概括
了解心理健康诊断的历史至关重要. 诊断类别发展了两个世纪,但目前的系统在预后和个人意义上有局限性.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 心理健康 心理健康
背景情况:
- 心理健康问题通常通过诊断类别来理解.
- 目前的诊断格局是两个世纪进化的结果.
研究的目的:
- 了解当前的心理健康诊断实践.
- 审查诊断概念的历史发展是必不可少的.
主要方法:
- 对诊断概念开发的叙述性审查.
- 追踪从19世纪初到现在的历史趋势.
主要成果:
- 19世纪:行为和综合征的框架.
- 20世纪:情绪和精神障碍之间的区别;焦虑障碍分类的兴起.
- 1960年代-1970年代:标准化导致精神疾病诊断和统计手册,第三版 (DSM-III).
结论:
- 正式的分类系统提供了顺序,但涉及价值负载的选择.
- 目前的诊断类别提供有限的预后洞察力.
- 个人意义在症状发展中的作用还没有完全被捕捉到.
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