Karasu T B, Skodol A E
Am J Psychiatry. 1980 May;137(5):607-10. doi: 10.1176/ajp.137.5.607.
DSM-III has raised questions among mental health professionals about the relationship of diagnosis to treatment. Practicing psychotherapists have been reluctant to endorse the revised classification, arguing that diagnostic discriminations needed to plan psychotherapy treatment are absent from DSM-III's multiaxial system. The clinical usefulness of a diagnostic classification is a major measure of its validity. The authors illustrate with three patients from psychotherapy practice, all with long-standing problems of depressed mood, the limits of DSM-III in planning psychotherapy treatment, and they make suggestions for the development of a treatment-oriented "axis" to complement the current multiaxial evaluation system.
《精神疾病诊断与统计手册》第三版（DSM - III）在心理健康专业人员中引发了关于诊断与治疗关系的问题。执业心理治疗师一直不愿认可这一修订后的分类系统，他们认为《精神疾病诊断与统计手册》第三版的多轴系统缺乏用于规划心理治疗的诊断区分。诊断分类的临床实用性是衡量其有效性的一项主要指标。作者通过三位来自心理治疗实践的患者进行说明，这三位患者都长期存在情绪低落问题，以此展现了《精神疾病诊断与统计手册》第三版在规划心理治疗方面的局限性，并且他们对开发一个以治疗为导向的“轴”以补充当前的多轴评估系统提出了建议。
