Garmise R, Guggenheim P D, Schuster R
J Forensic Sci. 1984 Oct;29(4):1127-39.
The third edition of the Diagnostic and Statistical Manual of the American Psychiatric Association (DSM-III) is evaluated from the standpoint of forensic science experience in a family court setting. The importance of diagnosis in developing pertinent recommendations within an adversarial system is discussed, with particular emphasis on difficulties in coordinating the Manual with the mental disorders frequently found in such a population. The limitations of the current criteria of the developmental disabilities are noted, and problems of reconciling incest and child abuse with the nomenclature are investigated. Some inconsistencies in the conceptualization of the conduct disorders and antisocial personality disorder are explored in terms of the needs of the juvenile justice system. An additional coding procedure is proposed for DSM-III, in order to identify more easily prodromal or emerging disorders of clinical significance.
从家庭法庭环境中的法医科学经验角度对美国精神病学协会《精神疾病诊断与统计手册》第三版（DSM - III）进行了评估。讨论了在对抗性系统中进行诊断以制定相关建议的重要性，特别强调了使该手册与这类人群中常见的精神障碍相协调时所面临的困难。指出了当前发育障碍标准的局限性，并研究了将乱伦和虐待儿童与该命名法相协调的问题。从青少年司法系统的需求出发，探讨了品行障碍和反社会人格障碍概念化方面的一些不一致之处。为DSM - III提出了一种额外的编码程序，以便更轻松地识别具有临床意义的前驱或新发障碍。
