Diagnostic neglect: the potential impact of losing a separate axis for personality disorder.
Both major classifications in psychiatry have now moved away from the multi-axial nosological model. This is clinically understandable as the specific categorical diagnoses, other than borderline personality disorder and personality disorder 'NOS' (not otherwise specified) were so seldom used and empirical evidence would not support the polythetic categorical system. As a consequence, those with personality disorders, frequently referred to as Axis II disorders, now have to compete with all other mental disorders for clinical attention.
Giles Newton-Howes, MRCPsych, FRANZCP, Department of Psychological Medicine, University of Otago, Wellington, New Zealand; Roger Mulder, MBChB, PhD, FRANZCP, Department of Psychological Medicine, University of Otago, Christchurch, New Zealand; Peter Tyrer, MD, FRCPsych, FMedSci, Centre for Mental Health, Imperial College London, UK.
Giles
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Newton-Howes
Giles Newton-Howes, MRCPsych, FRANZCP, Department of Psychological Medicine, University of Otago, Wellington, New Zealand; Roger Mulder, MBChB, PhD, FRANZCP, Department of Psychological Medicine, University of Otago, Christchurch, New Zealand; Peter Tyrer, MD, FRCPsych, FMedSci, Centre for Mental Health, Imperial College London, UK.
Roger
R
Mulder
Giles Newton-Howes, MRCPsych, FRANZCP, Department of Psychological Medicine, University of Otago, Wellington, New Zealand; Roger Mulder, MBChB, PhD, FRANZCP, Department of Psychological Medicine, University of Otago, Christchurch, New Zealand; Peter Tyrer, MD, FRCPsych, FMedSci, Centre for Mental Health, Imperial College London, UK.
Peter
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Tyrer
D001883:Borderline Personality Disorder / Q000175:diagnosis*; D003951:Diagnostic Errors; D039721:Diagnostic and Statistical Manual of Mental Disorders; D006801:Humans