Preskorn Sheldon H
Department of Psychiatry and Behavioral Sciences, School of Medicine, University of Kansas, Wichita, KS.
J Psychiatr Pract. 2025 Mar 1;31(2):85-88. doi: 10.1097/PRA.0000000000000841.
The goal of this column is to give an autobiographical perspective on what I saw and learned as a trainee about the origins and the people behind the development of criteria-based psychiatric diagnosis. These individuals' own words are used to explain their rationale and goals. I further explain the transition from the Washington University (or Feighner) criteria to the Research Diagnostic Criteria to the Diagnostic and Statistical Manual of Mental Disorders, Third Edition (DSM-III). The column ends with an example of how research inclusion and exclusion criteria added to DSM-III diagnoses can result in positive results by making the populations being studied both more homogenous and discrete from one another.
本专栏的目的是从自传的角度,讲述我作为一名实习生所看到和学到的关于基于标准的精神科诊断的起源以及其背后的人物。这些人的原话被用来解释他们的基本原理和目标。我进一步解释了从华盛顿大学(或费格纳)标准到研究诊断标准,再到《精神疾病诊断与统计手册》第三版(DSM-III)的转变。专栏最后举了一个例子,说明添加到DSM-III诊断中的研究纳入和排除标准如何通过使所研究的人群更加同质化且彼此离散,从而产生积极的结果。