ANXIETY STATES AND DEPRESSIVE NEUROSES: ISSUES IN NOSOLOGICAL DISCRIMINATION
ANXIETY STATES AND DEPRESSIVE NEUROSES: ISSUES IN NOSOLOGICAL DISCRIMINATION
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焦虑状态和抑郁性神经：疾病分类中的问题
DOI：
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发表时间：
1972
影响因子：
1.9
通讯作者：
R. Lipman
中科院分区：
文献类型：
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作者：
L. Derogatis;G. Klerman;R. Lipman
本文回顾了神经性疾病的肿瘤的当前概念，特别着重于有关焦虑状态和抑郁神经症的争议，作为不同的临床综合征。审查并与当前的理论立场有关。有两个条件，而是观察到的差异是否具有临床意义。事实是，针对这些条件的确定分类系统的开发代表了一个复杂的多个确定问题，该问题将需要充分利用可用的信息和方法当代临床科学。
This article reviews current conceptions of the nosology of the neurotic affective disorders with particular emphasis on the controversy concerning the status of the anxiety states and depressive neuroses as distinct clinical syndromes. Empirical evidence in support of both the distinct-syndrome and unitary-syndrome positions is reviewed and related to current theoretical postures. Analysis suggests that the pivotal question does not center on whether distinctions can be made between the two conditions, but rather, whether differences observed are of a magnitude to be clinically significant. Five primary issues—all judged to have substantial nosological relevance—are examined specifically in terms of their influence on the classification of the affective neuroses. Conclusions point up the fact that the development of a definitive system of classification for these conditions represents a complex, multidetermined problem that will demand full utilization of the information and methodology available to contemporary clinical science.