Sims A C
Br J Clin Pharmacol. 1985;19 Suppl 1(Suppl 1):9S-15S. doi: 10.1111/j.1365-2125.1985.tb02736.x.
With the advent of the American Psychiatric Association's Classification DSM III, the usefulness of the term neurosis as a unitary concept has been questioned. This is largely because of the psychodynamic connotations that invest the term in the USA. However there has been pragmatic development, since the word was introduced into the English language in 1784, that carries epidemiological, behavioural and phenomenological implications. This is demonstrated in the definition contained in ICD 9. Disturbance of self-experience and problems with interpersonal relationships are common to all neurotic disorders, and bodily symptoms of non-organic cause are usual. Neurotic disorders are extremely frequent in the general population, amongst those who consult general practitioners and in psychiatric out-patients; they necessarily concern doctors. It is concluded that what different neurotic disorders have in common is more important for classification than the differences between them. An important practical consideration is that there are general aspects of treatment appropriate for all neuroses which are of less relevance in the treatment of other psychiatric disorders. Also the provision of treatment services require different emphases for the neuroses.
随着美国精神病学协会《精神疾病诊断与统计手册》第三版（DSM III）的问世，神经症作为一个统一概念的实用性受到了质疑。这主要是因为在美国，该术语带有精神动力学内涵。然而，自1784年这个词被引入英语以来，它在流行病学、行为学和现象学方面都有了实际的发展，这一点在《国际疾病分类》第九版（ICD 9）中的定义中得到了体现。自我体验的紊乱和人际关系问题是所有神经症性障碍的共同特征，非器质性原因引起的躯体症状也很常见。神经症性障碍在普通人群、咨询全科医生的人群以及精神科门诊患者中极为常见；它们必然与医生相关。得出的结论是，不同神经症性障碍的共同之处对于分类来说比它们之间的差异更为重要。一个重要的实际考虑因素是，存在适用于所有神经症的一般治疗方面，而这些在其他精神障碍的治疗中相关性较小。此外，提供治疗服务时，对于神经症需要有不同的侧重点。
