Wakefield J C
School of Social Work, Rutgers, State University of New Jersey, New Brunswick, USA.
J Consult Clin Psychol. 1998 Oct;66(5):846-52. doi: 10.1037//0022-006x.66.5.846.
W. C. Follette and A. C. Houts (1996) argued on philosophy-of-science grounds that the Diagnostic and Statistical Manual of Mental Disorders (DSM) is scientifically unprogressive and should be replaced by competing theory-laden manuals. The author responds to their various arguments as follows: (a) The ways things can go wrong with the mind are inherently diverse, so failure to reduce the DSM's categories to 1 parsimonious theory is not necessarily scientifically unprogressive; (b) it is empirically untrue that growth in the number of a taxonomy's categories is inconsistent with scientific progress; (c) progress in theoretically fragmented fields requires shared theory-neutral categories, not theory-laden definitions of basic concepts; (d) at present in the mental health field, theoretical integration is scientifically more progressive than competition, and integration is promoted by the DSM's theory-neutral nosology; and (e) Follette and Houts's proposed behaviorist alternative to the DSM is incoherent.
W. C. 福利特和A. C. 豪茨(1996年)基于科学哲学的理由认为,《精神疾病诊断与统计手册》(DSM)在科学上是没有进步的,应该被带有理论倾向的竞争手册所取代。作者对他们的各种论点做出如下回应:(a)心理出现问题的方式本质上是多样的,因此未能将DSM的类别简化为一个简约的理论不一定在科学上是没有进步的;(b)分类学类别的数量增长与科学进步不一致这一说法在经验上是不正确的;(c)理论碎片化领域的进步需要共享的理论中立类别,而不是基本概念的理论负载定义;(d)目前在心理健康领域,理论整合在科学上比竞争更具进步性,并且DSM的理论中立分类法促进了整合;以及(e)福利特和豪茨提出的替代DSM的行为主义方案是不连贯的。