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Newsletter Section Committee Members Section on Classification, Diagnostic Assessment and Nomenclature Newsletter Section Committee Members Chair December 20, 2004 Carlos E. Berganza. Clínica de Psiquiatría Infantil Editorial Avenida La Reforma 13-70, Zona 9, Suite 11-B Guatemala, Guatemala C.A. The active role of the WPA Section on Classification, Diagnostic Assessment and Tel: (502) 2331-5806 Nomenclature in fostering the development and refinement of psychiatric diagnostic tools Fax: (502) 2331-6773 E-mail: [email protected] has been widely acknowledged. This issue of our Newsletter gives us a good picture of the international collaborative work that has been carried out lately under the auspices of the Co-Chair Yan-Fang Chen Section. Beijing Huilongguan Hospital Department of Psychiatry Chang Ping Road The reader will find in these pages an important report on the ongoing cooperation Beijing 100096, China. between WPA and WHO towards the revision of the ICD-10 Mental Health Component, the Tel: +10-627-18744 program and all the abstracts from the very timely WPA-WHO Symposium on Nosological Fax: +10-627-15354 E-mail: [email protected] and Diagnostic Validity (Florence, November 2004), as well as reports on inter-sectional activities and some recent developments regarding psychiatric diagnosis in Latin America. Secretary and Newsletter Editor Cláudio E. M. Banzato Department of Psychiatry, Furthermore, you are all invited to participate of the upcoming Inter-Sectional Symposium State University of Campinas (Unicamp) – PO Box 6111 in Athens (March 12-15, 2005), which rich scientific program is featured in this issue (e- Campinas, SP, Brazil, 13081-970. mail: [email protected]; www.wpanet.org; www.era.gr/wpa2005athens.htm). Tel: 55 19 3788-7206 E-mail: [email protected] Next year, the Section will also have a strong presence at the 13th World Congress of [email protected] Psychiatry in Cairo (September 10-15, 2005), the planned activities will be announced in due time. Finally, we would like to let you know that the issue of Psychopathology with Other Committee Members: the concise proceedings of the symposium on Philosophical and Methodological Sergio J. Villaseñor (México) Foundations of Psychiatric Diagnosis (New York, May 2003) is expected to come out E-mail: [email protected] Michel Botbol (France) soon. E-mail: [email protected] Michael First (USA) Season’s Greetings! E-mail: [email protected] Christian Haasen (Germany) E-Mail: [email protected] Hamburg.De Featured in this issue: WPA Secretariat 1. Report from the presentation of the Blueprint for ICD-11 MHC in the WHO Family of Metropolitan Hospital Center 1901 First Avenue, Suite 4M-3 International Classification (FIC) Network Meeting in Reykjavik, by Juan E. Mezzich New York, New York 10029, USA Tel: +1 (212) 423-7001 2. Report from the WPA-WHO Symposium on Nosological Validity and Diagnostic Validity Fax: +1 (212) 876-3793 E-mail: [email protected] 3. Report from the Inter-Sectional Symposium, WPA Philosophy and Classification Sections: Ethical and conceptual issues in early diagnosis and treatment WPA Executive Committee 4. Report from the presentation in Lima of the Latin American Guide for Psychiatric Diagnosis, by President: Ahmed Okasha (Egypt) Enrique Macher President Elect Juan E. Mezzich (USA) 5. The Latin American Guide of Psychiatric Diagnosis (GLADP) presented during the XXIII Congress Secretary General: John Cox (United Kingdom) of the Latin American Psychiatric Association (APAL), by Ángel O. Ojeda & Ricardo O. Testa Secretary for Finance Samuel Tyano (Israel) 6. Program of the Inter-Sectional Symposium on The Construction of Future International Secretary for Education: Roger Montenegro (Argentina) Classification and Diagnostic Systems: The Role of the WPA Scientific Sections (Athens, 2005) Secretary for Sections: 7. A note on a project of tying operational definitions of psychiatry to theory: On the tentative George Christodoulou (Greece) Secretary for Meetings IRF-diagnosis, by Johan Eriksson Pedro Ruiz (USA) Secretary for Publications: Mario Maj (Italy) Report from WHO Family of Classifications Meeting in Reykjavik By Prof. J.E. Mezzich (WPA President-Elect) On October 24-29, 2004 the WHO Family of International Classification (FIC) Network Meeting took place in Reykjavik, Iceland. The meeting included presentations by Bedirhan Üstün on the WHO Business Plan for Classifications and on the ICD Revision Process, which were largely endorsed by the WHO FIC Network. The presentations of the Blueprint for the ICD-11 Mental Health Component at both a session of the Update & Reference Committee (URC) and at a plenary session were well received, with positive comments immediately after the presentation and again later on. There were also