从DSM-III到DSM-5对"精神障碍"的定义
Mattia Vacca1, Alessandro Mura1, Gian Pietro Carrogu1
1Department of Education, Philosophy and Psychology, State University of Cagliari, 09124 Cagliari, Italy.
Behavioral sciences (Basel, Switzerland)
|June 26, 2025
概括
精神障碍 (MD) 的定义发生了显著的变化,在40多年来,精神障碍诊断和统计手册 (DSM) 中提出了六个不同的定义. 这一分析探讨了它们的演变,批评和对精神病理学的影响.
科学领域:
- 心理病理学 心理病理学
- 精神病学是一个精神病学.
- 心理健康诊断 心理健康诊断
背景情况:
- 精神障碍 (MD) 的定义是精神病理学的基本概念.
- 从历史上看,MD的明确定义出现的时间比精神疾病的一般讨论晚.
- 精神疾病诊断和统计手册 (DSM) 在标准化这些定义方面发挥了重要作用.
研究的目的:
- 分析DSM的不同版本中精神障碍 (MD) 定义的演变.
- 检查DM的DSM定义之间的结构组件,相似之处和差异.
- 在更广泛的科学和批判性话语中将DSM定义置于背景中.
主要方法:
- 一篇从DSM-III (1980) 开始分析精神障碍 (MD) 的定义的透视性论文.
- 在大约40年的时间里,对六个不同的DSM对MD的定义进行了比较分析.
- 审查相关文献和围绕DSM定义的批判性讨论.
主要成果:
- 自1980年以来,在DSM中提出了心理障碍 (MD) 的六个不同的定义.
- 分析揭示了这些定义中潜在的构造和方法的变化.
- DSM的定义引发了大量的辩论,并引起了相当大的批评.
结论:
- 精神障碍 (MD) 的DSM定义的演变反映了心理病理学的变化.
- 了解这些定义转移对于该领域至关重要.
- 对诊断标准的持续批判性评估对于推进心理健康科学至关重要.
相关概念视频
Diagnostic and Statistical Manual of Mental Disorders (DSM)
163
The Diagnostic and Statistical Manual of Mental Disorders (DSM) serves as the primary classification system for mental health disorders, providing standardized diagnostic criteria for clinicians and researchers. First published by the American Psychiatric Association (APA) in 1952, the DSM has undergone several revisions to reflect evolving psychiatric understanding. The fifth edition, DSM-5, released in 2013, introduced key updates that expanded diagnostic categories and modified diagnostic...
163
Introduction to Psychological Disorders
536
Abnormal behavior, often referred to as mental illness, results from changes in brain function that influence thought patterns, behaviors, and social interactions. Psychologists and psychiatrists typically assess abnormal behavior using three primary criteria: deviance, maladaptation, and personal distress, particularly when these traits persist over long periods.
Deviant Behavior
Deviance in behavior refers to actions or thought patterns that significantly diverge from societal norms or...
Deviant Behavior
Deviance in behavior refers to actions or thought patterns that significantly diverge from societal norms or...
536
Theoretical Approaches to Psychological Disorder
340
The development of psychological disorders, which are characterized by deviant, maladaptive, and personally distressing behaviors, has been explored through several theoretical approaches.
Biological approach
The biological approach posits that internal, organic factors are the primary causes of such disorders. This perspective emphasizes brain structure and function, genetic predispositions, and neurotransmitter imbalances. For example, schizophrenia has been associated with both genetic...
Biological approach
The biological approach posits that internal, organic factors are the primary causes of such disorders. This perspective emphasizes brain structure and function, genetic predispositions, and neurotransmitter imbalances. For example, schizophrenia has been associated with both genetic...
340
Depressive Disorders: MDD and Dysthymia
225
Depressive disorders are a group of mental health conditions characterized by pervasive feelings of sadness, diminished pleasure in life, and a significant impact on daily functioning. These conditions are most prevalent in individuals during their 30s and affect women at twice the rate of men. Contrary to popular belief, younger individuals are generally more susceptible to these disorders than older adults. Two key types of depressive disorders include Major Depressive Disorder (MDD) and...
225
Dissociative Identity Disorder
211
Dissociative Identity Disorder (DID), previously termed multiple personality disorder, is a complex psychological condition characterized by the presence of two or more distinct identities or personality states. Each identity exhibits unique patterns of behavior, voice, and mannerisms and may possess separate memories and emotional responses. The alternating control between identities can result in memory gaps and challenges in recalling daily activities, often exacerbating the individual's...
211
Intellectual Disability
170
Intellectual disability (ID) is a neurodevelopmental condition characterized by deficits in intellectual and adaptive functioning that manifest during the developmental period. This condition encompasses challenges in reasoning, memory, problem-solving, and learning, accompanied by impairments in everyday life skills, such as communication, self-care, and social interactions. Intellectual disability affects approximately 1% of the population in the United States, impacting an estimated 5...
170


