Renaming schizophrenia: 5 × 5
Renaming schizophrenia: 5 × 5
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重命名精神分裂症：5 × 5
DOI：
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发表时间：
2018
影响因子：
8.1
通讯作者：
J. van os
中科院分区：
文献类型：
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作者：
S. Guloksuz;J. van os
摘要在我们甚至可以放心地讨论围绕精神分裂症这一概念的问题之前，我们还有很长的路要走，更不用说仅仅依靠语义修改了。在这篇社论中，我们的目的是扩大我们的讨论，讨论‘精神分裂症’这个概念慢慢消亡的原因，以及更名和接受谱系方法的好处，其中包括伞状精神病谱系障碍(PSD)类别(类似于自闭症谱系障碍)，而不仅仅是语义修改。我们试图通过提供五个最相关的要点来涵盖更名的主题，这些要点归类于五个领域：原因、信号、挑战、承诺和更改的步骤。诚然，即使是轻微的修订，例如将所有精神病类别归入PSD的总括类别，以及废除精神分裂症一词，在开始时也需要仔细考虑和一些努力，但考虑到长期的好处，修订是非常值得的。在重新命名一种特定形式的精神痛苦的同时，应该对整个诊断-循证-实践(EBP)-症状减轻模式进行更广泛的辩论，将其作为推动精神健康服务的内容和组织的规范因素，可能脱离患者的需求和现实，忽视精神困难的跨综合征结构，评估技术特征相对于护理的关系和仪式组成部分的重要性，并低估EBP缺乏从群体到个人的概括性。个人可以通过在社会和存在领域建立复原力来适应精神脆弱的生活，从而在获得福祉方面取得长足进步。改变“精神分裂症”的名称和概念，可能会成为推动全球精神病学科学和服务现代化进程的第一步，而不仅仅是语义上的修改。
Abstract There had been a long way to go before we felt comfortable about even discussing the issues revolving around the concept of ‘schizophrenia’, let alone reckoning on mere semantic revision. In this editorial, we aim to extend our discussion on the reasons behind the slow death of the concept of ‘schizophrenia’ and the benefits of changing the name and embracing a spectrum approach with an umbrella psychosis spectrum disorder (PSD) category (similar to autism spectrum disorder) that goes further than a mere semantic revision. We attempted to cover the topic of the renaming by providing five most pertinent points categorised under five domains: reasons, signals, challenges, promises and steps for the change. Admittedly, even a modest revision, such as classifying all psychotic disorder categories under an umbrella category of PSD, and abolishing the term schizophrenia requires careful deliberation and some effort in the beginning, but the revision is well worth the effort considering the benefits in the long run. Renaming a particular form of mental suffering should be accompanied by a broader debate of the entire diagnosis-evidence-based-practice (EBP)-symptom-reduction model as the normative factor driving the content and organisation of mental health services that may be detached from patients’ needs and reality, overlooks the trans-syndromal structure of mental difficulties, appraises the significance of the technical features over the relational and ritual components of care, and underestimates the lack of EBP group-to-individual generalisability. Individuals may make great strides in attaining well-being by accommodating to living with mental vulnerabilities through building resilience in the social and existential domains. Changing the name and the concept of ‘schizophrenia’, which goes beyond a mere semantic revision, may become the first step that allows catalysation of the process of modernising psychiatric science and services worldwide.