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DSM-II DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS (Second Edition) Prepared by THE COMMITTEE ON NOMENCLATURE AND STATISTICS OF THE AMERICAN PSYCHIATRIC ASSOCIATION Published by AMERICAN PSYCHIATRIC ASSOCIATION 1700 18th Street, N. W. Washington, D. C. 20009 1968 Copyright 1968 American Psychiatric Association 1700 Eighteenth Street, N.W. Washington, D. C. 20009 Library of Congress Catalogue Number: 68-26515 This Manual may be ordered at $3.50 per copy from Publications Office, American Psychiatric Association, 1700 18th Street, N.W., Washington, D. C., 20009. There is a 10% discount for 10 copies or more, and 20% for 50 or more. Also, a special library bound edition is available at $5.00 per copy. Committee on Nomenclature and Statistics, 1967 ERNEST M. GRUENBERG, Chairman RICHARD L. JENKINS LOTHAR B. KALINOWSKY HENRIETTE KLEIN BENJAMIN PASAMANICK W. R. SLENGER MORTON KRAMER, Consultant ROBERT L. SPITZER, Consultant LAWRENCE C. KOLB, Co-ordinating Chairman EDWARD STAINBROOK, Representative of Council Other Members of the Committee, 1946-1963 BALDWIN L. KEYES, 1947-1952 LAWRENCE C. KOLB, 1947-1950 and 1954-1960 NOLAN D. C. LEWIS, 1946-1948 Chairman, 1946-1948 JAMES V. MAY, 1937-1948 H. HOUSTON MERRITT, 1946-1948 GEORGE N. RAINES, 1948-1959 Chairman, 1948-1949 and 1951-1954 J. DAVIS REICHARD, 1946-1949 MABEL Ross, 1951-1957 ROBERT S. SCHWAB, 1949-1952 GEORGE S. SPRAGUE, 1945-1948 EDWARD A. STRECKER, 1948-1951 HARVEY J. TOMPKINS, 1950-1955 PAUL L. WHITE, 1946-1950 FRANZ ALEXANDER, 1947-1949 JOHN M. BAIRD, 1948-1951 ABRAM E. BENNETT, 1941-1946 GEORGE F. BREWSTER, 1946-1948 HENRY BRILL, 1958-1965 Chairman, 1960-1965 NORMAN Q. BRILL, 1946-1948 WALTER L. BRUETSCH, 1944-1949 JOHN M. CALDWELL, 1948-1951 J. P. S. CATHCART, 1941-1946 SIDNEY G. CHALK, 1947-1950 CLARENCE O CHENEY, 1942-1947 NEIL A. DAYTON, 1936-1950 JACOB H. FRIEDMAN, 1947-1949 MOSES M. FROHLICH, 1948-1960 Chairman, 1956-1960 ERNEST S. GODDARD, 1950-1966 JACOB KASANIN, 1944-1946 111 ACKNOWLEDGEMENT The undersigned, at the request of the President of the American Psychiatric Association, served as consultants to the APA Medical Director and approved the final form of this Manual before publication. Dr. Paul T. Wilson of the APA staff undertook extensive editorial revision of the original manuscript and was notably successful in clarifying and adding precision to the definitions of terms. He was assisted by Mr. Robert L. Robinson. We are deeply grateful to both. Bernard C. Glueck, M. D. Chairman Robert L. Spitzer, M. D. Morton Kramer, Sc. D. Click Table of Contents entries to reach corresponding book sections. TABLE OF CONTENTS Foreword by Ernest M. Gruenberg, M. D., Dr. P. H. vii Introduction: The Historical Background of ICD-8 by Morton Kramer, Sc. D xi Section 1 The Use of This Manual: Special Instructions 1 Section 2 The Diagnostic Nomenclature: List of Mental Disorders and Their Code Numbers 5 Section 3 The Definitions of Terms 14 I. Mental Retardation 14 II. Organic Brain Syndromes 22 A. Psychoses Associated with Organic Brain Syndromes 24 B. Non-psychotic Organic Brain Syndromes 31 III. Psychoses not Attributed to Physical Conditions Listed Previously 32 IV. Neuroses 39 V. Personality Disorders and Certain Other Non-psychotic Mental Disorders ._ 41 VI. Psychophysiologic Disorders 46 VII. Special Symptoms 47 VIII. Transient Situational Distrubances IX. Behavior Disorders of Childhood and Adolescence X. Conditions Without Manifest Psychiatric Disorder and Non-specific Conditions XI. Non-diagnostic Terms for Administrative Use 48 49 51 52 Sect