Möller Hans-Jürgen
Dept. of Psychiatry, University of Munich, Nussbaumstrasse 7, Munich, Germany.
Eur Arch Psychiatry Clin Neurosci. 2008 Nov;258 Suppl 5:7-17. doi: 10.1007/s00406-008-5004-4.
Europe has a rich tradition in psychopathology and psychiatric classification. This could be helpful developing new classification systems like ICD-11 and DSM-V. Some examples of this are described and further discussed, such as the categorical vs. the syndromatological approach, the relevance of hierarchical rules for the delineation of nosological entities, the antagonistic tradition of unitarian vs. splitting approaches and the relevance of a differentiated psychopathological description. Finally, the conclusion is that a too radical change of the classificatory system, e.g. in the direction of a purely symptomatical/dimensional systematic, or a totally new classification based on modern new biological findings, might be problematic and premature.
欧洲在精神病理学和精神疾病分类方面有着丰富的传统。这可能有助于开发像国际疾病分类第11版(ICD - 11)和精神疾病诊断与统计手册第5版(DSM - V)这样的新分类系统。文中描述并进一步讨论了一些相关例子,比如类别法与综合征法、用于界定疾病实体的层级规则的相关性、一元论与分裂法的对立传统以及差异化精神病理学描述的相关性。最后得出的结论是,分类系统的过于激进的改变,例如朝着纯粹症状性/维度性系统的方向,或者基于现代新生物学发现的全新分类,可能会有问题且为时过早。