The six most essential questions in psychiatric diagnosis: a pluralogue part 1: conceptual and definitional issues in psychiatric diagnosis
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- 作者：James Phillips (1)
Allen Frances (2)
Michael A Cerullo (3)
John Chardavoyne (1)
Hannah S Decker (4)
Michael B First (5)
Nassir Ghaemi (6)
Gary Greenberg (7)
Andrew C Hinderliter (8)
Warren A Kinghorn (2) (9)
Steven G LoBello (10)
Elliott B Martin (1)
Aaron L Mishara (11)
Joel Paris (12)
Joseph M Pierre (13) (14)
Ronald W Pies (15) (6)
Harold A Pincus (16) (17) (18) (5)
Douglas Porter (19)
Claire Pouncey (20)
Michael A Schwartz (21)
Thomas Szasz (15)
Jerome C Wakefield (22) (23)
G Scott Waterman (24)
Owen Whooley (25)
Peter Zachar (10) - 刊名：Philosophy, Ethics, and Humanities in Medicine
- 出版年：2012
- 出版时间：December 2012
- 年：2012
- 卷：7
- 期：1
- 全文大小：365KB
- 参考文献：1. Regier DA, Narrow WE, Kuhl EA, Kupfer DJ: The conceptual development of DSM-V. / American Journal of Psychiatry 2009,166(6):645鈥?50. CrossRef
2. Kupfer DJ, First MB, Regier DS (Eds): / A research agenda for DSM-V. American Psychiatric Association Press: Washington, DC; 2002.
3. Spitzer RL: DSM-V : Open and transparent? Letter to the editor. / Psychiatric Times 2008, 43. (July 18, 2008):http://pn.psychiatryonline.org/content/43/14/26.1.short
4. Frances A: DSM-V badly off track. / Psychiatric Times 2009. (June 26, 2008):http://www.psychiatrictimes.com/display/article/10168/1425383.
5. Frances A: Advice to DSM-V ... Change deadlines and text, keep criteria stable. / Psychiatric Times 2009. (August 26, 2009):http://www.psychiatrictimes.com/display/article/10168/1444633.
6. Frances A: Alert to the research community be prepared to weigh in on DSM-V . / Psychiatric Times 2010, 27. (January 7, 2010):http://www.psychiatrictimes.com/display/article/10168/1507812.
7. Frances A: Opening pandora's box: The 19 worst suggestions for DSM-5. / Psychiatric Times 2010. (February 11, 2010):http://www.psychiatrictimes.com/DSM/content/article/10168/1522341.
8. Frances A: Should practical consequences influence DSM-5 decisions? Yes, of course. / Psychiatric Times 2010. (April 28, 2010):http://www.psychiatrictimes.com/DSM-5/content/article/10168/1560850.
9. Frances A: The significance of clinical significance. / Psychiatric Times 2010. (July 1, 2010):http://www.psychiatrictimes.com/DSM/content/article/10168/1601255.
10. Frances A: Understanding mental disorders no easy answers. / Psychiatric Times 2010. (July 14, 2010):http://www.psychiatrictimes.com/DSM-5/content/article/10168/1607874.
11. Frances A: Psychosis risk syndrome: Just as risky with a new name. / Psychiatric Times 2010. (September 14, 2010):http://www.psychiatrictimes.com/blog/DSM-5/content/article/10168/16647061.
12. Spitzer RL, Frances A: A letter to the board of trustees of the APA. / Psychiatric Times 2010. (December 17, 2010):http://www.psychiatrictimes.com/blog/DSM-5/content/article/10168/1760643.
13. Frances A: An independent view of DSM-5. / Psychiatric Times 2011. (January 20, 2011):http://www.psychiatrictimes.com/blog/couchincrisis/content/article/10168/1780786.
14. Frances A: DSM-5: A year end summary. / Psychiatric Times 2011. (January 19, 2011):http://www.psychiatrictimes.com/blog/couchincrisis/content/article/10168/1780361.
