The University of Western Australia, Perth, Australia.
Epidemiol Psychiatr Sci. 2012 Sep;21(3):255-64. doi: 10.1017/S2045796012000339. Epub 2012 May 25.
The current debate concerning the forthcoming revisions of the International Classification of Diseases (ICD) and the Diagnostic and Statistical Manual of Mental Disorders (DSM) lacks sufficient historical perspective on groundwork concepts in psychiatry, such as the nature of the disease entity, categorical typologies, dimensional models and their validity and utility.
To offer an overview of the evolution and metamorphoses of the conceptual basis of classification in psychiatry, with particular focus on psychotic disorders.
Discursive, proceeding from history of ideas to a critique of present dilemmas.
Much of the present-day discussion of basic issues concerning the classification of mental disorders is a replay of debates that took place in the earlier periods of scientific psychiatry. CONCLUSION; The mainstream nosological paradigm adopted in psychiatry since early 20th century is in need to be critically examined and transcended with the help of concepts and methodological tools available today.
目前关于即将修订的《国际疾病分类》（ICD）和《精神障碍诊断与统计手册》（DSM）的争论缺乏对精神病学中基本概念的充分历史视角，例如疾病实体的性质、分类类型学、维度模型及其有效性和实用性。
概述精神病学分类概念基础的演变和变化，特别关注精神病障碍。
从思想史出发进行论述，并对当前的困境进行批判。
目前关于精神障碍分类的基本问题的讨论在很大程度上是科学精神病学早期发生的辩论的重演。
自 20 世纪初以来，精神病学中采用的主流分类范式需要借助当今可用的概念和方法学工具进行批判性地检查和超越。
