The disease entity in psychiatry: fact or fiction?

The disease entity in psychiatry: fact or fiction?
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精神病学中的疾病实体:事实还是虚构?

DOI:
10.1017/s2045796012000339
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发表时间:
2012
影响因子:
8.1
通讯作者:
A. Jablensky
A. Jablensky
中科院分区:
医学1区
文献类型:
--
作者:
A. Jablensky

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背景。当前关于《国际疾病分类》(ICD)和《精神疾病诊断与统计手册》(DSM)即将修订的争论缺乏对精神病学基础概念的足够历史视角,例如疾病实体的性质、分类类型、维度模型及其有效性和实用性。客观的。概述精神病学分类概念基础的演变和变形,特别关注精神障碍。方法。话语性强,从思想史出发,批判当前的困境。结果。目前有关精神障碍分类的基本问题的许多讨论都是科学精神病学早期发生的争论的重演。结论。 20世纪初以来精神病学所采用的主流疾病分类范式需要借助当今可用的概念和方法论工具进行批判性的审视和超越。
Background. The current debate concerning the forthcoming revisions of the International Classification of Diseases (ICD) and the Diagnostic and Statistical Manual of Mental Disorders (DSM) lacks sufficient historical perspective on groundwork concepts in psychiatry, such as the nature of the disease entity, categorical typologies, dimensional models and their validity and utility. Objective. To offer an overview of the evolution and metamorphoses of the conceptual basis of classification in psychiatry, with particular focus on psychotic disorders. Method. Discursive, proceeding from history of ideas to a critique of present dilemmas. Results. Much of the present-day discussion of basic issues concerning the classification of mental disorders is a replay of debates that took place in the earlier periods of scientific psychiatry. Conclusion. The mainstream nosological paradigm adopted in psychiatry since early 20th century is in need to be critically examined and transcended with the help of concepts and methodological tools available today.
丹麦精神分裂症收养研究省级和国家样本中 DSM-III 定义的被收养者和亲属的独立诊断。
DOI: 10.1001/archpsyc.1994.03950060020002
发表时间: 1994
影响因子: --
作者:
Kendler,KS;Gruenberg,AM;Kinney,DK
通讯作者: Kinney,DK