chapter  4
22 Pages

Classification of Childhood Disorders in DSM-IV

The evolution of the multiaxial system as represented in DSM-III, DSM-III-R, and DSM-IV reflects psychiatry's quest for descriptive clarity. An axial system of diagnosis has been in use within psychia­ try for more than 25 years, and child psychiatrists have been its strongest proponents (Rutter et al., 1975). Discrepancies in diagno­ sis have previously occurred because clinicians chose to concentrate on one aspect of a child's problem while ignoring the presence of others or judging them insignificant to the presenting problem.