Frances A, Pincus H A, Widiger T A, Davis W W, First M B
Department of Psychiatry, Cornell University Medical College, New York.
Am J Psychiatry. 1990 Nov;147(11):1439-48. doi: 10.1176/ajp.147.11.1439.
The authors present an overview of the work in progress on DSM-IV. After a brief historical review, they discuss the principles and multiple purposes of the DSM-IV effort and outline the three stages of its empirical documentation: systematic literature reviews, analysis of unpublished data, and field trials. Next, they discuss several of the basic conceptual issues that are implicit in revising a nomenclature. These include the definition of mental disorder, the balance between multiple diagnosis and differential diagnosis, the use of categorical and dimensional models of classification, and issues involved in the construction of criteria. Finally, they summarize the most important specific questions being reviewed by each of the DSM-IV work groups.
作者们概述了《精神疾病诊断与统计手册》第四版（DSM-IV）正在进行的工作。在简要回顾历史之后，他们讨论了DSM-IV工作的原则和多重目的，并概述了其实证记录的三个阶段：系统的文献综述、未发表数据的分析以及现场试验。接下来，他们讨论了修订命名法时隐含的几个基本概念问题。这些问题包括精神障碍的定义、多重诊断与鉴别诊断之间的平衡、分类的类别模型和维度模型的使用以及标准构建中涉及的问题。最后，他们总结了DSM-IV各工作组正在审查的最重要的具体问题。
