van Praag H M
European Graduate School for Neuroscience and Brain and Behavior Research and Department of Psychiatry and Neuropsychology, University of Maastricht, The Netherlands.
Psychiatry Res. 1997 Oct 10;72(3):201-12. doi: 10.1016/s0165-1781(97)00103-0.
Progress in biological psychiatry is contingent on progress in neurobiology and on research into proper characterisation and assessment of abnormal behavior. Advances in neurobiology are rapid and steady; diagnostic research does not keep pace. On the contrary, the diagnostic approach seems solidified, as today's basic premises are uncritically accepted. The diagnostic requirements for meaningful biological psychiatric research are discussed and contrasted with present-day diagnostic practices. Serious reflection on the state of psychiatric diagnosing is urgently needed.
生物精神病学的进展取决于神经生物学的进展以及对异常行为的恰当特征描述和评估的研究。神经生物学进展迅速且稳定;诊断研究却未能跟上步伐。相反,诊断方法似乎已固化,因为当今的基本前提被不加批判地接受。本文讨论了有意义的生物精神病学研究的诊断要求,并与当今的诊断实践进行了对比。迫切需要对精神病诊断的现状进行认真反思。