McNamara M E
Department of Psychiatry, Rhode Island Hospital, Brown University, Providence 02903.
Psychosomatics. 1991 Summer;32(3):255-67. doi: 10.1016/S0033-3182(91)72063-X.
As a contribution to the proposed revision of the DSM-III-R category "Psychological Factors Affecting Physical Condition" for DSM-IV, this article reviews the history of how the relationship of psychiatric illness to neurological illness has been understood with respect to depression. Since both psychiatric and neurological illness are aspects of brain functioning, any statement of the relationship of these categories entails certain epistemological assumptions, some of which have undergone considerable change and rapid evolution in the course of the last century.
作为对《精神疾病诊断与统计手册》第三版修订版(DSM-III-R)中“影响身体状况的心理因素”类别拟议修订为《精神疾病诊断与统计手册》第四版(DSM-IV)的贡献,本文回顾了关于抑郁症方面,精神疾病与神经疾病之间关系是如何被理解的历史。由于精神疾病和神经疾病都是大脑功能的方面,这些类别之间关系的任何陈述都需要某些认识论假设,其中一些假设在过去一个世纪中经历了相当大的变化和快速演变。