Hirshbein Laura D
University of Michigan Department of Psychiatry, 9C UH 9151, 1500 E. Medical Center Dr., Ann Arbor, MI 48109, USA.
J Hist Med Allied Sci. 2006 Apr;61(2):187-216. doi: 10.1093/jhmas/jrj037. Epub 2006 Jan 5.
Between the first (1952) and the third (1980) editions of psychiatry's Diagnostic and Statistical Manual of Mental Disorders, depression emerged as a specific disease category with concrete criteria. In this article, I analyze this change over time in psychiatric theory and diagnosis through an examination of medication trials and category formation. Throughout, I pay particular attention to the ways in which psychiatrists and researchers invoked science in their clinical trials and disease theories, as well as the ways in which gender played an important but largely unspoken role in the formation of a category of depression.
在精神病学的《精神疾病诊断与统计手册》第一版(1952年)和第三版(1980年)之间,抑郁症成为了一个有具体标准的特定疾病类别。在本文中,我通过对药物试验和类别形成的考察,分析了精神病学理论和诊断随时间的这一变化。在整个过程中,我特别关注精神病医生和研究人员在其临床试验和疾病理论中援引科学的方式,以及性别在抑郁症类别形成过程中所起的重要但在很大程度上未被言说的作用。