Diagnostic and statistical manual-5: Position paper of the Indian Psychiatric Society
Diagnostic and statistical manual-5: Position paper of the Indian Psychiatric Society
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DOI：
10.4103/0019-5545.105500
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发表时间：
2013-01-01
影响因子：
3.1
通讯作者：
Rao, T. S. Sathyanarayana
中科院分区：
文献类型：
--
作者：
Jacob, K. S.;Kallivayalil, R. A.;Rao, T. S. Sathyanarayana
诊断和统计手册-5（DSM-5）的制定是一项详尽而详细的工作，涉及DSM-IV类别的审查，确定新的证据和想法，现场测试和修订问题，以便它基于最佳证据。印度精神病学会工作组的这份报告审查了DSM-5的现行草案，并从印度的角度讨论了其影响。它强调了与使用适用于不同文化的普遍类别有关的问题。它重申了在印度常见的精神障碍的证据。它强调在初级保健和社区环境中使用对专家有用的临床类别时需要谨慎。虽然DSM-5基本上是为美国精神病学协会的会员制定的，但其影响将远远超出精神病学和美利坚合众国的界限。然而，它的非理论方法，尽管它的自命不凡，推动了一个纯粹的生物医学议程，排除了精神健康和疾病的其他方法。尽管如此，DSM-5应该起到把关的作用，旨在设定最低标准。这项工作正在进行中，并将随着新证据的产生而继续发展。要使DSM-5在不同文化和国家之间具有相关性和实用性，它需要具有广泛的基础，并考虑社会和文化背景、问题和现象。与国际疾病分类-11的融合和兼容是一个有价值的目标。虽然DSM-5修订版的惊人努力值得称赞，但精神病学应该继续努力对精神健康，疾病和疾病进行更全面的理解。
The development of the Diagnostic and Statistical Manual-5 (DSM-5) has been an exhaustive and elaborate exercise involving the review of DSM-IV categories, identifying new evidence and ideas, field testing, and revising issues in order that it is based on the best available evidence. This report of the Task Force of the Indian Psychiatric Society examines the current draft of the DSM-5 and discusses the implications from an Indian perspective. It highlights the issues related to the use of universal categories applied across diverse cultures. It reiterates the evidence for mental disorders commonly seen in India. It emphasizes the need for caution when clinical categories useful to specialists are employed in the contexts of primary care and in community settings. While the DSM-5 is essentially for the membership of the American Psychiatric Association, its impact will be felt far beyond the boundaries of psychiatry and that of the United States of America. However, its atheoretical approach, despite its pretensions, pushes a purely biomedical agenda to the exclusion of other approaches to mental health and illness. Nevertheless, the DSM-5 should serve a gate-keeping function, which intends to set minimum standards. It is work in progress and will continue to evolve with the generation of new evidence. For the DSM-5 to be relevant and useful across the cultures and countries, it needs to be broad-based and consider social and cultural contexts, issues, and phenomena. The convergence and compatibility with International Classification of Diseases-11 is a worthy goal. While the phenomenal effort of the DSM-5 revision is commendable, psychiatry should continue to strive for a more holistic understanding of mental health, illness, and disease.