一种用于器质性脑障碍的诊断系统：评论与建议。

A diagnostic system for organic brain disorders: critique and suggestion.

作者信息

Fauman M A

出版信息

Psychiatr Q. 1977 Fall;49(3):173-86. doi: 10.1007/BF01115313.

Abstract

Organic brain disorders (OBD) are among the most complex psychiatric diagnostic problems. A critique of the American Psychiatric Association's Diagnostic and Statistical Manual (DSM II) and the proposed DSM III suggests that the diagnostic outline for organic brain disorders contained in these publications (Organic Brain Syndromes in the DSM II; Organic Mental Syndromes in the proposed DSM III) is inadequate to describe the potential range of organic-based behavioral disorders and their possible organic etiologies. A new diagnostic system is proposed, with examples, of its use, which should fit in with the DSM II and the proposed DSM III and be flexible enough to overcome the problems of the present diagnostic system.

摘要

器质性脑障碍（OBD）是最复杂的精神科诊断问题之一。对美国精神病学协会的《诊断与统计手册》（DSM II）以及提议的DSM III的一项批评表明，这些出版物中所包含的器质性脑障碍的诊断大纲（DSM II中的器质性脑综合征；提议的DSM III中的器质性精神综合征）不足以描述基于器质性的行为障碍的潜在范围及其可能的器质性病因。本文提出了一种新的诊断系统，并举例说明了其用法，该系统应与DSM II和提议的DSM III相契合，并且足够灵活以克服当前诊断系统存在的问题。