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Psycology » Psychiatry and psychotherapy » Neurosis: Part I » Classification

Table. 6.1 shows how classified neuroses and related disorders in the DSM-IIIR and ICD-10. In general, these circuits are similar, but some differences should be noted. The first difference (Table. 6.1 is not reflected) is that the DSM-IIIR no single rubric for these disorders (the term neurosis, as already mentioned, is not applicable here), but instead used three separate headings: anxiety disorder, dissociative disorder and somatoform disorder. The ICD-10 states listed in Table. 6.1, united under the rubric of neurotic, stress-related and somatoform disorders. The second difference between the DSM-IIIR and ICD-10 is associated with the classification of anxiety disorders. In DSM-IIIR, this category includes not only phobia, generalized anxiety and panic disorders, but also obsessive-compulsive disorder and post-traumatic stress disorder. The ICD-10 obsessive-compulsive disorder and anxiety disorder are classified separately, and post-traumatic stress disorder related categories under catastrophic stress reaction *, which also covers the acute stress reaction and adjustment disorder. The third difference between the DSM-IIIR and ICD-10 related to the classification of disorders formerly known as hysteria (a term which avoids both these systems). In DSM-IIIR these disorders are divided into dissociative and somatoform. ICD-10 has a heading dissociative (conversion) disorders, including conditions that in the past were classified as different forms of conversion hysteria. In DSM-IIIR for these states used the term conversion disorder, it is placed under the heading of somatoform disorders with somatization disorder, bodily dismorfnym disorder, hypochondriasis, somatoform pain disorder and undifferentiated somatoform disorder. ICD-10 classified under the appropriate category heading somatoform disorders. Topic dissociative disorders in DSM-IIIR includes multiple personality disorder, psychogenic fugue, psychogenic amnesia, depersonalization disorder and dissociative disorder. In ICD-10, under the heading dissociative (conversion) disorders are placed, in particular, dissociative amnesia and fugue (psychogenic term in the names of the categories of IBC is not used), dissociative stupor, dissociative disorders, motility, dissociative anesthesia, etc. multiple personality disorder in the ICD -10 assigned to subgroup other dissociative (conversion) disorders and depersonalization-derealization syndrome is classified under the heading edrugie neurotic disorders.

The fourth difference is that ICD-10 is still the term neurasthenia, which is still often used in some countries, but little used in the United States or the United Kingdom. In this book, neuroses and related disorders are discussed in three chapters and systematization sections are shown in Table. 6.2. * In the Russian translation of ICD-10, this column is designated as a reaction to severe stress and adjustment disorders. Ed.

Table 6.1. Classification in ICD-10 and DSM-IIIR


Anxiety Disorders

Agoraphobia without history of panic disorder

Social phobia simple phobia Panic disorder without agoraphobia Panic disorder with agoraphobia Generalized anxiety disorder Obsessive-compulsive disorder Posttraumatic stress disorder

Dissociative disorders

Psychogenic amnesia

Psychogenic fugue multiple personality disorder and Transgendered state mastery depersonalization disorder

Somatoform disorders

Conversion disorder

Somatization disorder Corporal dismorfnoe disorder Hypochondria Hypochondria Somatoform pain disorder Somatoform pain disorder

ICD-10Anxiety and phobic disorders Agoraphobia Social Phobia Specific (isolated) phobias

Other anxiety disorders

Panic disorder (episodic paroxysmal anxiety)

Generalized anxiety disorder mixed anxiety and depressive disorder

Obsessive-compulsive disorder +

Reaction to severe stress and adjustment disorders

Acute stress reaction

Posttraumatic stress disorder Adjustment disorders +

Dissociative (conversion) disorders

Dissociative amnesia

Dissociative fugue Dissociative stupor multiple personality disorder and Transgendered state mastery Dissociative motility disorders Dissociative convulsions Dissociative anesthesia and loss of sensory perception Other dissociative disorders

Somatoform disorders

Somatization disorder

Undifferentiated somatoform disorder hypochondriacal disorder Somatoform autonomic dysfunction Persistent somatoform pain disorder

Other neurotic disorders


Depersonalization-derealization syndrome hypochondriacal disorder Somatoform autonomic dysfunction Persistent somatoform pain disorder Other neurotic disorders neurasthenia syndrome depersonalization-derealization

    Procedure for inclusion in DSM-IIIR changed to facilitate comparison.

+ Category subdivided.

Table 6.2. Systematization of parts in this book a) considered in this chapter

Small affective disorder Acute stress reaction Adaptive Disorder Posttraumatic stress disorder (b) discussed in Sec. 7 Anxiety Disorders Obsessive-Compulsive Disorder and Dissociative conversion disorder depersonalization disorder (c) considered in Sec. 12 somatization disorder

Hypochondriacal disorder


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