Schwartz M A, Wiggins O P
J Nerv Ment Dis. 1987 Feb;175(2):65-77. doi: 10.1097/00005053-198702000-00001.
Reigning views on psychiatric nosology regard as "too subjective" certain features of diagnosis which respected psychiatrists have reported and several empirical studies have confirmed. We describe two of these persistent "mysteries" of psychiatric nosology: rapid diagnoses and the praecox feeling. We then demystify these mysteries by explicating the workings of "typification" in the diagnostic process. The criteria of disorders which are provided by classification manuals, such as DSM-III, are shown to presuppose such typifications. Psychiatric typification, although a preconceptual skill, can be rendered fully scientific and objective.
关于精神疾病分类学的主流观点认为,一些备受尊敬的精神病学家所报告的、且经多项实证研究证实的诊断特征“过于主观”。我们描述了精神疾病分类学中两个长期存在的“谜团”:快速诊断和早发性情绪。然后,我们通过阐释诊断过程中“典型化”的运作来揭开这些谜团。诸如《精神疾病诊断与统计手册》第三版(DSM-III)等分类手册所提供的疾病标准被证明预设了此类典型化。精神疾病典型化虽然是一种前概念技能,但可以变得完全科学和客观。