面向大脑和大脑疾病的统一分类系统:呼吁将综合临床神经科学付诸行动
Michael P H Stanley1,2, David A Silbersweig3, David L Perez2,4
1Division of Cognitive Neurology, Department of Neurology, Brigham & Women's Hospital Center for Brain Mind Medicine, Harvard Medical School, Boston, Massachusetts.
概括
综合神经学和精神病学对于理解大脑和精神障碍至关重要. 一个统一的分类系统 (鼻科) 可以改变研究,临床护理,并减少耻辱.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 神经学 神经学
背景情况:
- 目前将大脑和心灵分为神经学和精神病学的划分创造了孤岛.
- 这些专业领域阻碍了对精神生活及其疾病的全面理解.
- 缺乏整合限制了科学研究和临床实践.
研究的目的:
- 建议对综合性大脑和精神障碍的疾病分类 (鼻科) 进行重新审查.
- 倡导建立一个多学科工作组,开发一个综合的鼻科学.
- 突出一个共享分类系统的变革潜力.
主要方法:
- 概念分析和多学科方法的建议.
- 呼吁召开神经病学,精神病学和相关子专业的专业组织.
- 专注于定义当前的分类原则,并开发一个综合的鼻学.
主要成果:
- 拟议的综合鼻科学旨在创建一个连贯的病理和心理框架.
- 一个共享的分类系统在教育,临床和科学领域都有变革的潜力.
- 这一举措可以减少耻辱感,并促进脑疾病的赔偿均等.
结论:
- 通过统一的鼻科综合神经病学和精神病学是促进研究和临床护理的必要条件.
- 要克服哲学和政治挑战,需要一个协作,多学科的努力.
- 实现综合鼻科是迈向消除耻辱和改善复杂脑部疾病护理的重要一步.
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