[诊断标准和欧洲分类学]。

Acta psychiatrica Belgica Pub Date : 1993-03-01
P Berner
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引用次数: 0

摘要

理论综合分类的阐述已成为美国精神病学关注的主要问题。欧洲的精神病学家通常不愿意加入这种基于共识的努力。他们的分类学方法在很大程度上是由真正的精神疾病和定量的精神偏差之间的理论区别所指导的:贾斯珀警告说,对后者的肢解会导致误入歧途,这促使他们主要集中在对前者的分类上。因此,欧洲精神病学家发展了几个功能性精神病的概念,这些概念在这些疾病的细分和它们从仅仅定量偏差的界定方面有所不同。美国的分类部分抛弃或扭曲了欧洲的传统观点。为了检验其概念的可靠性,欧洲学校应该更系统地提供可操作的诊断标准,并将其提交给多诊断验证研究。
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[Diagnostic criteria and European nosology].

The elaboration of a-theoretical comprehensive classifications has become a main concern of American psychiatry. European psychiatrists are frequently reluctant to join this consensus-based endeavour. Their nosological approaches have largely been guided by the theoretical distinction between genuine mental diseases and quantitative psychic deviations: Jasper' warning that the dismemberment of the latter leads astray incited them to concentrate mainly on the classification of the former. Thus, European psychiatrists developed several concepts of functional psychoses which differ in regard to the subdivision of these disorders and their delimitation from mere quantitative deviations. The American classifications have partially abandoned or distorted traditional european views. In order to examine the reliance of their concepts the European schools should more systematically provide operational diagnostic criteria and submit them to polydiagnostic validation-studies.

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