Howsepian A A
University of California San Francisco, Fresno Medical Education Program, VACCHCS, Department of Psychiatry, Fresno, CA 93703, USA.
Psychopathology. 2008;41(1):28-34. doi: 10.1159/000109952. Epub 2007 Oct 18.
Many of the entries in the Diagnostic and Statistical Manual of Mental Disorders, 4th edition - Text Revision (DSM-IV-TR) are problematic along multiple axes, including, but not limited to, clarity, logical coherence, factual content, redundancy, and ambiguity. These problems pose multiple barriers to clear, efficient, and accurate communication among those who work in clinical contexts or among those involved in psychological or psychiatric research. These barriers to communication, accurate concept formation, and clinical clarity affect diagnostic validity and reliability in a manner that imperils progress in psychiatry and psychology on a grand scale. This essay focuses on some of the most egregious problematic entries in the DSM-IV-TR's 'Glossary of Technical Terms'. It is meant to be a prolegomenon to a thorough revision of the Glossary in preparation for the projected 5th edition of the DSM.
《精神疾病诊断与统计手册》第四版修订本（DSM-IV-TR）中的许多条目在多个方面存在问题，包括但不限于清晰度、逻辑连贯性、事实内容、冗余性和模糊性。这些问题给临床工作者或参与心理学或精神病学研究的人员之间进行清晰、高效和准确的沟通造成了多重障碍。这些沟通障碍、准确概念形成障碍以及临床清晰度障碍以一种危及精神病学和心理学大规模发展的方式影响着诊断的有效性和可靠性。本文聚焦于DSM-IV-TR“技术术语词汇表”中一些最严重的问题条目。它旨在作为对词汇表进行全面修订的前言，为预计的DSM第五版做准备。
