Institute of Clinical Psychology and Psychotherapy, Department of Psychology, Technische Universität Dresden, Chemnitzer Str. 46, 01187 Dresden, Germany.
Arch Womens Ment Health. 2010 Feb;13(1):51-5. doi: 10.1007/s00737-009-0138-6.
Despite a wealth of studies on differences regarding the biobehavioral and social-psychological bases of mental disorders in men and women and repeated calls for increased attention, women-specific issues have so far not been comprehensively addressed in past diagnostic classification systems of mental disorders. There is also increasing evidence that this situation will not change significantly in the upcoming revisions of ICD-11 and DSM-V. This paper explores reasons for this continued failure, highlighting three major barriers: the fragmentation of the field of women's mental health research, lack of emphasis on diagnostic classificatory issues beyond a few selected clinical conditions, and finally, the "current rules of game" used by the current DSM-V Task Forces in the revision process of DSM-V. The paper calls for concerted efforts of researchers, clinicians, and other stakeholders within a more coherent and comprehensive framework aiming at broader coverage of women-specific diagnostic classificatory issues in future diagnostic systems.
尽管有大量研究关注男女精神障碍的生物行为和社会心理基础的差异，并多次呼吁增加关注，但在过去的精神障碍诊断分类系统中，女性特有的问题迄今仍未得到全面解决。越来越多的证据表明，这种情况在即将进行的 ICD-11 和 DSM-V 修订中也不会有显著改变。本文探讨了这种持续失败的原因，强调了三个主要障碍：女性心理健康研究领域的碎片化、对除少数精选临床情况以外的诊断分类问题的重视不足，以及最后，DSM-V 修订过程中当前 DSM-V 工作组使用的“现行规则”。本文呼吁研究人员、临床医生和其他利益相关者在一个更连贯、全面的框架内共同努力，旨在更广泛地涵盖未来诊断系统中的女性特定诊断分类问题。
