用更具实证依据且较少污名化的维度取代二元诊断类别的七个原因。

Seven reasons why binary diagnostic categories should be replaced with empirically sounder and less stigmatizing dimensions.

作者信息

Lahey Benjamin B, Tiemeier Henning, Krueger Robert F

机构信息

Department of Public Health Sciences (MC 2000) University of Chicago Chicago Illinois USA.

Harvard T. H. Chan School of Public Health and Erasmus University Medical Center Rotterdam Boston Massachusetts USA.

出版信息

JCPP Adv. 2022 Oct 9;2(4):e12108. doi: 10.1002/jcv2.12108. eCollection 2022 Dec.

DOI:10.1002/jcv2.12108

PMID:37431412

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10242872/

Abstract

BACKGROUND

An ongoing positive revolution advocates a new approach to the individual differences in human emotions, cognitions, and behavior that cause distress and impair functioning. This revolution endorses the long-proposed, but still unrealized rejection of the medical model, which attributes psychological problems to a sick brain or mind. In addition, it advocates replacing the binary diagnoses used in ICD and DSM, which assume a clear discontinuity between "normal" and "abnormal" functioning, with continuous dimensions of psychological problems.

METHOD

Selective literature review.

RESULTS AND DISCUSSION

Seven strong reasons are provided for adopting a dimensional approach.

摘要

背景

一场正在进行的积极变革倡导一种新方法，用于应对导致痛苦和功能受损的人类情绪、认知及行为方面的个体差异。这场变革支持长期以来提出但仍未实现的对医学模式的摒弃，医学模式将心理问题归因于病态的大脑或心智。此外，它主张用心理问题的连续维度取代国际疾病分类（ICD）和精神疾病诊断与统计手册（DSM）中使用的二元诊断，二元诊断假定“正常”与“异常”功能之间存在明显的不连续性。