Browning M
Royal London Hospital, Whitechapel.
Med Sci Law. 1997 Jan;37(1):32-4. doi: 10.1177/002580249703700108.
This article is, essentially, an examination of what the medical profession and society generally mean by the term 'mad', and what relevance 'madness' has to modern psychiatry. It suggests that 'madness' differs from 'mental illness' and that psychiatry only deals with the latter. It concludes that for any rigorous, rational approach to psychiatry to be attempted an accepted framework of what constitutes mental illness must be used. This is the important role of ICD 10 and DSM IV which help to ensure that psychiatrists do not act as 'moral gaolers of the state'.
本文本质上是对医学专业和社会普遍所指的“疯癫”一词的审视，以及“疯癫”与现代精神病学有何关联。它表明“疯癫”与“精神疾病”不同，而精神病学只处理后者。结论是，要尝试对精神病学采取任何严谨、理性的方法，必须使用一个关于什么构成精神疾病的公认框架。这就是国际疾病分类第十版（ICD - 10）和《精神疾病诊断与统计手册》第四版（DSM - IV）的重要作用，它们有助于确保精神科医生不会充当“国家的道德狱卒”。