several interesting presentations on related topics, including one from the World Organization of Family Doctors (WONCA) on the International Classification for Primary Care which was discussed as relevant not only to ICD but to the whole FIC. In line with this, Prof. Rosemary Roberts (Australia), Chair of the URC, expressed the view that the Blueprint proposals presented could be worked on to become an integral part of ICD and, indeed, of the whole FIC. L to R: Drs. J.E. Mezzich (WPA President-Elect) L to R: Drs. T.B. Üstün (WHO), M. Kimura and R.M. Roberts (WHO FIC Update and Reference (Japan ICD Office) and Prof. J.E. Mezzich at Committee Chair) at Reykjavik Meeting, Oct. 2004. Reykjavik Meeting, Oct. 2004. The WHO FIC Network recommended that the ICD-11 developmental process start soon and identified six areas for initiating developmental work. One of these was Mental Health, which was recommended to be assigned to WHO and WPA. A progress report on this work is expected at the next WHO FIC Network Meeting on October 16-21, 2005 in Tokyo. Special WPA-WHO Symposium on Nosological and Diagnostic Validities WPA International Congress: Treatments in Psychiatry: An Update Florence, November 13, 2004 Participants of the Symposium on Nosological and Diagnostic Validities The one-day symposium focused on the review and discussion of the validity of two distinct and related fundamental concepts in health care: nosology, as the classification of mental disorders, and diagnosis, conceptualized as comprehensive assessment of health. To this effect, first, an examination was conducted of conceptual perspectives in nosological and diagnostic validities, including historical, philosophical and clinical approaches. Second, the criteria for and the measurement of validity were discussed, including genetic/familial correlates, epidemiological correlates, as well as descriptive and therapeutic usefulness. Third, the validity of major diagnostic structures was then analyzed, including hierarchical nosology, diagnostic definitions, and comprehensive diagnostic schemas. And fourth, the nosological and diagnostic validity of challenging clinical conditions were examined, including illustratively comorbidity in mental and general medical disorders, perinatal disorders, and the interpersonal matrix (from personality to relational disorders). Juan E. Mezzich (USA), Carlos E. Berganza (Guatemala) and S. Chatterji (WHO, Switzerland) chaired the symposium, which was largely perceived by the participants as a very timely and important development towards the revision of the current diagnostic systems. Symposium Program 8:30 – 8:45 hours Introduction: J.E. Mezzich, C.E. Berganza, S.. Chatterji 8:45 – 10:30 hours A. Conceptual Perspectives on Nosological and Diagnostic Validities 1. Historical Perspectives on Nosological and Diagnostic Validities: P. Hoff (Switzerland) 2. Philosophical Perspectives on Nosological and Diagnostic Validities: K. Schaffner (USA) 3. Cultural Perspectives on Nosological and Diagnostic Validities: L. Kirmayer (Canada) Discussion: C. Banzato (Brazil) and H. Herrman (Australia) 11:00 – 13:00 hours B. Criteria and Measurement of Nosological and Diagnostic Validity 1. Do Genetic and Familial Correlates Provide Validity Criteria of Diagnostic Categories in Psychiatry?: A. Jablensky (Australia) 2. Epidemiological Correlates as Criteria and Measures of Nosological and Diagnostic Validities: R. Kessler (USA) 3. Descriptive and Therapeutic Usefulness as Criteria and Measures of Diagnostic Validities: G. Mellsop (New Zealand) Discussion: H. Akiskal (USA) 15:00 – 17:00 hours C. Validity of Nosologic and Diagnostic Structures 1. The Validity of Hierarchical Nosologies: C. Berganza (Guatemala) 2. The Validity of Nosologic Definitions: Categorical, Dimensional & Hybrid Models: C. Pouncey (USA) 3. Nosological and Diagnostic Validities under Comprehensive Diagnostic Schemas: J.E. Mezzich (USA) Discussion: S. Saxena (WHO) and A. Kraus (Germany) 17:30 – 19:00 hours D. Nosological and Diagnostic Validity in Challenging Clinical Conditions 1. Nosological and Diagnostic Validities and the Comorbidity of Mental and General Medical Disorders: I. Salloum (USA/Syria) 2. Postnatal Mental Disorder: An Appraisal of Nosological and Diagnostic Validities: J. Cox (U.K.) 3. Nosological and Diagnostic Validity and the Interpersonal Matrix: From Personality to Relational Disorders: L. Küey (Turkey) Discussion: M. Botbol (France) 19:00 – 19:30 hours Conclusions: J.E. Mezzich, C.E. Berganza Symposium Abstracts Historical Perspectives in Nosological and Diagnostic Validities Paul Hoff (Professor of Psychiatry, University of Zurich, Switzerland) This paper outlines three major historical approaches to the concept of mental disorders: Mental
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