Similarities and differences between the DSM-IV and empirically based
approaches to behavioral/emotional problems are presented. Similaritie
s include: explicit specification of criterial problems; descriptive s
imilarities between some DSM diagnostic categories and empirically bas
ed syndromes; and statistically significant agreement between some DSM
diagnoses and empirically based syndrome scores. Differences include:
use of a nosological versus psychometric model; judgment of problems
as present-absent versus quantitative scoring of problems; choice of c
ategories and criteria by committees versus derivation of syndromes fr
om quantitative data; identical cutpoints for both genders, different
ages, and different sources of data versus cutpoints based on norms fo
r gender, age, and type of informant; data obtained by diagnostician's
decision versus use of standardized forms; nonspecific comparisons of
multi-source data versus explicit comparisons between cross-informant
scores and correlations; endproducts are present-absent diagnoses ver
sus norm-referenced profiles showing item and syndrome scores. A case
example illustrates applications of the two approaches to school based
assessment.