15. Frances A: The constant DSM-5 missed deadlines and their consequences: The future is closing in. / Psychiatric Times 2011. (April 15, 2011):http://www.psychiatrictimes.com/DSM-5/content/article/10168/1844722.
16. Frances A: DSM-5 rejects coercive paraphilia: Once again confirming that rape is not a mental disorder. / Psychiatric Times 2011. (May 12, 2011):http://www.psychiatrictimes.com/blog/couchincrisis/content/article/10168/1860036.
17. Kendler K, Appelbaum P, Bell C, Fulford KWM, Ghaemi N, Schaffner K, Waterman GS, First M, Sadler J: Issues for DSM-V: DSM-V should include a conceptual issues work group. / American Journal of Psychiatry 2008,165(2):174鈥?75. CrossRef
18. Phillips J (Ed): Symposium on DSM-5: Part 1 [http://alien.dowling.edu/~cperring/aapp/bulletin.htm] In / Bulletin of the Association for the Advancement of Philosophy and Psychiatry 2010,17(1):1鈥?6.
19. Phillips J (Ed): Symposium on DSM-5: Part 2 [http://alien.dowling.edu/~cperring/aapp/bulletin.htm] In / Bulletin of the Association for the Advancement of Philosophy and Psychiatry 2010,17(2):1鈥?5.
20. Sadler J: DSM-5 in the digital age. Part 1. / Psychiatric Times 2010. (June 14, 2010):http://www.psychiatrictimes.com/blog/DSM-5/content/article/10168/1593146.
21. Sadler J: DSM-5 in the digital age. Part 2. / Psychiatric Times 2010. (August 3, 2010):http://www.psychiatrictimes.com/blog/DSM-5/content/article/10168/1632216.
22. Sadler J: Catching the right fish. / Psychiatric Times 2010. (October 8, 2010):http://www.psychiatrictimes.com/blog/DSM-5/content/article/10168/1689323.
23. Sadler J: Watch out for loud symptoms. / Psychiatric Times 2010. (December 2, 2010):http://www.psychiatrictimes.com/blog/DSM-5/content/article/10168/1745539.
24. Sadler J: Worrying about greed. / Psychiatric Times 2011. (January 14, 2011):http://www.psychiatrictimes.com/DSM-5/content/article/10168/1778271.
25. Sadler J: Consequences of population drift. / Psychiatric Times 2011. (March 22, 2011):http://www.psychiatrictimes.com/blog/DSM-5/content/article/10168/1827791.
26. Phillips J: The cultural dimension in DSM-5: PTSD. / Psychiatric Times 2010. (August 15, 2010):http://www.psychiatrictimes.com/blog/DSM-5/content/article/10168/1635720.
27. Phillips J: Grief and depression: When science and terminology get confused. / Psychiatric Times 2010. (September 15, 2010):http://www.psychiatrictimes.com/blog/DSM-5/content/article/10168/16657281.
28. Phillips J: DSM is a many-dimensioned thing. / Psychiatric Times 2010. (October 18, 2010):http://www.psychiatrictimes.com/blog/DSM-5/content/article/10168/1696725.
29. Phillips J: Science versus pragmatism in the DSM: Finding a middle ground. / Psychiatric Times 2010. (November 17, 2010):http://www.psychiatrictimes.com/blog/DSM-5/content/article/10168/1726976.
30. Phillips J: The missing person in the DSM. / Psychiatric Times 2010. (December 21, 2010):http://www.psychiatrictimes.com/blog/DSM-5/content/article/10168/1766260.
31. Phillips J: How to use the DSM. / Psychiatric Times 2011. (January 26, 2011):http://www.psychiatrictimes.com/blog/DSM-5/content/article/10168/1784622.
32. Phillips J: DSM-5: When to change and when not to change. / Psychiatric Times 2011. (February 25, 2011):http://www.psychiatrictimes.com/blog/DSM-5/content/article/10168/1808509.
