Cuesta Manuel J, Peralta Victor
Psychiatric Unit, Virgen del Camino Hospital, Irunlarrea 4, Pamplona 31008, Spain.
Curr Psychiatry Rep. 2009 Aug;11(4):324-31. doi: 10.1007/s11920-009-0047-4.
Considerable effort has been focused on updating the clinical aspects of psychiatric classifications based on recent progress in the field of neurobiology. In this article, recent developments in the primary assessment methods within clinical psychiatry, which are based in phenomenological psychopathology, are reviewed as nosotaxies that are still embedded in clinical description. New directions for research on psychopathology are outlined to elicit better descriptions of subjective experience from patients. Finally, the known limitations of the Kraepelinian dichotomy are summarized, and future problems related to the inclusion of the new dimensional assessment methods in the next psychiatric classifications are described.
基于神经生物学领域的最新进展，大量努力都集中在更新精神疾病分类的临床方面。在本文中，临床精神病学中基于现象学精神病理学的主要评估方法的最新进展，作为仍嵌入临床描述中的疾病分类法进行了综述。概述了精神病理学研究的新方向，以更好地从患者那里获取对主观体验的描述。最后，总结了克雷佩林二分法的已知局限性，并描述了在下一版精神疾病分类中纳入新的维度评估方法所涉及的未来问题。
