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自然种类、精神疾病分类与《精神疾病诊断与统计手册》的历史

Natural kinds, psychiatric classification and the history of the DSM.

作者信息

Tsou Jonathan Y

机构信息

Iowa State University, USA

出版信息

Hist Psychiatry. 2016 Dec;27(4):406-424. doi: 10.1177/0957154X16656580. Epub 2016 Jul 4.

Abstract

This paper addresses philosophical issues concerning whether mental disorders are natural kinds and how the DSM should classify mental disorders. I argue that some mental disorders (e.g. schizophrenia, depression) are natural kinds in the sense that they are natural classes constituted by a set of stable biological mechanisms. I subsequently argue that a theoretical and causal approach to classification would provide a method for classifying natural kinds that is superior to the purely descriptive approach adopted by the DSM since DSM-III My argument suggests that the DSM should classify natural kinds in order to provide predictively useful (i.e. projectable) diagnostic categories and that a causal approach to classification would provide a more promising method for formulating valid diagnostic categories.

摘要

本文探讨了有关精神障碍是否为自然种类以及《精神疾病诊断与统计手册》(DSM)应如何对精神障碍进行分类的哲学问题。我认为,某些精神障碍(如精神分裂症、抑郁症)属于自然种类,因为它们是由一组稳定的生物学机制构成的自然类别。随后我论证,一种基于理论和因果关系的分类方法将提供一种对自然种类进行分类的方法,该方法优于自《精神疾病诊断与统计手册》第三版(DSM-III)以来所采用的纯粹描述性方法。我的论点表明,DSM应将自然种类进行分类,以便提供具有预测效用(即可投射性)的诊断类别,并且基于因果关系的分类方法将为制定有效的诊断类别提供更有前景的方法。

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