33. Phillips J: DSM-5 and the NIMH research domain criteria project. / Psychiatric Times 2011. (April 13, 2011):http://www.psychiatrictimes.com/blog/DSM-5/content/article/10168/1842906.
34. Kant I: / The critique of pure reason. Cambridge, MA: Cambridge University Press; 1998. 1871
35. Boorse C: A rebuttal on health. In / The concepts of health and illness revisited. Edited by: A R, Humber J. Humana Press: Totowa, New Jersey; 1997.
36. Nordenfelt L: The concepts of health and illness revisited. / Medicine, Health Care and Philosophy 2007, 10:5鈥?0. CrossRef
37. Brown M: / How I killed Pluto and why it had it coming. New York: Spiegel & Grau; 2010.
38. Pierre J: Mental disorder vs normality: Defining the indefinable. / Bulletin of the Association for the Advancement of Philosophy and Psychiatry 2010,17(2):9鈥?1.
39. Moser C, Kleinplaatz P: DSM-IV-TR and the paraphilias: An argument for removal. / Journal of Psychology and Human Sexuality 2005, 41:333鈥?39.
40. Blease C: Scientific progress and the prospects for culture-bound syndromes. / Stud Hist Philos Biol Biomed Sci 2010, 41:333鈥?39.
41. First MB, Pincus HA, Levine JB, Williams JBW, Ustun B, Peele P: Clinical utility as a criterion for revising psychiatric diagnoses. / American Journal of Psychiatry 2003, 946鈥?54.
42. Bottero J: / Mesopotamia: Writing, reasoning, and the gods. Chicago: Chicago University Press; 1992.
43. Stein D, Phillips K, Bolton D, Fulford KWM, Sadler JZ, Kendler KS: What is a mental/psychiatric disorder? From DSM-IV to DSM-V. / Psychological Medicine 2010, 40:1759鈥?765. CrossRef
44. Wittgenstein L: / Philosophical investigations: The English text of the third edition. New York: MacMillan Publishing Co., Inc; 1953.
45. Frances A: Behavioral addictions are a slippery slope. / Psychology Today Blog 2010. (March 20, 2011)
46. Kendler K, Myers J, Halberstadt LJ: Should the diagnosis of major depression be made independent of or dependent upon psychosocial context. / Psychological Medicine 2010, 40:771鈥?80. CrossRef
47. Wakefield JC: The concept of mental disorder: On the boundary between biological facts and social values. / American Psychologist 1992, 47:771鈥?80. CrossRef
48. Wakefield JC: Disorder as harmful dysfunction: A conceptual critique of DSM-III-R's definition of mental disorder. / Psychological Review 1992, 99:232鈥?47. CrossRef
49. Wakefield JC: Limits of operationalization: A critique of Spitzer and Endicott's (1978) definition of mental disorder. / Journal of Abnormal Psychology 1993, 102:160鈥?72. CrossRef
50. Wakefield JC: Evolutionary versus prototype analyses of the concept of disorder. / Journal of Abnormal Psychology 1999, 108:374鈥?99. CrossRef
51. Wakefield JC: Disorder as a black box essentialist concept. / Journal of Abnormal Psychology 1999, 108:465鈥?72. CrossRef
52. Wakefield JC: The concept of mental disorder: Diagnostic implications of the harmful dysfunction analysis. / World Psychiatry 2006, 6:149鈥?56.
53. Spitzer R, Endicott J: Medical and mental disorder: Proposed definition and criteria. In / Critical issues in psychiatric diagnosis. Edited by: Spitzer RL, Klein DF. Raven Press: New York; 1978.
