道德,宗教或精神问题:DSM-5-TR中的扩展Z码诊断类别
Seth Mattson1,2, Tyler J VanderWeele2,3, Francis Lu4
1Department of Psychiatry, Massachusetts General Hospital, Boston.
The Journal of nervous and mental disease
|November 6, 2025
概括
临床医生应该认识到影响患者运作的道德问题. 一个新的DSM Z-code类别"道德,宗教或精神问题"承认这些问题,包括道德困境和伤害.
科学领域:
- 精神病学是一个精神病学.
- 文化精神病学是一种精神病学.
- 心理健康 心理健康
背景情况:
- 精神疾病诊断和统计手册 (DSM) 改善了精神病治疗中的文化考虑.
- 影响心理健康的宗教和精神问题是公认的,但道德问题仍未得到充分承认.
- 道德问题可以显著影响职业和社会功能.
研究的目的:
- 突出道德问题的临床意义.
- 引入扩展的DSM Z-代码类别:"道德,宗教或精神问题".
- 审查道德,宗教和精神问题之间的概念和经验联系.
主要方法:
- 关于概念和实证联系的文献综述.
- 定义与道德身份有关的道德问题.
- 探索道德困境,痛苦和伤害.
主要成果:
- 一个新的DSM Z代码类别承认"道德,宗教或精神问题".
- 定义道德问题是关于道德认同的违法行为.
- 这篇论文将道德问题与道德困境,痛苦和伤害联系在一起.
结论:
- 扩展的Z码具有诊断和临床实践的意义.
- 考虑了公共卫生和未来的研究方向.
- 认识到道德问题对于全面的患者护理至关重要.
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