Psychiatry Research EG

This is the second part of the trial to add some of our orientation out of clinical practice about the current psychiatric nosology. In a trial to share in the effort to achieve the essential level of international consensuality by using a common nosological language some sort of compromise was suggested to make use of the enormous and unique effort behind the construction of the ICD-10. The clinical syndromes as described in the clinical diagnostic guidelines of the ICD-10, would occupy the first diagnostic level. In a trial to open the gate for added dimensions for optional use, three dimensions are provided (one of which is subdivided into four subscales). The overlap is expected and notified and the difficulty in agreement is accepted. Any other possible dimension could be added whether related to colouring of clinical experience. A very preliminary trial to show the outline of each dimension is given. The rationale of the proposed multi-dimensional approach with illustrated few examples is demonstrated. The consequence on high power diagnostic delineation, management, prognosis and research is referred to with an invitation to field trials.