The multiaxial system of DSM-III: where did it come from and where should it go? II. Empirical studies, innovations, and recommendations.

In a companion report, the development of the DSM-III multiaxial system was described, as well as critiques that have been made of each of its five axes. In this report, empirical studies that provide information about the reliability and validity of the system are reviewed. In addition, suggestions that have been made for changes in the system are critically examined. Finally, this material is synthesized into specific proposals for improvements in the multiaxial system that will be considered by the recently constituted Work Group to Revise DSM-III.