Bachrach L L
Maryland Psychiatric Research Center, University of Maryland School of Medicine, Catonsville.
Hosp Community Psychiatry. 1988 Apr;39(4):383-8. doi: 10.1176/ps.39.4.383.
Three criteria--diagnosis, duration, and disability--are gaining currency in efforts throughout the United States to define the concept of chronic mental illness in a precise manner. However, there is presently no consensus on the specific character or relative importance of these criteria. Nor is there consensus on the nature of the interrelationships among these elements. These conceptual concerns must be resolved if uniformity in service planning and research on the chronic mentally ill is to be achieved.
在美国,为了精确界定慢性精神疾病的概念,诊断、病程和残疾这三个标准正逐渐流行起来。然而,目前对于这些标准的具体特征或相对重要性尚无共识。对于这些要素之间相互关系的性质也没有达成共识。如果要在慢性精神病患者的服务规划和研究中实现统一,就必须解决这些概念性问题。