Psychol Med. 2010 Nov;40(11):1759-65. doi: 10.1017/S0033291709992261. Epub 2010 Jan 20.
The distinction between normality and psychopathology has long been subject to debate. DSM-III and DSM-IV provided a definition of mental disorder to help clinicians address this distinction. As part of the process of developing DSM-V, researchers have reviewed the concept of mental disorder and emphasized the need for additional work in this area. Here we review the DSM-IV definition of mental disorder and propose some changes. The approach taken here arguably takes a middle course through some of the relevant conceptual debates. We agree with the view that no definition perfectly specifies precise boundaries for the concept of mental/psychiatric disorder, but in line with a view that the nomenclature can improve over time, we aim here for a more scientifically valid and more clinically useful definition.
正常与精神病理学之间的区别一直是争论的主题。DSM-III 和 DSM-IV 为帮助临床医生解决这一区别提供了精神障碍的定义。作为 DSM-V 制定过程的一部分，研究人员审查了精神障碍的概念，并强调需要在这一领域开展更多的工作。在这里，我们回顾了 DSM-IV 对精神障碍的定义，并提出了一些修改。这里所采取的方法可以说是在一些相关的概念争论中采取了中间立场。我们同意这样一种观点，即没有一个定义能为精神/心理障碍的概念精确地划定确切的界限，但我们认为，随着时间的推移，命名法可以得到改进，因此，我们的目标是提出一个更具科学有效性和更具临床实用性的定义。
