打开门或建造子? 精神病诊断标签的不利影响
Lars Veldmeijer1, Gijs Terlouw1, Nynke Boonstra1
1Department of Psychiatry, Utrecht University Medical Center, Heidelberglaan 100, Utrecht, 3584 CX, The Netherlands; Research Group Health and Wellbeing, NHL Stenden University of Applied Sciences, Rengerslaan 8-10, Leeuwarden, 8917 DD, The Netherlands.
Current opinion in psychology
|July 1, 2025
概括
精神病诊断标签显著影响患者的现实,需要谨慎,准确的沟通. 超越以诊断为中心的实践对于更以人为本的心理健康方法至关重要.
科学领域:
- 精神病学和心理学 精神病学和心理学
- 心理健康研究 心理健康研究
- 临床心理学 临床心理学
背景情况:
- 精神病学的诊断标签不是精神困扰的中立描述者.
- 有证据表明,这些标签积极塑造患者的现实,往往是有问题的.
- 关于诊断标签的科学状态的准确信息是必不可少的.
研究的目的:
- 突出精神病诊断标签对患者现实的影响.
- 倡导对诊断标签的更细致的理解和应用.
- 促进精神卫生保健中以人为中心的替代方法的发展.
主要方法:
- 关于诊断标签的科学地位和影响的文献综述.
- 分析标签在塑造患者体验和认知中的作用.
- 除了以诊断为中心的模型之外,对替代框架的概念探索.
主要成果:
- 精神病学标签被证明是积极构建的,而不是仅仅描述现实.
- 诊断标签的应用可能会导致个人的问题结果.
- 需要将诊断标签与生活中的痛苦经历区分开来.
结论:
- 学术精神病学和心理学必须批判性地评估诊断标签的使用.
- 专业人员应该提供准确的信息,并承认患者的经验是有效的.
- 发展以人为中心的方法的概念能力对于未来的心理健康护理至关重要.
相关概念视频
Diagnostic and Statistical Manual of Mental Disorders (DSM)
162
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...
162
Introduction to Psychological Disorders
527
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...
527
Positive Symptoms Schizophrenia: Hallucinations and Delusions
134
Schizophrenia is a complex psychiatric disorder characterized by a range of symptoms that significantly impact cognition, behavior, and emotional regulation. Among these, the positive symptoms stand out as they involve the addition or exaggeration of normal mental functions, deviating markedly from typical behavior and perception. Hallucinations and delusions are prominent positive symptoms, each profoundly affecting the individual's experience of reality.
Hallucinations
Hallucinations in...
Hallucinations
Hallucinations in...
134
Negative and Cognitive Symptoms of Schizophrenia
129
Negative symptoms of schizophrenia indicate a reduction or absence of typical behaviors and emotional responses found in healthy individuals, while positive symptoms reflect an excess or distortion of normal functioning.
Negative Symptoms
Negative symptoms of schizophrenia manifest as deficits in normal emotional and behavioral functioning, profoundly impacting daily life. Individuals with schizophrenia often display a flat affect, characterized by a near-total absence of emotional expression,...
Negative Symptoms
Negative symptoms of schizophrenia manifest as deficits in normal emotional and behavioral functioning, profoundly impacting daily life. Individuals with schizophrenia often display a flat affect, characterized by a near-total absence of emotional expression,...
129
Oppositional Defiant Disorder
159
A persistent pattern of angry or irritable mood, defiant behavior, or vindictiveness characterizes Oppositional Defiant Disorder (ODD). Symptoms must occur over at least six months, involve interactions with individuals beyond siblings, and meet specific diagnostic criteria to be clinically significant. The disorder affects emotional regulation, social interactions, and behavior, often manifesting early in life and influencing long-term development and functioning.
Diagnostic Criteria and...
Diagnostic Criteria and...
159
Beck's Cognitive Therapy
115
Cognitive therapy is a psychological approach designed to address distortions in thinking, which can lead to negative emotions and unrealistic beliefs. These cognitive distortions often influence how individuals interpret and respond to situations, exacerbating emotional distress. Below are some prevalent cognitive distortions, their characteristics, and examples of how they manifest in thought processes.
Arbitrary Inference
Arbitrary inference involves making conclusions without sufficient...
Arbitrary Inference
Arbitrary inference involves making conclusions without sufficient...
115


