Among a sample of 196 participants, small differences in holistic client functioning, as measured by standardized Adult Needs and Strengths Assessment (Lyons & Walton, 1999) and symptom severity scores, emerged across 3 diagnostic categories of serious mental illness (SMI; i.e., depression, bipolar disorder, and schizophrenia). However, sizable variations in symptom severity were evident across diagnoses of SMI, despite study participants receiving a similar configuration and intensity of recovery‐oriented usual‐care services. These results may evidence previous concerns surrounding the transdiagnosis of SMI, overlapping criteria and symptomatology among disorders in the Diagnostic and Statistical Manual of Mental Disorders, and mental health treatment and service practices in the United States. Implications for counselor practice are discussed.

中文翻译：

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严重精神疾病患者的整体客户功能概况比较

在196名参与者的样本中，通过标准的成人需求和力量评估（Lyons＆Walton，1999）和症状严重程度评分所测得的整体服务对象功能的细微差异出现在3种严重精神疾病（SMI；即抑郁症）的诊断类别中，躁郁症和精神分裂症）。然而，尽管研究参与者接受了类似的配置和强度的恢复导向的常规护理服务，但在SMI的诊断中，症状严重程度的变化却很明显。这些结果可能证明先前有关精神障碍诊断，统计标准重叠和症状在精神障碍诊断和统计手册中的疑虑，以及美国的精神健康治疗和服务惯例。讨论了对辅导员实践的影响。