54. Sadler J: / Values and psychiatric diagnosis. Oxford: Oxford University Press; 2005.
55. Wakefield JC: Diagnosing DSM-IV - Part 1: DSM-IV and the concept of disorder. / Behavioral Research and Therapy 1997, 35:633鈥?49. CrossRef
56. Blazer D: / The age of melancholy: 'major depression' and its social origins. New York: Routledge; 2005.
57. First MB, Wakefield JC: Defining 'mental disorder' in DSM-IV. / Psychological Medicine 2010, 40:1783鈥?785. CrossRef
58. Broome M, Bortolotti L: What's wrong with 'mental' disorders? / Psychological Medicine 2010, 40:1783鈥?785. CrossRef
59. Verhoeff B, Glas G: The search for dysfunctions. / Psychological Medicine 40 40:1787鈥?788.
60. Varga S: Defining mental disorder. Exploring the 'natural function' approach. / Philosophy, Ethics, and Humanities in Medicine 2011, 6:1鈥?0. CrossRef
61. Pierre J: The borders of mental disorder in psychiatry and the DSM: Past, present, and future. / Journal of Psychiatric Practice 2010, 16:375鈥?86. CrossRef
62. Horwitz A: / Creating mental illness. Chicago: The University of Chicago Press; 2002.
63. MacMahon D: / Happiness: A history. New York: Atlantic Monthly Press; 2006.
64. Alliance of Psychoanalytic Organizations: / Psychodynamic Diagnostic Manual. Silver Spring, MD: Alliance of Psychodynamic Organizations; 2006.
65. American Psychiatric Association: / Diagnostic and Statistical Manual of Mental Disorders. Washington, DC: American Psychiatric Association; 1952:vi.
66. American Psychiatric Association: / Diagnostic and Statistical Manual of Mental Disorders, (DSM-III). Third edition. Washington, DC: American Psychiatric Association; 1980.
67. Spitzer RL, Endicott J: Mental and mental disorder: Proposed definition and criteria. In / Critical Issues in Psychiatric Diagnosis. Edited by: Spitzer RL, Klein D. New York: Raven Press; 1978.
68. Spitzer RL, Klein D (Eds): Preface In / Critical Issues in Psychiatric Diagnosis. New York: Raven Press; 1978.
69. American Psychiatric Association: / Diagnostic and Statistical Manual of Mental Disorders. Fourth edition. Washington, DC: American Psychiatric Association; 1994.
70. American Psychiatric Association, DSM-5 Website [http://www.dsm5.org/ProposedRevisions/Pages/proposedrevision.aspx?rid=465] 2010. - 作者单位：James Phillips (1)
Allen Frances (2)
Michael A Cerullo (3)
John Chardavoyne (1)
Hannah S Decker (4)
Michael B First (5)
Nassir Ghaemi (6)
Gary Greenberg (7)
Andrew C Hinderliter (8)
Warren A Kinghorn (2) (9)
Steven G LoBello (10)
Elliott B Martin (1)
Aaron L Mishara (11)
Joel Paris (12)
Joseph M Pierre (13) (14)
Ronald W Pies (15) (6)
Harold A Pincus (16) (17) (18) (5)
Douglas Porter (19)
Claire Pouncey (20)
Michael A Schwartz (21)
Thomas Szasz (15)
Jerome C Wakefield (22) (23)
G Scott Waterman (24)
Owen Whooley (25)
Peter Zachar (10)
1. Department of Psychiatry, Yale School of Medicine, 300 George St., Suite 901, New Haven, CT, 06511, USA
2. Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, 508 Fulton St., Durham, NC, 27710, USA
3. Department of Psychiatry and Behavioral Neuroscience, University of Cincinnati College of Medicine, 260 Stetson Street, Suite 3200, Cincinnati, OH, 45219, USA
4. Department of History, University of Houston, 524 Agnes Arnold, Houston, 77204, USA
5. Department of Psychiatry, Columbia University College of Physicians and Surgeons, Division of Clinical Phenomenology, New York State Psychiatric Institute, 1051 Riverside Drive, New York, NY, 10032, USA
6. Department of Psychiatry, Tufts Medical Center, 800 Washington Street, Boston, MA, 02111, USA
7. Human Relations Counseling Service, 400 Bayonet Street Suite #202, New London, CT, 06320, USA
8. Department of Linguistics, University of Illinois, Urbana-Champaign 4080 Foreign Languages Building, 707 S Mathews Ave, Urbana, IL, 61801, USA
9. Duke Divinity School, Box 90968, Durham, NC, 27708, USA
