Sheehan D V, Sheehan K H
J Clin Psychopharmacol. 1982 Aug;2(4):235-44.
The history of the classification of anxiety, hysterical, and hypochondriacal disorders is reviewed. Problems in the ability of current classification schemes to predict, control, and describe the relationship between the symptoms and other phenomena are outlined. Existing classification schemes failed the first test of a good classification model--that of providing categories that are mutually exclusive. The independence of these diagnostic categories from each other does not appear to hold up on empirical testing. In the absence of inherently mutually exclusive categories, further empirical investigation of these classes is obstructed since statistically valid analysis of the nominal data and any useful multivariate analysis would be difficult if not impossible. It is concluded that the existing classifications are unsatisfactory and require some fundamental reconceptualization.
回顾了焦虑症、癔症和疑病症的分类历史。概述了当前分类方案在预测、控制以及描述症状与其他现象之间关系方面存在的问题。现有的分类方案未能通过一个良好分类模型的首要测试——即提供相互排斥的类别。这些诊断类别之间的独立性在实证检验中似乎并不成立。由于缺乏内在相互排斥的类别，对这些类别的进一步实证研究受到阻碍，因为对名义数据进行统计有效的分析以及任何有用的多变量分析即便不是不可能，也会很困难。结论是，现有的分类并不令人满意，需要进行一些根本性的重新概念化。
