Drabick Deborah A G
Department of Psychology, Temple University.
Clin Psychol (New York). 2009 Mar 1;16(1):41-49. doi: 10.1111/j.1468-2850.2009.01141.x.
Maser et al. (2009) identify several problems with the categorical DSM, and suggest that a shift to a mixed categorical-dimensional system is warranted. Maser et al. support their argument by citing evidence related to mood and anxiety disorders, among other conditions. In this commentary, I consider the applicability of several issues raised by Maser et al. to two disruptive behavior disorders in youth, oppositional defiant disorder (ODD) and conduct disorder (CD). The issues include paradigm shifts concerning (a) the diagnostic threshold, (b) symptoms, and (c) distress/psychosocial impairment. Within each topic, several developmental psychopathology principles that parallel and extend the Maser et al. issues are presented and described. This commentary also provides examples of dimensions that could be useful for conceptualizing ODD and CD within a mixed categorical-dimensional classification system.
马泽尔等人（2009年）指出了分类诊断标准手册（DSM）存在的几个问题，并建议向混合分类-维度系统转变是有必要的。马泽尔等人通过引用与情绪和焦虑障碍等相关的证据来支持他们的论点。在这篇评论中，我考虑了马泽尔等人提出的几个问题在青少年的两种破坏性行为障碍，即对立违抗障碍（ODD）和品行障碍（CD）中的适用性。这些问题包括关于（a）诊断阈值、（b）症状以及（c）痛苦/心理社会损害的范式转变。在每个主题中，都呈现并描述了一些与马泽尔等人提出的问题平行且有所扩展的发展性心理病理学原则。这篇评论还提供了一些维度的示例，这些维度对于在混合分类-维度分类系统中概念化对立违抗障碍和品行障碍可能会很有用。
