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  Vol. 32 No. 4, April 1975 TABLE OF CONTENTS
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Dimensional Diagnosis and the Medical Student's Grasp of Psychiatry

Frederick R. Hine, MD; Redford B. Williams, MD

Arch Gen Psychiatry. 1975;32(4):525-528.


Abstract

Two problems that interfere with the student's understanding and acceptance of psychiatric knowledge result largely from the use of a categorical model for psychiatric diagnosis. These two problems are: (1) the apparent inapplicability of the standard system of psychiatric diagnosis to real patients; and (2) the apparent irrelevance for general medical practice of psychiatric diagnosis and theory. Both problems may be avoided by presenting psychiatry in the framework of a multidimensional diagnostic schema that uses familiar terms but treats them as dimensions with severe, moderate, and mild degrees of impairment rather than as categories of mutually exclusive psychiatric diseases.

A teaching program is described in which detailed review of student interviews with psychiatric and especially nonpsychiatric patients is employed to demonstrate the usefulness of multidimensional psychiatric diagnosis.



Author Affiliations

From the Department of Psychiatry (Drs. Hine and Williams) and the Department of Medicine (Dr. Williams), Duke University Medical Center, Durham, NC.


Footnotes

Accepted for publication Aug 16, 1974.

Read in part before the 25th anniversary celebration, Department of Psychiatry and Neurology, Tulane University School of Medicine, New Orleans, April 20, 1974.

Reprint requests to Box 2995, Duke University Medical Center, Durham, NC 27710 (Dr. Hine).



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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Teaching Behavioral Sciences to Medical Students: Education or Training?
Steele
Arch Gen Psychiatry 1978;35:27-34.
ABSTRACT  





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