Pichot P
Acta Psychiatr Belg. 1994 Jan-Feb;94(1):41-52.
The development of quantitative techniques to analyse psychopathological states is reviewed from the XVIIIth Century till today. As far as back as the XIXth Century, Quetelet, Louis and Galton introduced and advocated the use of quantitative methods in medical and psychological sciences. The advent of psychometry dates back 1905, when Alfred Binet published his Intelligence Scale. The construction of instruments like Wechsler and MMPI scales in the forties starts using psychometry in psychiatry. At end of World War II, historical factors (selection and guidance of military recruits) in conjunction with technical advancements (beginning of psychopharmacology, multivariate statistics development and first computers arrival) favor the growth of quantitative psychopathology that further takes four great different courses: 1. Psychometry proper, 2. Symptom-quantifying assessment scales such as BPRS or Hamilton scales, 3. New nosological models constructed using quantified psychopathological data and mathematical procedures, 4. Diagnostic systems relying on operationalized criteria based on psychopathological quantification, such as DSM III.
本文回顾了从18世纪至今用于分析精神病理状态的定量技术的发展历程。早在19世纪,凯特勒、路易斯和高尔顿就在医学和心理科学领域引入并倡导使用定量方法。心理测量学的出现可追溯到1905年,当时阿尔弗雷德·比奈发表了他的智力量表。20世纪40年代韦克斯勒和明尼苏达多相人格量表等工具的构建开启了心理测量学在精神病学中的应用。第二次世界大战末期,历史因素(新兵的选拔和指导)与技术进步(精神药理学的开端、多元统计学的发展以及第一台计算机的出现)共同推动了定量精神病理学的发展,其进一步沿着四条截然不同的道路发展:1. 狭义的心理测量学;2. 症状量化评估量表,如简明精神病评定量表(BPRS)或汉密尔顿量表;3. 使用量化精神病理数据和数学程序构建的新分类模型;4. 基于精神病理量化的操作性标准的诊断系统,如《精神疾病诊断与统计手册》第三版(DSM III)。