Jäger M, Strauss A, Frasch K, Becker T
Klinik für Psychiatrie II der Universität Ulm, Bezirkskrankenhaus Günzburg.
Fortschr Neurol Psychiatr. 2007 Aug;75(8):478-83. doi: 10.1055/s-2007-959236. Epub 2007 May 25.
Based on the pioneering work of Emil Kraepelin, Karl Jaspers, Kurt Schneider and representatives of logical empiricism, the basic principles of the operational diagnostic approach in psychiatry are described. Operational diagnostic systems like ICD-10 and DSM-IV aimed at a standardisation of psychiatric language which can be accepted by different schools in psychiatry. However, ICD-10 and DSM-IV should not be misinterpreted as "nosology" because they do not reflect a specific model of psychiatric diseases. The advantages of operational diagnostic systems as instruments for communication in a clinical and scientific context are limited by the fact that they disregard the subjective psychopathology. This dimension, however, deserves attention in clinic and research.
基于埃米尔·克雷佩林、卡尔·雅斯贝尔斯、库尔特·施耐德以及逻辑经验主义代表人物的开创性工作，阐述了精神病学中操作性诊断方法的基本原则。像国际疾病分类第10版（ICD - 10）和精神疾病诊断与统计手册第四版（DSM - IV）这样的操作性诊断系统旨在实现精神病学语言的标准化，这种标准化能够被精神病学的不同流派所接受。然而，不应将ICD - 10和DSM - IV误解为“疾病分类学”，因为它们并未反映出特定的精神疾病模型。操作性诊断系统作为临床和科研交流工具的优势受到这样一个事实的限制，即它们忽视了主观精神病理学。然而，这一维度在临床和研究中值得关注。
