February 5, 1997

Psychiatrie Diagnosis

Author Affiliations

Seattle, Wash
Cleveland, Ohio


by Donald W. Goodwin and Samuel B. Guze, 5th ed, 365 pp, ISBN 0-19510421-8, $39.95, paper, $21.95, ISBN 0-19510422-6, New York, NY, Oxford University Press, 1996.

JAMA. 1997;277(5):424-425. doi:10.1001/jama.1997.03540290076037

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Psychiatrie Diagnosis

Twenty-two years after first being published, this significant book continues its role as an important work in the area of psychiatric diagnosis. It offers conciseness, clarity, and simplicity while providing a quick overview of the most essential core of psychiatric disorders.

Eleven psychiatric disorders are presented, each formatted under section titles of definition, historical background, epidemiology, clinical picture, natural history, complications, family studies, differential diagnosis, and clinical management. The diagnoses include affective (mood) disorder, schizophrenic disorders, panic disorder (anxiety neurosis), somatization disorder (hysteria), obsessive-compulsive disorder, phobie disorders, alcoholism, drug dependence, antisocial personality (sociopathy), delirium, confusional states and dementia (brain syndrome), and eating disorders. A twelfth chapter deals with the psychiatric examination.

True to the book's name, diagnosis is a major focus. The authors choose to lump, rather than split, diagnostic categories. They emphasize the importance of natural history and prognosis as criteria for an appropriate diagnosis and attempt