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与精神障碍相关的功能和残疾:自《国际损伤、残疾和残障分类》以来的演变

Functioning and disability associated with mental disorders: the evolution since ICIDH.

作者信息

Kennedy C

机构信息

Office of Disability, Aging, and Long-Term Care Policy, Office of the Assistant Secretary for Planning and Evaluation, Department of Health and Human Services, Washington, DC 20201, USA.

出版信息

Disabil Rehabil. 2003;25(11-12):611-9. doi: 10.1080/0963828031000137126.

DOI:10.1080/0963828031000137126
PMID:12959335
Abstract

The International Mental Health Task Force participated actively from the outset of the revision of the ICIDH and development of the ICF. The Task Force was responsible for development of all aspects of functioning and disability associated with mental disorders. Building upon knowledge gained since the publication of the ICIDH, it had unique responsibility for development of the ICF chapter on mental functioning. It was also responsible to assure the ICF section on activities and participation integrated and reflected the functioning and disability associated with mental disorders without the redundancy of ICIDH. As context to the revision, the article describes the relationship of diagnostic classifications of mental disorders with disability, and analyses the mental disorder aspects of impairments and disabilities in the ICIDH. Membership in the Task Force represented diversity in geographical, cultural, professional, and personal perspectives on disabilities. This diverse acumen was focused on a range of activities that both specified the unique aspects of functioning and disability associated with mental disorders and assured inclusion of the mental health perspective on the domains of functioning and disability common to physical conditions. Finally, the article notes four current applications of the ICF that are inclusive of the mental health perspective.

摘要

国际精神卫生特别工作组从《国际损伤、残疾和残障分类》(ICIDH)修订之初以及《国际功能、残疾和健康分类》(ICF)制定之时就积极参与其中。该特别工作组负责与精神障碍相关的功能及残疾各方面内容的制定。在ICIDH出版后所获知识的基础上,它对ICF中关于精神功能的章节制定负有独特责任。它还负责确保ICF中关于活动与参与的部分整合并反映了与精神障碍相关的功能及残疾情况,且没有ICIDH中的冗余内容。作为此次修订的背景,本文描述了精神障碍诊断分类与残疾的关系,并分析了ICIDH中损伤和残疾的精神障碍方面。特别工作组的成员在地域、文化、专业及对残疾的个人观点上具有多样性。这种多样的敏锐性集中于一系列活动,这些活动既明确了与精神障碍相关的功能及残疾的独特方面,又确保将精神卫生视角纳入身体状况共有的功能和残疾领域。最后,本文指出了ICF目前包含精神卫生视角的四个应用方面。

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