Parker George F
Dr. Parker is Professor of Clinical Psychiatry and Director of Forensic Psychiatry, Indiana University School of Medicine, IU Health Neuroscience Center, 355 West 16th Street, Suite 2800, Indianapolis, IN 46202. E-mail:
J Am Acad Psychiatry Law. 2014;42(2):182-90.
The criteria for the major psychotic disorders and mood disorders are largely unchanged in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), with a few important exceptions: a new assessment tool for the psychotic disorders based on dimensional assessment, a new scheme of specifiers for the mood disorders, the addition of three new depressive disorders, and recognition of catatonia as a separate clinical entity. In addition, subtle changes to the diagnostic criteria for longstanding disorders may have important ramifications. There are forensic implications to these changes in the psychotic and mood disorders, but in most cases, these implications should be relatively modest, as the DSM-5 Work Groups ultimately adopted a cautious approach to changes in the psychotic and mood disorders.
《精神疾病诊断与统计手册》第五版（DSM - 5）中，主要精神障碍和心境障碍的诊断标准基本未变，但有一些重要的例外情况：一种基于维度评估的精神障碍新评估工具、心境障碍说明符的新方案、新增三种抑郁障碍，以及将紧张症识别为一种独立的临床实体。此外，对长期存在的障碍的诊断标准的细微变化可能会产生重要影响。这些精神障碍和心境障碍的变化具有法医学意义，但在大多数情况下，这些影响应该相对较小，因为DSM - 5工作组最终对精神障碍和心境障碍的变化采取了谨慎的态度。
