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关于精神分裂症更名的争论:一个新的名称并不能解决污名化问题。

The debate about renaming schizophrenia: a new name would not resolve the stigma.

机构信息

Department of Psychiatry,LVR-Klinikum Düsseldorf,Medical Faculty,Heinrich-Heine-University,Düsseldorf,Germany.

出版信息

Epidemiol Psychiatr Sci. 2019 Jun;28(3):258-261. doi: 10.1017/S2045796018000513. Epub 2018 Sep 11.

Abstract

The concept and name of schizophrenia have been questioned in the scientific community and among various stakeholders. A name change is seen as a means and an opportunity to reduce stigmatizing beliefs and to improve mental health care. Some Asian countries have already taken the step of a name change. So far, however, the scientific community of western countries has not yet come to an agreement on any alternative name. Meeting relevant criteria for a new name, finding agreement among all involved groups and replacing the established term is a complex process. For now, the concept of schizophrenia has proven its reliability, clinical utility and validity, although schizophrenia is a stigmatised mental disorder like many others. Renaming cannot be the only answer to negative beliefs, prejudice and discrimination.

摘要

精神分裂症的概念和名称在科学界和各利益相关者中受到质疑。更名被视为减少污名化观念和改善精神卫生保健的一种手段和机会。一些亚洲国家已经采取了更名的措施。然而,到目前为止,西方国家的科学界尚未就任何替代名称达成一致。符合新名称的相关标准、在所有相关群体中达成一致并取代既定术语是一个复杂的过程。尽管精神分裂症像许多其他精神障碍一样是一种带有污名的疾病,但目前精神分裂症的概念已经证明了其可靠性、临床实用性和有效性。更名不能成为消除负面观念、偏见和歧视的唯一答案。

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