Tucker G J
Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Wash. 98195-6560, USA.
Dement Geriatr Cogn Disord. 1999 Sep-Oct;10(5):359-63. doi: 10.1159/000017171.
This paper reviews the history of the development of the American Psychiatric Association's Diagnostic and Statistical Manual (DSM) using the diagnostic category of delirium as an example. It also attempts to show how clinical practice and experience has molded the current conceptualization of delirium in DSM-IV. The paper presents the process and options the DSM-IV Work Group on Organic Disorders pursued in developing the DSM-IV criteria for the diagnosis of delirium, particularly in relation to ICD-10.
本文以谵妄的诊断类别为例，回顾了美国精神病学协会《精神疾病诊断与统计手册》（DSM）的发展历程。同时，本文还试图展示临床实践与经验是如何塑造了《精神疾病诊断与统计手册》第四版（DSM-IV）中当前对谵妄的概念化认识。本文介绍了DSM-IV器质性精神障碍工作组在制定DSM-IV谵妄诊断标准过程中所采用的流程和选项，特别是与《国际疾病分类》第十版（ICD-10）相关的内容。
