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November 21, 1990

Psychiatric Diagnosis

Author Affiliations

Greenville, NC

Greenville, NC


by Donald W. Goodwin and Samuel B. Guze, 4th ed, 332 pp, $29.95, paper, $16.95, New York, NY, Oxford University Press, 1989.

JAMA. 1990;264(19):2577. doi:10.1001/jama.1990.03450190109042

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


Donald Goodwin and Samuel Guze, both highly effective and extremely knowledgeable, are physicians and leaders in psychiatry who have presented an excellent and concise compendium of current knowledge with abundant citations. This fourth edition of Psychiatric Diagnosis is a small volume but contains over 1000 references to bolster the stated goal of diagnostic clarification. Psychiatric Diagnosis was a forerunner of the DSM-III, and the authors were intimately connected with the Washington University Department of Psychiatry, which has a reputation of having a strong alliance with biology, taking a medical view of psychiatric illness, and placing heavy reliance on reproducible data. The fourth edition utilizes the DSM-III-R diagnostic categories as a basis of classification and conceptual organization.

According to the authors, classification has two functions: communication and prediction. As psychiatry becomes more scientifically oriented it is hoped that more specific treatment can be obtained and more accurate prognosis achieved through a