THE DEATH OF SPECIFICITY IN PSYCHIATRY cheers or tears?
THE DEATH OF SPECIFICITY IN PSYCHIATRY cheers or tears?
复制标题
DOI：
10.1353/pbm.2012.0028
复制
发表时间：
2012-06-01
影响因子：
1
通讯作者：
Dean, Charles E.
中科院分区：
文献类型：
--
作者：
Dean, Charles E.
在过去的50年里，精神病学一直在追求两个目标，一个是诊断和治疗的特异性，另一个是一系列包罗万象的诊断手册，这些手册自相矛盾地强调了疾病之间没有明确的界限，以及疾病和正常之间没有明确的界限（尽管正常从未被定义）。该领域的领导者继续强调，诊断必须通过特定疾病的发病机制，过程和治疗反应来验证。然而，许多目前的遗传和家族研究未能支持诊断特异性的概念，因为目前使用的精神药物，这是现在的处方很少考虑诊断。虽然从分类诊断系统到维度系统的转变还没有正式化，但似乎已经在实践中发生了。
During the past five decades, psychiatry has pursued two goals, one being specificity of diagnosis and treatment, and the other a series of all-inclusive diagnostic manuals that paradoxically emphasized the absence of definite boundaries between disorders, and the absence of definite boundaries between disorders and normality (although normality was never defined). Leaders in the field continue to emphasize that diagnoses must be validated by the pathogenesis, course, and response to treatment of specific disorders. However, many current genetic and family studies have failed to support the concept of diagnostic specificity, as has the current use of psychotropic agents, which are now being prescribed with little regard for diagnosis. Although the switch from a categorical diagnostic system to a dimensional system has not been formalized, it seems to have already occurred in practice.