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BenvenU. Menichini, E. Rasore, F. Moscato, F. Giberti, F.Gabrielli - Vol. 6, Giugno 2000, num.2
Testo Immagini Bibliografia Summary Riassunto Indice
La diagnosi di schizofrenia: evoluzione
e modifiche
dei criteri applicativi in dieci anni di attivitą
The diagnosis of Schizophrenia: evolution
and changes
of diagnostic criteria during ten years
U. Menichini, E. Rasore, F. Moscato, F. Giberti, F.Gabrielli
Dipartimento di Scienze Psichiatriche dell'Università di Genova, Ospedale "S. Martino", Genova
A progressive change in the diagnostic criteria for mental disorders developed in the last few years to define more precisely the various clinical syndromes and their relationship to the different cultural and geographical contexts, through a categorical approach. The authors have considered the area of schizophrenic disorders from this standpoint.Different diagnostic criteria for schizophrenia in two samples of patients hospitalized in 1981 and 1991 have been compared and a new diagnosis has been formulated using ICD 10 criteria.
A general diagnostic comordance for the schizophrenic disorders and substance related disorders seem to indicate the difference between the categorical and dimensional approaches in the diagnostic criteria.
In the authors' opinion these two different approaches have to be continuously integrated in clinical work in order to evaluate and understand the individuality of each patient. In this sense the psychoanalytic instrument may be important and useful.