Frances A, Mack A H, First M B, Widiger T A, Ross R, Forman L, Davis W W
Department of Psychiatry, Duke University, Durham, NC 27710.
J Med Philos. 1994 Jun;19(3):207-18. doi: 10.1093/jmp/19.3.207.
The authors discuss some of the conceptual issues that must be considered in using and understanding psychiatric classification. DMS-IV is a practical and common sense nosology of psychiatric disorders that is intended to improve communication in clinical practice and in research studies. DSM-IV has no philosophic pretensions but does raise many philosophical questions. This paper describes the development of DSM-IV and the way in which it addresses a number of philosophic issues: nominalism vs. realism, epistemology in science, the mind/body dichotomy, the definition of mental disorders, and dimensional vs. categorical classification.
作者们讨论了在使用和理解精神疾病分类时必须考虑的一些概念性问题。《精神疾病诊断与统计手册第四版》（DMS-IV）是一种实用且符合常识的精神疾病分类法，旨在改善临床实践和研究中的交流。《精神疾病诊断与统计手册第四版》没有哲学上的自负，但确实引发了许多哲学问题。本文描述了《精神疾病诊断与统计手册第四版》的发展历程以及它处理一些哲学问题的方式：唯名论与实在论、科学认识论、身心二分法、精神障碍的定义以及维度分类与类别分类。
