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Limitations in the current classification systems for dementia

Published online by Cambridge University Press:  08 September 2005

Edmond Chiu
Edmond Chiu
Affiliation:
University of Melbourne Department of Psychiatry, Academic Unit for Psychiatry of Old Age, Victoria, Australia
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Abstract

A brief review of classification in psychiatry from Kraepelin to ICD-10 and DSM-IV reveals that the categorical paradigm inherent in these nosological systems has certain inadequacies when applied to dementia specifically and cognitive impairment in general. There are “outcasts” from these two systems that, with the rapid advances in an understanding of cognitive disorders, expose significant limitations in them. As and when they are revised, serious consideration of a different view, accepting a dimensional paradigm, would contribute to a more inclusive and clinically relevant nosology for dementia and cognitive disorders.

Type
Research Article
Information
International Psychogeriatrics , Volume 17 , Issue s1 , September 2005 , pp. S17 - S26
Copyright
© International Psychogeriatric Association 2005

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