ICDS: Critical Issues of Concern to WPA Sections
Carlos E. Berganza Section on Classification World Psychiatric Association
Role of WPA Scientific Sections
Over 60 scientific sections compose WPA today Technical expertise and scientific backbone of WPA Wide theoretical and geographical representation Valuable knowledge pool to assist in nosological issues
Section on Classification and ICDS
Long-standing collaboration with WHO
Development of ICD-10 (1992 and 1993) International survey on the use of ICD and related diagnostic systems (Psychopathology, 2002)
Section on Classification and ICDS (2)
Collaboration with WHO
(2)
Since 2001 seven joint scientific meetings to develop future ICDS
Symposium on Philosophical and Methodological Foundations of psychiatric diagnosis, NY, May 2003
Section on Classification and ICDS (3)
Collaboration with national and regional psychiatric societies in nosological adaptations
Cuba: 3rd Cuban Glossary (2001) China: CCMD 3rd Edition (2001) APAL: Latin American Guide for Psychiatric Diagnosis (2004)
Section on Classification and ICDS (4)
Several publications
International Classification and Diagnosis: Critical experience and future directions (Psychopathology, 2002) IGDA Essentials (British Journal of Psychiatry, 2003) Philosophical and methodological foundations of psychiatric diagnosis. Upcoming Psychopathology, 2005)
The Future of Classification and WPA Sections
Work on ICD-11 to start soon
WHO: Business plan for classification
Reykjavik, Oct 2004
WPA: ICDS Workgroup
Blueprint for the development of the mental health component of ICD-11, Reykjavik, Oct 2004
Critical Issues for WPA Scientific Sections
Two areas of concern:
Psychiatric nosology
The organization and diagnostic criteria of major nosological classes, categories and subcategories
Psychiatric diagnosis
What is pertinent in terms of assessing and understanding the clinical condition for purposes of treatment planning
Psychiatric Nosology
How reliability can be reinforced
To maintain a common language
How validity and utility of diagnostic categories can be improved
What types of external validators should be considered
Biological, psychological, behavioral, developmental
Are nosological categories as now proposed enough for psychiatric diagnosis
Psychiatric Diagnosis
What components should a valid psychiatric diagnosis have How to attend to specific needs of the individual patient and keep a common universal language How to balance symptomatic assessment with the historical understanding of the individual patient