10. Department of Psychology, Auburn University Montgomery, 7061 Senators Drive, Montgomery, AL, 36117, USA
11. Department of Clinical Psychology, The Chicago School of Professional Psychology, 325 North Wells Street, Chicago, IL, 60654, USA
12. Institute of Community and Family Psychiatry, SMBD-Jewish General Hospital, Department of Psychiatry, McGill University, 4333 cote Ste. Catherine, Montreal, H3T1E4, Quebec, Canada
13. Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, 760 Westwood Plaza, Los Angeles, CA, 90095, USA
14. VA West Los Angeles Healthcare Center, 11301 Wilshire Blvd, Los Angeles, CA, 90073, USA
15. Department of Psychiatry, SUNY Upstate Medical University, 750 East Adams St., #343CWB, Syracuse, NY, 13210, USA
16. Irving Institute for Clinical and Translational Research, Columbia University Medical Center, 630 West 168th Street, New York, NY, 10032, USA
17. New York Presbyterian Hospital, 1051 Riverside Drive, Unit 09, New York, NY, 10032, USA
18. Rand Corporation, 1776 Main St, Santa Monica, California, 90401, USA
19. Central City Behavioral Health Center, 2221 Philip Street, New Orleans, LA, 70113, USA
20. Center for Bioethics, University of Pennsylvania, 3401 Market Street, Suite 320, Philadelphia, PA, 19104, USA
21. Department of Psychiatry, Texas AMHSC College of Medicine, 4110 Guadalupe Street, Austin, Texas, 78751, USA
22. Silver School of Social Work, New York University, 1 Washington Square North, New York, NY, 10003, USA
23. Department of Psychiatry, NYU Langone Medical Center, 550 First Ave, New York, NY, 10016, USA
24. Department of Psychiatry, University of Vermont College of Medicine, 89 Beaumont Avenue, Given Courtyard N104, Burlington, Vermont, 05405, USA
25. Institute for Health, Health Care Policy, and Aging Research, Rutgers, the State University of New Jersey, 112 Paterson St., New Brunswick, NJ, 08901, USA
文摘
In face of the multiple controversies surrounding the DSM process in general and the development of DSM-5 in particular, we have organized a discussion around what we consider six essential questions in further work on the DSM. The six questions involve: 1) the nature of a mental disorder; 2) the definition of mental disorder; 3) the issue of whether, in the current state of psychiatric science, DSM-5 should assume a cautious, conservative posture or an assertive, transformative posture; 4) the role of pragmatic considerations in the construction of DSM-5; 5) the issue of utility of the DSM - whether DSM-III and IV have been designed more for clinicians or researchers, and how this conflict should be dealt with in the new manual; and 6) the possibility and advisability, given all the problems with DSM-III and IV, of designing a different diagnostic system. Part I of this article will take up the first two questions. With the first question, invited commentators express a range of opinion regarding the nature of psychiatric disorders, loosely divided into a realist position that the diagnostic categories represent real diseases that we can accurately name and know with our perceptual abilities, a middle, nominalist position that psychiatric disorders do exist in the real world but that our diagnostic categories are constructs that may or may not accurately represent the disorders out there, and finally a purely constructivist position that the diagnostic categories are simply constructs with no evidence of psychiatric disorders in the real world. The second question again offers a range of opinion as to how we should define a mental or psychiatric disorder, including the possibility that we should not try to formulate a definition. The general introduction, as well as the introductions and conclusions for the specific questions, are written by James Phillips, and the responses to commentaries are written by Allen Frances.