Pull C B
Centre Hospitalier de Luxembourg, Luxembourg.
Encephale. 1995 Dec;21 Spec No 5:15-20.
The fourth edition of the Diagnostic and Statistical Manual of Mental Disorders has been published by the American Psychiatric Association in 1994. DSM-IV relies upon the same basic concepts as DSM-III and DSM-III-R: explicit diagnostic criteria, multiaxial system, and a descriptive approach that attempts to be neutral with respect to theories of etiology. The DSM-IV revision process has included comprehensive and systematic reviews of the published literature, reanalyses of already-collected data sets and extensive issue-focused field trials. Considerable efforts have been made to ensure that the codes and terms provided in DSM-IV are fully compatible with both ICD-9-CM and ICD-10. According to the authors of DSM-IV, the major innovation of DSM-IV lies not in any of its specific content changes but rather in the systematic and explicit process by which it was constructed and documented.
《精神疾病诊断与统计手册》第四版由美国精神病学协会于1994年出版。《精神疾病诊断与统计手册》第四版沿用了与《精神疾病诊断与统计手册》第三版及第三版修订本相同的基本概念：明确的诊断标准、多轴系统以及一种试图在病因理论方面保持中立的描述性方法。《精神疾病诊断与统计手册》第四版的修订过程包括对已发表文献进行全面系统的综述、对已收集数据集进行重新分析以及针对广泛问题进行的现场试验。为确保《精神疾病诊断与统计手册》第四版中提供的编码和术语与《国际疾病分类临床修订本第9版》和《国际疾病分类第10版》完全兼容，已付出了相当大的努力。据《精神疾病诊断与统计手册》第四版的作者称，该版的主要创新之处不在于其任何具体内容的变化，而在于其构建和记录过程的系统性和明确性。
