Sadler John Z
The University of Texas Southwestern Medical Center at Dallas, Dallas, TX 75390-9070, USA.
Psychopathology. 2005 Jul-Aug;38(4):197-200. doi: 10.1159/000086091.
Beginning with an acknowledgment of the scientific aspects of developing classifications for psychopathology, this essay describes how diagnostic classifications (DCs) also function as public policy. Using the methods of philosophical analysis and a brief review of pertinent literature, the paper describes the regulatory and prescriptive functions of official DCs like the DSM and ICD manuals, functions that de facto serve as public policies. This background then provides for a comparison of the values involved in good science alongside the values involved in good public policy. Important areas of overlap are described, and these point to areas, relevant to stakeholders' interest, worth considering in developing future DCs.
本文开篇承认了为精神病理学制定分类的科学层面，接着描述了诊断分类（DCs）如何也发挥着公共政策的作用。通过哲学分析方法以及对相关文献的简要回顾，本文阐述了官方诊断分类（如《精神疾病诊断与统计手册》和《国际疾病分类》手册）的监管和规范功能，这些功能事实上充当着公共政策。这一背景进而促成了对优秀科学所涉及的价值观与优秀公共政策所涉及的价值观的比较。文中描述了重要的重叠领域，这些领域指向了与利益相关者利益相关、在制定未来诊断分类时值得考虑的方面。
