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Categories, Dimensions and Narratives for Person-centered Diagnostic Assessment

Michel Botbol, Claudio E. M. Banzato, Luis Salvador-Carulla


Classifications are multipurpose tools that have to deal with multiple epistemological constraints. In spite of the hopes it raised, DSM III and IV categorical model has shown its limitations, reactivating the long standing issue questioning the respective role of categorical and dimensional procedures in diagnostic assessment. Around the Person-centered Integrative Diagnosis (PID) this paper will consider how pluralistic descriptive procedures (Categories, Dimensions and Narratives) are essential for diagnostic assessment in person-centered medicine and psychiatry. It will stress the importance of the narratives of the patients and of the physician in this novel diagnostic perspective.


Algorithms, categories, classifications, diagnostic process, dimensions, DSM III, DSM IV, empathy, epistemology, integrative diagnosis, narratives, person-centered, person-centered medicine, person-centered integrative diagnosis

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