Gmerczyński M
Oddział Psychiatryczny Szpitala im. dr. Urbanowicza w Chorzowie.
Psychiatr Pol. 1995 Jul-Aug;29(4):465-70.
This paper describes development of concepts of diagnosis and differential diagnosis between endogenous psychoses: schizophrenia and depression. It explains the most important concepts of classification founded on different assumptions. Essential factors which influence diagnosis and differential diagnosis such as prognostic, psychopathology, drug response and anatomopathology were presented. Apart from concepts presuming exact differential diagnosis between schizophrenia and depression, more current resolution of the problem was presented: differential typology instead of differential diagnosis. The conclusion is that classification which closely relates diagnosis to clinical practice (treatment) is most valuable.
本文描述了内源性精神病(精神分裂症和抑郁症)的诊断及鉴别诊断概念的发展。它解释了基于不同假设的分类的最重要概念。介绍了影响诊断和鉴别诊断的重要因素,如预后、精神病理学、药物反应和解剖病理学。除了假定精神分裂症和抑郁症之间有确切鉴别诊断的概念外,还提出了该问题的最新解决方案:鉴别类型学而非鉴别诊断。结论是,将诊断与临床实践(治疗)紧密相关的分类最有价值。