Department of Psychiatry, University of Grenoble, Avenue du Maquis du Grésivaudan, 38 000 Grenoble, France; UMR CNRS 8590 IHPST, Sorbonne University, Paris 1, France.
Asian J Psychiatr. 2021 Dec;66:102893. doi: 10.1016/j.ajp.2021.102893. Epub 2021 Oct 21.
Faced with clinical, methodological, conceptual and modeling challenges, psychiatric nosology turned forty years ago towards a descriptive approach, with the third edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-III). More recently, the discipline has sought answers in precision medicine and biomarkers, e.g., with the Research Domain Criteria project of the National Institute for Mental Health, towards statistical and dimensional approaches, e.g., the Hierarchical Taxonomy of Psychopathology, or towards dynamic (e.g., staging models) and computational approaches (e.g., symptom network in psychopathology). However, despite these attempts to guardedly move away from a descriptive perspective, the functions of classifications have remained the same in psychiatry over time. These functions could be seen as the guarantee of a stable ground for psychiatry, and it seems necessary that they be made explicit from methodological and deontological points of view.
面对临床、方法学、概念和建模方面的挑战，精神病学分类学在四十年前转向了描述性方法，这就是《精神障碍诊断与统计手册》（DSM-III）的第三版。最近，该学科在精准医学和生物标志物方面寻求答案，例如，国家心理健康研究所的研究领域标准项目，朝着统计和维度方法发展，例如，精神病理学的层次分类，或者朝着动态（例如，分期模型）和计算方法（例如，精神病理学中的症状网络）发展。然而，尽管这些尝试谨慎地摆脱描述性观点，但精神病学分类的功能在不同时期一直保持不变。这些功能可以被视为精神病学的稳定基础的保证，从方法论和伦理学的角度来看，明确这些功能似乎是必要的。
