Parnas Josef
Center for Subjektivitetsforskning, Njalsgade 142-144, DK-2300 København S.
Ugeskr Laeger. 2008 Nov 10;170(46):3743-6.
Psychosis is a core psychopathological concept with clinical, legal and ethical implications. DSM IV and ICD 10 define psychosis through the presence of certain symptoms, but fail to provide a description and analysis of the meaning of the concept. It is concluded that psychosis is a so-called primitive term, i.e. a term referring to a way of being of a-person-in-context that cannot be reduced to simpler elements and which, therefore, defies operationalization, but does not preclude acquisition of adequate clinical (inter-rater) reliability.
精神病是一个具有临床、法律和伦理意义的核心精神病理学概念。《精神疾病诊断与统计手册》第四版(DSM-IV)和《国际疾病分类》第十版(ICD-10)通过某些症状的存在来定义精神病,但未能对该概念的含义进行描述和分析。得出的结论是,精神病是一个所谓的原始术语,即一个指涉处于特定情境中的人的一种存在方式的术语,这种存在方式无法简化为更简单的元素,因此难以进行操作化定义,但这并不妨碍获得足够的临床(评估者间)可靠性。