Chapter 28. Multiaxial Schemas for Psychiatric Diagnosis

  1. Ihsan M. Salloum Professor of Psychiatry Director4,5 and
  2. Juan E. Mezzich Professor of Psychiatry Director Past President6,7
  1. Claudio E. M. Banzato Associate Professor of Psychiatry1,
  2. Miguel Roberto Jorge Professor Secretary for Sections2,7 and
  3. Marianne Kastrup Head3

Published Online: 11 MAY 2009

DOI: 10.1002/9780470743485.ch28

Psychiatric Diagnosis: Challenges and Prospects

Psychiatric Diagnosis: Challenges and Prospects

How to Cite

Banzato, C. E. M., Jorge, M. R. and Kastrup, M. (2009) Multiaxial Schemas for Psychiatric Diagnosis, in Psychiatric Diagnosis: Challenges and Prospects (eds I. M. Salloum and J. E. Mezzich), John Wiley & Sons, Ltd, Chichester, UK. doi: 10.1002/9780470743485.ch28

Editor Information

  1. 4

    Division of Alcohol and Substance Abuse: Treatment and Research, University of Miami Miller School of Medicine, FL, USA

  2. 5

    Section on Classification, Diagnostic Assessment and Nomenclature, World Psychiatric Association, FL, USA

  3. 6

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

  4. 7

    World Psychiatric Association, USA

Author Information

  1. 1

    University of Campinas – UNICAMP, Brazil

  2. 2

    Department of Psychiatry, Federal University of Saõ Paulo, Brazil

  3. 3

    Centre Transcultural Psychiatry Psychiatric Clinic, Rigshospitalet, Copenhagen, Denmark

  4. 7

    World Psychiatric Association, USA

Publication History

  1. Published Online: 11 MAY 2009
  2. Published Print: 27 MAR 2009

Book Series:

  1. World Psychiatric Association Evidence and Experience in Psychiatry Series

Book Series Editors:

  1. Helen Herrman

Series Editor Information

  1. WPA Secretary for Publications, University of Melbourne, Australia

ISBN Information

Print ISBN: 9780470725696

Online ISBN: 9780470743485



  • multiaxial schemas for psychiatric diagnosis;
  • Essen-Moller and Wohlfahrt, designing first multiaxial system for psychiatric diagnosis;
  • Lecomte, developing biaxial system separating aetiology and syndrome;
  • Standard Nomenclature of Pathology (SNOP);
  • World Psychiatric Association's International Guidelines for Diagnostic Assessment (WPAIGDA);
  • first purpose of the multiaxial approach - articulating fundamental components of disorder;
  • Social and Occupational Functioning Assessment Scale (SOFAS);
  • summary prototype model - degree of similarity between particular instance and standard of comparison


This chapter contains sections titled:

  • Introduction: Historical Background

  • Evaluating the Current Systems

  • Multiaxial Proposals Towards a Person-Centred Integrative Diagnosis (PID)

  • ConclusionS

  • Note

  • References