Fritze J, Lanczik M
Department of Psychiatry, University of Würzburg, Germany.
Psychopathology. 1990;23(4-6):303-15. doi: 10.1159/000284675.
Psychiatric diagnoses in endogenous psychoses are still largely based on clinical psychopathology. Despite intensive efforts including progress to more reliability in classification, no definite and causally relevant biological abnormalities have been identified so far. This failure might be due to the present standard classification systems like DSM or ICD being too crude to allow the distinction of homogeneous nosological entities. The classification developed by K. Leonhard offers a more subtle alternative. In order to facilitate the handling of this system and in the interest of reliability, an algorithm for computer-assisted diagnostic decision making based on similarities to Leonhard's ideal types is presented.
内因性精神病的精神科诊断在很大程度上仍基于临床精神病理学。尽管付出了巨大努力,包括在分类方面取得了更高的可靠性进展,但迄今为止尚未确定明确的、具有因果关系的生物学异常。这种失败可能是由于目前的标准分类系统,如《精神疾病诊断与统计手册》(DSM)或《国际疾病分类》(ICD)过于粗略,无法区分同质的疾病实体。K. 莱昂哈德提出的分类提供了一种更精细的选择。为了便于使用该系统并确保可靠性,本文提出了一种基于与莱昂哈德理想类型相似性的计算机辅助诊断决策算法。