Jablensky Assen
School of Psychiatry and Clinical Neurosciences, University of Western Australia, Perth, Australia.
Curr Opin Psychiatry. 2005 Nov;18(6):653-8. doi: 10.1097/01.yco.0000184412.98587.a4.
This article reviews the problem of 'boundaries' in psychopathology and its conceptualization in the diagnostic classification of psychiatric disorders.
A modest number of publications in 2004-2005 contribute concepts, methods and data relevant to several aspects of the problem: scientific 'facts' versus value attribution in the definition of mental disorders; the problem of comorbidity between diagnostic entities; the spurious dichotomy between categorical versus dimensional approaches to diagnosis and classification; and the distinction between validity and pragmatic utility.
The relative paucity of research explicitly addressing these issues should be a reason for concern in the debate leading up to the next revisions of the International Classification of Diseases and the Diagnostic and Statistical Manual of Mental Disorders.
本文回顾了精神病理学中“边界”问题及其在精神障碍诊断分类中的概念化。
2004年至2005年数量不多的一些出版物提供了与该问题几个方面相关的概念、方法和数据：精神障碍定义中的科学“事实”与价值归属；诊断实体之间的共病问题；诊断和分类的类别法与维度法之间虚假的二分法；以及效度与实用效用之间的区别。
在为《国际疾病分类》和《精神障碍诊断与统计手册》的下一次修订做准备的辩论中，明确探讨这些问题的研究相对较少，这应该引起关注。
