Emotion and Development Branch, National Institute of Mental Health.
J Psychopathol Clin Sci. 2024 Nov;133(8):609-612. doi: 10.1037/abn0000897.
A "natural kind" is a specific classification that identifies some structure of truth and reality, a delimited entity. Psychiatric disorders are not natural kinds. As one moves from physics and chemistry to biology and medicine, natural kinds degrade, and the boundaries of differentiating phenomena become less clear. Within psychiatry, the categorization of psychopathology has further ontological challenges, especially across development. We suggest that to identify and isolate clinical subgroups, it is critical to integrate external validators in an iterative process, with the goal of linking classification to treatments with maximal clinical benefit. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
“自然类”是一种特定的分类，它确定了一些真理和现实的结构，是一个有界的实体。精神障碍不是自然类。当人们从物理和化学领域进入生物和医学领域时，自然类就会退化，区分现象的界限也会变得不那么清晰。在精神病学中，精神病理学的分类更是具有本体论上的挑战，尤其是在发展过程中。我们认为，为了识别和分离临床亚组，关键是要在一个迭代过程中整合外部验证器，目标是将分类与具有最大临床效益的治疗方法联系起来。（PsycInfo 数据库记录（c）2024 APA，保留所有权利）。
