Spitzer R L, Williams J B, Wynne L C
Hosp Community Psychiatry. 1983 Jul;34(7):631-3. doi: 10.1176/ps.34.7.631.
Clinician-researchers involved in developing DSM-III found that the decision tree for the differential diagnosis of psychotic features that appears in the manual does not accurately or clearly represent the logic of the classification. They present a revised decision tree that is more accurate, simpler, and clearer and that they believe will greatly facilitate the tree's use in teaching and clinical practice. A revised criterion for major depressive episode and manic episode (criterion C), which was published in the third and subsequent printings of DSM-III, is also discussed.
参与《精神疾病诊断与统计手册》第三版（DSM-III）制定工作的临床研究人员发现，该手册中出现的用于精神病性症状鉴别诊断的决策树并不能准确、清晰地体现分类逻辑。他们提出了一个更准确、更简单、更清晰的修订版决策树，并认为这将极大地促进该决策树在教学和临床实践中的应用。文中还讨论了在《精神疾病诊断与统计手册》第三版第三版及后续印刷版本中公布的重度抑郁发作和躁狂发作的修订标准（标准C）。
