Psychiatric Diagnosis: A Clinical Guide to Navigating Diagnostic Pluralism.

IF 1.6 4区医学 Q3 CLINICAL NEUROLOGY Journal of Nervous and Mental Disease Pub Date : 2024-08-01 DOI:10.1097/NMD.0000000000001791

Awais Aftab, Konrad Banicki, Mark L Ruffalo, Allen Frances

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Abstract

Abstract: The controversies surrounding the Diagnostic and Statistical Manual of Mental Disorders and International Classification of Diseases have generated significant debate across the psy-sciences. This debate has been further fueled by the launch of the Research Domain Criteria as a framework to facilitate advances in neuroscientific research, a renewed emphasis on dimensional models of psychopathology, currently exemplified by the Hierarchical Taxonomy of Psychopathology, and development of the Psychodynamic Diagnostic Manual by the psychodynamic community. In this article, we provide a clinical overview of recent debates surrounding categorical and dimensional approaches to psychiatric diagnosis, offer a critical assessment of proposed alternatives, and discuss how clinicians can navigate a plurality of diagnostic frameworks. Our discussion emphasizes that diagnostic frameworks need to be contextualized within the process of a comprehensive clinical evaluation, and their advantages and disadvantages should be understood in relationship to the theoretical orientations and practical needs of clinicians.

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精神病学诊断：诊断多元化的临床指南》（A Clinical Guide to Navigating Diagnostic Pluralism）。

摘要：围绕《精神疾病诊断与统计手册》和《国际疾病分类》的争论在整个心理科学界引起了巨大的反响。作为促进神经科学研究进展的框架，《研究领域标准》（Research Domain Criteria）的推出、目前以《精神病理学层次分类法》（Hierarchical Taxonomy of Psychopathology）为代表的对精神病理学维度模型的重新强调，以及精神动力学界对《精神动力学诊断手册》（Psychodynamic Diagnostic Manual）的开发，都进一步加剧了这场争论。在这篇文章中，我们对最近围绕精神病诊断的分类和维度方法的争论进行了临床概述，对提出的替代方法进行了批判性评估，并讨论了临床医生如何驾驭多元化的诊断框架。我们的讨论强调，诊断框架需要在全面的临床评估过程中进行背景分析，并应根据临床医生的理论取向和实际需求来理解它们的优缺点。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Nervous and Mental Disease 医学-精神病学

CiteScore

2.90

自引率

5.30%

发文量

233

审稿时长

3-8 weeks

期刊介绍： The Journal of Nervous and Mental Disease publishes peer-reviewed articles containing new data or ways of reorganizing established knowledge relevant to understanding and modifying human behavior, especially that defined as impaired or diseased, and the context, applications and effects of that knowledge. Our policy is summarized by the slogan, "Behavioral science for clinical practice." We consider articles that include at least one behavioral variable, clear definition of study populations, and replicable research designs. Authors should use the active voice and first person whenever possible.