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[智力残疾:新名称是否意味着视角的转变?]

[Intellectual disability: is the new denomination a shift in perspective?].

作者信息

Wahlberg Ernesto

机构信息

Centro Interdisciplinario de Atención en Salud Mental. Centro Educativo Terapéutico C.A.I.T.I.

出版信息

Vertex. 2014 Jan-Feb;25(113):33-5.

Abstract

The change from "mental retardation" to "intellectual disability" (ID) in the new version of the DSM-5 aims not only to eliminate stigmatization but also to modify diagnostic criteria. The IQ is no longer preeminent for defining ID or its severity, relying instead on broader clinical criteria and neuropsychological evaluation. More relevance is given to the evaluation of the individual's performance on daily life. This perspective addresses the concerns raised since the 1990's by organizations representing professionals and patients and their families. To better understand these changes we reviewed the definitions and criteria of previous DSM editions. The adoption of the alternative denomination of the "intellectual developmental disorder" is compatible with the ICD-11 to be released in 2015. This guideline was based on the recommendation of the working group for the classification of the intellectual disabilities.

摘要

《精神疾病诊断与统计手册》(DSM)第5版中从“精神发育迟滞”到“智力障碍”(ID)的转变,不仅旨在消除污名化,还意在修改诊断标准。智商不再是定义智力障碍或其严重程度的首要依据,而是转而依赖更广泛的临床标准和神经心理学评估。日常生活中个体表现的评估受到更多重视。这一观点回应了自20世纪90年代以来代表专业人士、患者及其家属的组织所提出的关切。为了更好地理解这些变化,我们回顾了DSM先前版本的定义和标准。采用“智力发育障碍”这一替代名称与将于2015年发布的《国际疾病分类》第11版(ICD - 11)兼容。本指南基于智力障碍分类工作组的建议制定。

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