Chapter 7. Multiaxial Diagnosis in Psychiatry

  1. Mario Maj4,
  2. Wolfgang Gaebel5,
  3. Juan José López-Ibor6 and
  4. Norman Sartorius7
  1. Juan E. Mezzich1,
  2. Aleksandar Janca2 and
  3. Marianne C. Kastrup3

Published Online: 24 APR 2002

DOI: 10.1002/047084647X.ch7

Psychiatric Diagnosis and Classification

Psychiatric Diagnosis and Classification

How to Cite

Mezzich, J. E., Janca, A. and Kastrup, M. C. (2002) Multiaxial Diagnosis in Psychiatry, in Psychiatric Diagnosis and Classification (eds M. Maj, W. Gaebel, J. J. López-Ibor and N. Sartorius), John Wiley & Sons, Ltd, Chichester, UK. doi: 10.1002/047084647X.ch7

Editor Information

  1. 4

    University of Naples, Italy

  2. 5

    University of Düsseldorf, Germany

  3. 6

    Complutense University of Madrid, Spain

  4. 7

    University of Geneva, Switzerland

Author Information

  1. 1

    Division of Psychiatric Epidemiology and International Center for Mental Health, Mount Sinai School of Medicine of New York University, New York, USA

  2. 2

    Department of Psychiatry and Behavioural Science, University of Western Australia, Perth, Australia

  3. 3

    International Rehabilitation and Research Center for Torture Victims, Copenhagen, Denmark

Publication History

  1. Published Online: 24 APR 2002
  2. Published Print: 15 APR 2002

ISBN Information

Print ISBN: 9780471496816

Online ISBN: 9780470846476



  • diagnosis;
  • multiaxial;
  • comprehensive


This chapter reviews the conceptual bases of multiaxial and comprehensive diagnosis, followed by a discussion of the early use of multiaxial diagnosis in psychiatry and general medicine. Then, the multiaxial schemes in current diagnostic systems, such as ICD-10 and DSM-IV, are examined along with the value and limitations of their use. Finally, recent developments and prospects, such as the WPA International Guidelines for Diagnostic Assessment, are considered.