Caetano R
Drug Alcohol Depend. 1987 Jul;19(4):345-55. doi: 10.1016/0376-8716(87)90021-4.
This paper discusses changes in the DSM-III diagnosis of alcohol dependence as proposed by Rounsaville, Spitzer and Williams (Am. J. Psychiatry 143 (1986) 463). The discussion covers the following issues: the changes in the concept of alcohol abuse and the expansion of the concept of alcohol dependence, the withdrawal of indicators of social and occupational impairment, the phraseology used in the new indicators, the lack of a time frame to evaluate the indicators as present, and the relationship of the new diagnosis with compulsive behaviors and with the Alcohol Dependence Syndrome of the International Classification of Diseases-9th Revision.
本文讨论了由朗萨维尔、斯皮策和威廉姆斯提出的《精神疾病诊断与统计手册》第三版（DSM-III）中酒精依赖诊断的变化（《美国精神病学杂志》143 (1986) 463）。讨论涵盖以下问题：酒精滥用概念的变化以及酒精依赖概念的扩展、社会和职业功能损害指标的取消、新指标中使用的措辞、当前评估指标时缺乏时间框架，以及新诊断与强迫行为和《国际疾病分类》第九版中的酒精依赖综合征之间的关系。
