Schildkrout Barbara
Department of Psychiatry, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.
J Nerv Ment Dis. 2016 Oct;204(10):723-727. doi: 10.1097/NMD.0000000000000547.
A new nosology for mental disorders is needed as a basis for effective scientific inquiry. Diagnostic and Statistical Manual of Mental Disorders and International Classification of Diseases diagnoses are not natural, biological categories, and these diagnostic systems do not address mental phenomena that exist on a spectrum. Advances in neuroscience offer the hope of breakthroughs for diagnosing and treating major mental illness in the future. At present, a neuroscience-based understanding of brain/behavior relationships can reshape clinical thinking. Neuroscience literacy allows psychiatrists to formulate biologically informed psychological theories, to follow neuroscientific literature pertinent to psychiatry, and to embark on a path toward neurologically informed clinical thinking that can help move the field away from Diagnostic and Statistical Manual of Mental Disorders and International Classification of Diseases conceptualizations. Psychiatrists are urged to work toward attaining neuroscience literacy to prepare for and contribute to the development of a new nosology.
需要一种新的精神障碍分类法作为有效科学探究的基础。《精神疾病诊断与统计手册》和《国际疾病分类》中的诊断并非自然的生物学类别,而且这些诊断系统并未涵盖存在于连续谱上的精神现象。神经科学的进展为未来诊断和治疗主要精神疾病带来了突破的希望。目前,基于神经科学对大脑/行为关系的理解可以重塑临床思维。具备神经科学素养能使精神科医生形成基于生物学的心理学理论,追踪与精神病学相关的神经科学文献,并走上基于神经学的临床思维之路,这有助于该领域摆脱《精神疾病诊断与统计手册》和《国际疾病分类》的概念框架。敦促精神科医生努力实现神经科学素养,为新分类法的发展做好准备并做出贡献。