Department of Psychiatry, University of Ibadan, Ibadan, Nigeria.
Int Rev Psychiatry. 2012 Dec;24(6):606-12. doi: 10.3109/09540261.2012.726214.
With DSM-V and ICD-11 on the horizon, now is an excellent time to consider the process leading on to the revision of classificatory systems in psychiatry. The challenges of classification in psychiatry are not inconsiderable. Among these are the controversies about what constitutes a 'disorder' and the appropriate place to draw the line between 'normality' and abnormal psychological status. In the absence of validating biomarkers for most mental disorders, judgements are required about the emphasis to put on available empirical data in the revision of existing classifications. In this review we propose that, given the salience of factors such as culture and contextual social experience to the experience and nature of mental disorders, there is an important need for inclusiveness in the process of leading to the revisions of classifications of mental disorders.
随着 DSM-V 和 ICD-11 的出现，现在是考虑精神病学分类系统修订过程的绝佳时机。精神病学分类面临的挑战不容忽视。其中包括关于构成“障碍”的争议以及在“正常”和异常心理状态之间划清界限的适当位置。在大多数精神障碍缺乏有效生物标志物的情况下，需要对现有分类修订中如何重视现有经验数据进行判断。在这篇综述中，我们提出，鉴于文化和情境社会经验等因素对精神障碍的体验和性质的重要性，在导致精神障碍分类修订的过程中，需要具有包容性。
