van Praag H M
Department of Psychiatry, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, New York 10467.
J Nerv Ment Dis. 1990 Mar;178(3):147-9.
In 1958, when I started my residency training in psychiatry, diagnostic confusion reigned in the realm of depressive disorders. Diagnostic concepts were not operationalized, nomenclature was not standardized, and no taxonomy was generally accepted. What is the situation today, some 30 years later? Today we work under the patronage of the DSM-III classification of depression, a system in which diagnostic concepts are operationalized, nomenclature is standardized, and this nomenclature is officially accepted in the United States and de facto accepted in numerous countries all over the world. Did that system provide order where chaos reigned? The answer has to be in the negative.
1958年，当我开始精神科住院医师培训时，抑郁症领域诊断混乱。诊断概念未得到实施，命名法未标准化，也没有被普遍接受的分类法。大约30年后的今天情况如何呢？如今，我们在《精神疾病诊断与统计手册》第三版（DSM-III）的抑郁症分类体系下开展工作，该体系中诊断概念得以实施，命名法实现了标准化，并且这种命名法在美国被官方认可，在世界众多国家也已实际被接受。那个体系是否在混乱统治之地带来了秩序呢？答案必然是否定的。
