From categorial to dimensional diagnosis

The concepts of categorical and dimensional assessment approaches and their specific advantages--and disadvantages are described. A combination of both concepts within the framework of Multiple Assessment of Psychiatric Disturbances is proposed. This includes the different levels of behavioural and emotional disturbances, different assessment methods, the situational specificity of behavioural and emotional disturbances and individually tailored and treatment related assessment procedures. Thereby two phases are distinguished. In the first phase basic procedures of the Multiple Assessment of Psychiatric Disturbances are accomplished, which cover a broad spectrum of behavioural and emotional problems. In the second phase a differentiated picture of the-specific disturbance is assessed by using symptom-specific instruments of the Multiple Assessment of Psychiatric Disturbances. In a case report the diagnostic procedure is explained.