7. Kendell RE: The Role of Diagnosis in Psychiatry . Boston, Blackwell Scientific Publications Inc, 1975. 8. Stone AA: The political misuse of psychiatry: A tale of two generals , in Stone AA (ed): Law, Psychiatry and Morality . Washington, DC, American Psychiatric Association, 1984, pp 3-40. 9. Moore MS: Legal conceptions of mental illness , in Engelhardt HT, Spiker SF (eds): Philosophy and Medicine . Dordrecht, Holland, Reidel, 1977, vol 5, pp 25-69. 10. Selye H: General adaptation syndrome and diseases of adaptation . J Clin Endocrinol Metab 1946;6:117-230.Crossref 11. Caplan G: Principles of Preventive Psychiatry . New York, Basic Books Inc Publishers, 1964. 12. Hamburg DA, Coelho GV, Adams JE: Coping and adaptation: Steps towards a synthesis of biological and social perspectives , in Coelho GV, Hamburg DA, Adams JE (eds): Coping and Adaptation . New York, Basic Books Inc Publishers, 1974, pp 403-440. 13. Andreasen NC, Hoenk PR: The predictive value of adjustment disorders: A follow-up study . Am J Psychiatry 1982;139:584-590. 14. Andreasen NC, Wasek P: Adjustment disorders in adolescents and adults . Arch Gen Psychiatry 1980;37:1166-1170.Crossref 15. Mezzich JE, Coffman GA, Goodpastor SM: A format for DSM-III formulation: Experience with 1111 consecutive patients . Am J Psychiatry 1982;139:591-596. 16. Mezzich JE, Dow JT, Rich CL, Costello DJ, Himmelhoch JM: Developing an efficient clinical information system for a comprehensive psychiatric institute: II. Initial evaluation form . Behav Res Methods Instrument 1981;13:464-478.Crossref 17. Fabrega H: Adjustment disorder and psychiatric practice: Cultural and historical aspects . Psychiatry , in press.
Archives of General Psychiatry – American Medical Association
Published: Jun 1, 1987