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Dr Nussbaum expresses fear that the medical model in psychiatry would be attenuated by having traits and disorders on axis II of the DSM-III. We tend to see the modification of the medical model by using a multidimensional diagnostic system as a progressive trend. We consider DSM-III to be a model for other branches of medicine to follow because it aims at a broader biopsychosocial perspective.Actually, the Advisory Committee on Defense Mechanisms to the Work Group to Revise DSM-III has recommended that axis II serve as a place to list defense mechanisms along with personality disorders and traits. This would allow for more discriminating and specific information to be included with the diagnosis.
Bond M, Vaillant JS. An Empirical Study of the Relationship Between Diagnosis and Defense Style-Reply. Arch Gen Psychiatry. 1987;44(1):94–95. doi:10.1001/archpsyc.1987.01800130106016
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