{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T01:34:14Z","timestamp":1777426454361,"version":"3.51.4"},"reference-count":11,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2002,4,1]],"date-time":"2002-04-01T00:00:00Z","timestamp":1017619200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Am Psychoanal Assoc"],"published-print":{"date-parts":[[2002,4]]},"abstract":"<jats:p>A study was conducted to validate our previous work on the DSM-III-R disorders diagnosed in patients in psychoanalysis in the U.S., Canada, and Australia and to determine which specific mood, anxiety, and personality disorders were the most common in these patients. The earlier study consisted of three surveys of psychoanalytic practice that together obtained data on 1,718 patients, through extensive mail surveys to analysts in the three countries. In the validation study, 206 patients were diagnosed using a different technique. Analysts similar in important respects to those who participated in the original surveys rated patients diagnostically before and after DSM-III-R training. After training, no significant changes appeared in the rates for any of the specific mood disorders. For the thirty disorders examined, training effects decreased the identification of the generalized anxiety disorder, and increased the identification of three personality disorders: avoidant, dependent, and personality disorder not otherwise specified. Thus, analysts slightly underdiagnosed the number of personality disorders, and some \u201canxious\u201d patients appear to have qualified for personality disorders. Some limitations of the DSM-III-R notion of narcissistic personality are discussed, as are the importance and stability of the self-defeating (masochistic) personality disorder. The most common Axis I disorder in psychoanalytic patients was dysthymia, followed by major depression, recurrent. This study reinforces the findings of the original three surveys. Minor corrections were developed to adjust the original three surveys.<\/jats:p>","DOI":"10.1177\/00030651020500021101","type":"journal-article","created":{"date-parts":[[2008,4,29]],"date-time":"2008-04-29T13:58:32Z","timestamp":1209477512000},"page":"615-627","source":"Crossref","is-referenced-by-count":6,"title":["Psychoanalytic Patients in the U.S., Canada, and Australia: II. A DSM-III-R Validation Study"],"prefix":"10.1177","volume":"50","author":[{"given":"Norman","family":"Doidge","sequence":"first","affiliation":[{"name":"Canadian Institute of Psychoanalysis, Toronto Branch, Columbia University Center for Psychoanalytic Training and Research, Department of Psychiatry, University of Toronto,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barry","family":"Simon","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of Toronto"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William J.","family":"Lancee","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Mount Sinai Hospital, Department of Psychiatry, University of Toronto"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"First","sequence":"additional","affiliation":[{"name":"Biometrics Research Department, New York State Psychiatric Institute, Columbia University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacqueline","family":"Brunshaw","sequence":"additional","affiliation":[{"name":"Clinical Psychology Program, York University, Toronto"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lee","family":"Brauer","sequence":"additional","affiliation":[{"name":"Committee on Psychoanalytic Practice, American Psychoanalytic Association"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Donald C.","family":"Grant","sequence":"additional","affiliation":[{"name":"Australian Psychoanalytical Society"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annette","family":"Stevens","sequence":"additional","affiliation":[{"name":"Division of Community Mental Health, Department of Psychiatry, University of British Columbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John M.","family":"Oldham","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Mosher","sequence":"additional","affiliation":[{"name":"Psychoanalytic Electronic Publishing"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2002,4,1]]},"reference":[{"key":"atypb1","volume-title":"Broken Structures: Severe Personality Disorders and Their Treatment","author":"Akhtar, S.","year":"1992"},{"key":"atypb2","doi-asserted-by":"publisher","DOI":"10.1177\/00030651020500021201"},{"key":"atypb3","volume-title":"Psychoanalytic Studies of the Personality","author":"Fairbairn, W.","year":"1952"},{"key":"atypb4","volume-title":"Psychodynamic Psychiatry in Clinical Practice: The DSM-IV","author":"Gabbard, G.","year":"1994"},{"key":"atypb5","volume-title":"Severe Personality Disorders: Psychotherapeutic Strategies","author":"Kernberg, O.","year":"1984"},{"key":"atypb6","volume-title":"The Psychiatric Interview in Clinical Practice","author":"Mackinnon, R.","year":"1971"},{"key":"atypb7","doi-asserted-by":"publisher","DOI":"10.1016\/0165-0327(92)90020-7"},{"key":"atypb8","volume-title":"Impasse and Interpretation","author":"Rosenfeld, H.","year":"1987"},{"key":"atypb9","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.151.4.560"},{"key":"atypb10","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1992.01820100032007"},{"key":"atypb11","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.154.7.895"}],"container-title":["Journal of the American Psychoanalytic Association"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00030651020500021101","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00030651020500021101","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T11:31:28Z","timestamp":1777375888000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00030651020500021101"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2002,4]]},"references-count":11,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2002,4]]}},"alternative-id":["10.1177\/00030651020500021101"],"URL":"https:\/\/doi.org\/10.1177\/00030651020500021101","relation":{},"ISSN":["0003-0651","1941-2460"],"issn-type":[{"value":"0003-0651","type":"print"},{"value":"1941-2460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2002,4]]}}}