强迫谱系障碍
The obsessive-compulsive spectrums.
作者信息
Phillips Katharine A
机构信息
Department of Psychiatry and Human Behavior, Brown University School of Medicine, Body Dysmorphic Disorder Program, Butler Hospital, Providence, RI 02906, USA.
出版信息
Psychiatr Clin North Am. 2002 Dec;25(4):791-809. doi: 10.1016/s0193-953x(02)00024-2.
Abstract
Because of the paucity of research on the OCSDs, it seems premature to cluster these putative disorders together in DSM, to combine delusional and nondelusional variants of OCSDs, or to classify OCSDs dimensionally. Further investigation of the OC spectrums is clearly needed. These constructs are powerful and useful heuristics with potential validity and clinical utility. The putative OC spectrum and its subspectrums have some apparent advantages over current conceptualizations of these disorders. They may prove more consistent with empirical evidence and ultimately may be shown to better reflect these disorders' pathogenesis. Importantly, they also may be more useful and valid guides for clinical practice.
摘要
由于对强迫及相关障碍（OCSDs）的研究匮乏，在《精神疾病诊断与统计手册》（DSM）中将这些假定的障碍归为一类、合并强迫及相关障碍的妄想性和非妄想性变体，或从维度上对强迫及相关障碍进行分类，似乎都为时过早。显然需要对强迫谱系进行进一步研究。这些概念是强大且有用的启发式工具，具有潜在的效度和临床实用性。假定的强迫谱系及其子谱系相对于这些障碍目前的概念化有一些明显优势。它们可能被证明与实证证据更一致，最终可能会被证明能更好地反映这些障碍的发病机制。重要的是，它们对临床实践也可能是更有用和有效的指导。
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