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ERIC Number: EJ1020737
Record Type: Journal
Publication Date: 2014-Jan
Pages: 9
Abstractor: As Provided
ISSN: ISSN-1049-7315
The Life and Death of Axis IV: Caught in the Quest for a Theory of Mental Disorder
Probst, Barbara
Research on Social Work Practice, v24 n1 p123-131 Jan 2014
Axis IV, one of the five dimensions of clinical description, has provided a way to report psychosocial and environmental problems that may affect the diagnosis, treatment, and/or prognosis of a psychiatric disorder. Originally conceived in DSM-III as a way to rate and rank the severity of particular environmental stressors, axis IV was simplified for DSM-IV to a more straightforward listing of psychosocial factors, given the reliability and validity problems with quantifying the etiologic contribution of specific stresses to mental disorder. In the newest manual, however (DSM-5), the entire multiaxial system has been quietly eliminated. How and why multiaxial assessment was abandoned, and what this implies for social work theory and practice, are addressed in a conceptual review that traces the history and empirical evidence, positive and negative, for incorporating a psychosocial dimension into the diagnosis of mental disorder.
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Publication Type: Journal Articles; Reports - Descriptive
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A
Grant or Contract Numbers: N/A