A Diagnostic System Using Broad Categories With Clinicaly Relevant Specifiers: Lessons for ICD-10

D. Kingdon, S. Afghan, R. Arnold, R. Faruqui, T. Friedman, I. Jones, P. Jones, K. Lloyd, D. Nicholls, Francis O'Neill, I. Qurashi, A. Ramzan, H. Series, E. Staufenberg, T. Brugha

Research output: Contribution to journalArticlepeer-review

7 Citations (Scopus)


A diagnostic system for ICD-11 is proposed which commences with broad reorganization and simplification of the current categories and the use of clinically relevant specifiers. Such changes have implications for the positioning of diagnostic groups and lead to a range of possibilities for improving terminology and the juxtaposition of individual conditions. The development of ICD-11 provides the first opportunity in almost two decades to improve the validity and reliability of the international classification system. Widespread change in broad categories and criteria cannot be justified by research that has emerged since the last revision. It would also be disruptive to clinical practice and might devalue past research work. However, the case for reorganization of the categories is stronger and has recently been made by an eminent international group of researchers (Andrews et al., 2009). A simpler, interlinked diagnostic system is proposed here which is likely to have fewer categories than its predecessor. There are major advantages of such a system for clinical practice and research and it could also produce much needed simplification for primary care (Gask et al., 2008) and the developing world (Wig, 1990; Kohn et al., 2004).
Original languageEnglish
Pages (from-to)326-335
Number of pages10
JournalInternational Journal of Social Psychiatry
Issue number4
Publication statusPublished - Jul 2010

ASJC Scopus subject areas

  • Medicine(all)
  • Psychiatry and Mental health


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