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. 2007 Jun;6(2):84–91.

Table 1.

Major limitations of current operational categorical approach to diagnosis

- The focus is on episode rather than lifetime experience of psychopathology
- Hierarchies lead to loss of information
- Boundaries between diagnostic categories are often arbitrary
- Boundaries between categories often require substantial subjective judgement
- Available diagnostic categories are relatively unhelpful in distinguishing severity
- Sub-clinical cases are usually not accommodated usefully
- “Not Otherwise Specified (NOS)” categories are highly heterogeneous