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基于精神病学方法与文献协会(AMDP)系统的综合精神病理学评估:发展、方法学基础、在临床常规中的应用及研究

Comprehensive Psychopathological Assessment Based on the Association for Methodology and Documentation in Psychiatry (AMDP) System: Development, Methodological Foundation, Application in Clinical Routine, and Research.

作者信息

Stieglitz Rolf-Dieter, Haug Achim, Fähndrich Erdmann, Rösler Michael, Trabert Wolfgang

机构信息

Department of Psychology, Clinical Psychology and Psychiatry, Psychiatric University Hospital, University Basel, Basel, Switzerland.

Clienia-Group, University of Zürich, Zürich, Switzerland.

出版信息

Front Psychiatry. 2017 Apr 7;8:45. doi: 10.3389/fpsyt.2017.00045. eCollection 2017.

Abstract

The documentation of psychopathology is core to the clinical practice of the psychiatrist and clinical psychologist. However, both in initial as well as further training and specialization in their fields, this particular aspect of their work receives scanty attention only. Yet, for the past 50 years, the Association for Methodology and Documentation in Psychiatry (AMDP) System has been in existence and available as a tool to serve precisely the purpose of offering a systematic introduction to the terminology and documentation of psychopathology. The motivation for its development was based on the need for an assessment procedure for the reliable documentation of the effectiveness of newly developed psychopharmacological substances. Subsequently, the AMDP-System began to be applied in the context of investigations into a number of methodological issues in psychiatry (e.g., the frequency and specificity of particular symptoms, the comparison of rating scales). The System then became increasingly important also in clinical practice and, today, represents the most used instrument for the documentation of psychopathology in the German-speaking countries of Europe. This paper intends to offer an overview of the AMDP-System, its origins, design, and functionality. After an initial account of the history and development of the AMDP-System, the discussion will in turn focus on the System's underlying methodological principles, the transfer of clinical skills and competencies in its practical application, and its use in research and clinical practice. Finally, potential future areas of development in relation to the AMDP-System are explored.

摘要

精神病理学的记录是精神科医生和临床心理学家临床实践的核心。然而,在他们各自领域的初始培训以及进一步培训和专业化过程中,他们工作的这一特定方面仅得到了很少的关注。然而,在过去的50年里,精神病学方法与记录协会(AMDP)系统一直存在,并可作为一种工具,确切地用于系统介绍精神病理学的术语和记录。其开发的动机基于对新开发的精神药物有效性进行可靠记录的评估程序的需求。随后,AMDP系统开始应用于精神病学中一些方法学问题的研究背景下(例如,特定症状的频率和特异性、评定量表的比较)。该系统在临床实践中也变得越来越重要,如今,它是欧洲德语国家记录精神病理学最常用的工具。本文旨在概述AMDP系统、其起源、设计和功能。在初步介绍AMDP系统的历史和发展之后,讨论将依次聚焦于该系统的基本方法原则、其实际应用中临床技能和能力的传授,以及其在研究和临床实践中的应用。最后,探讨了与AMDP系统相关的未来潜在发展领域。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b5f/5383714/f4c64ba1fbb3/fpsyt-08-00045-g001.jpg

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