Nosology of behavioral addictions: Intersections with philosophy of psychiatry •

Nosology of behavioral addictions: Intersections with philosophy of psychiatry •
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DOI:
10.1556/2006.2022.00033
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发表时间:
2022-07-13
影响因子:
7.8
通讯作者:
LOCHNER, C. H. R. I. S. T. I. N. E.
LOCHNER, C. H. R. I. S. T. I. N. E.
中科院分区:
医学2区
文献类型:
--
作者:
STEIN, D. A. N. J.;LOCHNER, C. H. R. I. S. T. I. N. E.

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布兰德和他的同事们在这份杂志上提出了其他由成瘾行为引起的特定疾病的标准。他们的建议与精神病学哲学中的关键争论相交叉,包括如何最好地定义精神障碍,验证它们,以及优化它们的元结构。在行为成瘾的背景下回顾这些争论可以得出几个结论。首先,这些争论涉及“本质上有争议的”结构,需要持续的考虑和判断。其次,精神病理学的复杂性提出了多种合理的方法来描述特征和解释机制。第三,在优化元结构时,非心理生物学的考虑是至关重要的——对成瘾障碍的重叠公共心理健康方法是至关重要的。
Writing in this journal, Brand and colleagues have proposed criteria for other specified disorders due to addictive behaviors. Their proposal intersects with key debates in philosophy of psychiatry, including how best to define mental disorders, to validate them, and to optimize their meta-structure. Review of these debates in the context of behavioral addictions suggests several conclusions. First, these debates involve “essentially contested” constructs that require ongoing consideration and judgment. Second, the complexity of psychopathology suggests multiple legitimate approaches to delineating traits and explicating mechanisms. Third, in optimizing meta-structure, non-psychobiological considerations are crucial - the overlapping public mental health approach to addictive disorders is paramount.
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