Sechter D
Service de Psychiatrie et Psychologie Médicale, CHU Saint-Jacques, Besançon.
Encephale. 1995 Dec;21 Spec No 5:35-8.
653 french psychiatrists replied to a questionnaire sent to them by mail regarding international classifications. The vast majority of them use these classifications, mainly for research purposes, and 94% own a copy of DSM III-R. Almost 3/4 of them have used this classification at least once in the context of scientific studies or natural science surveys. In contrast, a little over half of them use it only rarely for diagnostic purposes, and ICD-10 is more frequently used by hospital doctors. The scoring system of the latter is in fact designed to outline hospital activities for the administration. The benefits of these international classifications in the training of general practitioners and students should be emphasized, provided instruction in semiology and classical nosography is also given. It should also be noted that terminology tends to evolve, particularly among younger psychiatrists: thus, for instance, the notion of obsessional disorder is gradually coming to replace that of obsessional neurosis.
653名法国精神病医生回复了一份通过邮件发送给他们的关于国际分类的调查问卷。他们中的绝大多数人使用这些分类,主要用于研究目的,94%的人拥有《精神疾病诊断与统计手册》第三版修订本(DSM III-R)。其中近四分之三的人在科学研究或自然科学调查中至少使用过一次这种分类。相比之下,略超过一半的人仅在诊断目的时很少使用它,而国际疾病分类第十版(ICD-10)在医院医生中使用得更频繁。实际上,后者的评分系统是为了概述医院行政管理活动而设计的。应该强调这些国际分类在全科医生和学生培训中的益处,前提是同时也要进行症状学和经典疾病分类学的教学。还应该注意到,术语往往在演变,特别是在年轻的精神病医生中:例如,强迫障碍的概念正逐渐取代强迫性神经症的概念。