Strauss J S, Bartko J J, Carpenter W T
Am J Psychiatry. 1981 Jul;138(7):954-8. doi: 10.1176/ajp.138.7.954.
Kraepelin's description of "dementia praecox" was a synthesizing influence in a field that had for too long been fragmented in its thinking about severe psychiatric disorders. Now, once again, the field is attempting to deal with some of the complexities involved in psychopathology and its evolution, complexities that have been reemphasized by newer descriptive research methods. To account for patients deviations from stereotyped diagnostic and prognostic concepts, multiple aspects of course of disorder have been defined and principles of multiaxial diagnosis supported. These principles can provide a basic structure for practice and research using a biopsychosocial orientation within the context of a system model.
克雷佩林对“早发性痴呆”的描述在一个长期以来对严重精神疾病的思考碎片化的领域中起到了综合作用。如今，该领域再次试图应对精神病理学及其演变中涉及的一些复杂性，这些复杂性已被更新的描述性研究方法重新强调。为了解释患者偏离刻板的诊断和预后概念的情况，已经定义了疾病过程的多个方面，并支持多轴诊断原则。这些原则可以为在系统模型背景下采用生物心理社会取向的实践和研究提供一个基本结构。
