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 |