Schuckit M A
University of California-San Diego, School of Medicine, USA.
Alcohol Alcohol Suppl. 1994;2:459-69.
As the Chair of the DSM-IV Substance Use Disorders Workgroup, the author reflects on the costs, benefits, and processes involved in producing diagnostic and classification systems. This paper explores the need for producing such systems, and briefly describes the historical development of diagnostic approaches dealing with alcohol and other substance use disorders. The development of the new criteria for substance use disorders in DSM-IV is reviewed, and the relationship to ICD-10 is presented. A major conclusion of the paper is that DSM-V should only appear after a long-enough period of time has elapsed to allow any deficiencies in the present manual to become apparent and alternative approaches to be fully explored.
作为《精神疾病诊断与统计手册》第四版物质使用障碍工作组主席，作者反思了生成诊断和分类系统所涉及的成本、益处及过程。本文探讨了生成此类系统的必要性，并简要描述了处理酒精及其他物质使用障碍的诊断方法的历史发展。回顾了《精神疾病诊断与统计手册》第四版中物质使用障碍新准则的制定，并阐述了与《国际疾病分类》第十版的关系。本文的一个主要结论是，只有在经过足够长的时间，使当前手册中的任何缺陷都变得明显，且充分探索了替代方法之后，《精神疾病诊断与统计手册》第五版才应问世。
