Mellsop Graham, Menkes David, El-Badri Selim
Waikato Clinical School, University of Auckland, Auckland, New Zealand.
Australas Psychiatry. 2007 Feb;15(1):3-5; discussion 6-8. doi: 10.1080/10398560601083134.
The aim of this study was to make a case for freeing psychiatry from the limits of categorical diagnosis.
From Pinel through to Kraepelin, Bleuler, DSM-IV and ICD-10, clinical and research activities in psychiatry have all depended upon categorical classification. Recent decades have seen increasing argument in favour of dimensional measurement, description and prediction, in part because invalidities in categorical classification are becoming impossible to deny. Some suggestions for developing useful dimensional approaches are made.
本研究的目的是为将精神病学从类别诊断的局限中解放出来提供依据。
从皮内尔到克雷佩林、布鲁勒、《精神疾病诊断与统计手册》第四版(DSM-IV)以及《国际疾病分类》第十版(ICD-10),精神病学的临床和研究活动均依赖于类别分类。近几十年来,越来越多的人主张采用维度测量、描述和预测方法,部分原因是类别分类中的无效性已变得不可否认。文中提出了一些开发有用维度方法的建议。