[Problems of diagnosis and classification related to the improper use of substances in the DSM-III and DSM-III-R].
This paper attempts at reviewing the changes DSM-III-R introduced in the chapter DSM-III devoted to substance-induced disorders. The respective advantages, and disadvantages of the new concepts are studied. Among the new concepts, the author ponders on the discrimination between Abuse, and Dependence--in DSM-III--being deleted while Dependence alone is now enlarged so that such a modification brings us back to the idea of "dependency" through a listing of addictive behaviors--valid for any type of substance--whose intensity is evaluated by means of the number, and severity of behaviors involved. It is the author's opinion that such an analysis may prove to be a necessary starting point for future in-depth studies on the difficult topic of addictive subtypology.
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Servicio de Psiquiatría, Centro de Salud Dr. Leónidas Lucero, Bahía Blanca, Argentina.
D001523:Mental Disorders / Q000145:classification*; D019966:Substance-Related Disorders / Q000145:classification*; D009626:Terminology as Topic
Problemas diagnósticos y de clasificación en relación con el uso indebido de sustancias en el DSM-III y el DSM-III-R.