University of Illinois at Urbana-Champaign.
J Abnorm Psychol. 2013 Aug;122(3):894-901. doi: 10.1037/a0033096.
The classification of psychopathology appears to be at a crossroads, with a new version of the Diagnostic and Statistical Manual of Mental Disorders impending and one of the current aspirations of the National Institute of Mental Health being the development of new ways of classifying mental disorders. This article discusses what we currently know about psychopathology and the role that classification has played in psychopathology research. It is pointed out that a wide variety of etiological factors, both within and outside the individual, have been implicated in the etiology of psychopathology, and that there is no empirical or conceptual reason to privilege any particular level of explanation. The ways in which signs/symptoms and disorders may be related are discussed, including their implications for classification. The value of theory development and theory-driven research is emphasized, along with the potential perils of generating an ossified classification scheme that must be adhered to.
精神病理学的分类似乎正处于十字路口,新版《精神障碍诊断与统计手册》即将面世,而美国国立精神卫生研究所目前的愿望之一是开发新的精神障碍分类方法。本文讨论了我们目前对精神病理学的了解,以及分类在精神病理学研究中所扮演的角色。文中指出,精神病理学的病因涉及个体内外的多种病因因素,没有经验或概念上的理由来偏袒任何特定层次的解释。还讨论了症状和障碍之间可能存在的关系,包括其对分类的影响。本文强调了理论发展和理论驱动研究的价值,以及产生必须遵循的僵化分类方案的潜在危险。