Abstract

This chapter deals with the scales and syndromes of axis 1 disabilities. As conceptualized in DSM-III-R, a mental disorder is a clinically significant behavioural or psychological syndrome or pattern that is associated with current distress (a painful symptom) or disability (disturbance in one or more important areas of functioning) or with a significantly increased risk of suffering death, pain, disability or an important loss of freedom. In addition, this syndrome or pattern must not be merely an expectable response to a particular event Whatever its original cause, it must currently be considered a manifestation of a behavioural, psychological or biological dysfunction in the patient- As discussed by Spitzer and Williams (1988), clinically significant means some pathological disturbance and behavioural or psychological syndrome or pattern that refers to the core symptoms. These symptoms are associated with either distress or disability.

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