Klosterkötter J
Klinik für Psychiatrie und Psychotherapie der Universität zu Köln.
Fortschr Neurol Psychiatr. 1999 Dec;67(12):558-73. doi: 10.1055/s-2007-995232.
Whereas the present internationally accepted systems appear like a radical break with the psychiatric tradition at first sight, a closer look reveals that there is in fact a continuity between traditional and modern classification systems: The programmatic idea behind their development is still the same as the one that was first formulated by K. Kahlbaum and introduced to psychiatry by E. Kraepelin. And indeed, those changes in modern systems that appear new were developed because the responsible commissions kept in line with this German tradition. The present paper reviews the development of classifications in psychiatry from their beginning to today and underlines the reasons why the true adequacy of current systems will only show in the next millennium.
虽然目前国际上公认的体系乍一看似乎与精神病学传统有彻底的决裂,但仔细观察会发现,传统分类体系与现代分类体系之间实际上存在连续性:它们发展背后的纲领性理念仍然与最初由K.卡尔鲍姆提出并由E.克雷佩林引入精神病学的理念相同。事实上,现代体系中那些看似新的变化之所以产生,是因为相关委员会遵循了这一德国传统。本文回顾了精神病学分类从其起源到如今的发展历程,并强调了为何当前体系的真正适用性要到下一个千年才会显现出来的原因。