The psycho-periodic cube

The current diagnostic classification systems in psychiatry have been developed primarily for evidence-based clinical decision making with both categorical and dimensional approaches having their own advantages and disadvantages. Efforts have been made to improve these classification systems, and we...

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Bibliographic Details
Published in:Medical hypotheses 2019-05, Vol.126, p.69-77
Main Authors: Ceylan, Mehmet Emin, Evrensel, Alper, Dönmez, Aslıhan, Önen Ünsalver, Barış, Kaya Yertutanol, Fatma Duygu, Çom, Ahmet Mete
Format: Article
Language:English
Subjects:
Adult
Algorithms
Attention
Categorical diagnostic systems
Cloninger’s psychobiological model
Cognition
Decision Support Systems, Clinical
Diagnostic and Statistical Manual of Mental Disorders
Diagnostic classification systems
Dimensional diagnostic systems
Drive
Externalization
Female
Homeostasis
Humans
Infant
Infant, Newborn
Mental Disorders - classification
Mental Disorders - diagnosis
Mental Disorders - physiopathology
Mental Health
Mood Disorders - diagnosis
Mothers
Motivation
Parent-Child Relations
Personality
Personality Disorders - classification
Personality Disorders - diagnosis
Personality Disorders - physiopathology
Psychiatry - methods
Psychiatry - standards
Schizophrenia - diagnosis
Social Behavior
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Summary:The current diagnostic classification systems in psychiatry have been developed primarily for evidence-based clinical decision making with both categorical and dimensional approaches having their own advantages and disadvantages. Efforts have been made to improve these classification systems, and we are now at the point where we must expand beyond the one-dimensionality of these systems. In this paper, we propose that psychiatric disorders can be arranged in a three-dimensional classification system according to the degree of dysfunctions on three specific axes in a way that is similar to the arrangement of chemical elements according to their atomic weights in Mendeleyev’s periodic table. For the three axes, we chose externalization, drive, and attention to represent the three-dimensional descriptions of mental health, namely, well-being in social, motivational, and cognitive areas, respectively. Throughout the paper, we explain our reasons for choosing these three axes and compare our hypothesis with categorical diagnostic systems as well as Cloninger’s dimensional diagnostic system using personality disorders, affective disorders, and schizophrenia as the specific diagnostic samples.
ISSN:0306-9877
1532-2777
DOI:10.1016/j.mehy.2019.03.020