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在DSM中排除规则的概念演变:确定一个诊断何时应该排除另一个诊断的问题
1Lancaster University, UK.
Studies in history and philosophy of science
|January 15, 2026
概括
精神疾病诊断和统计手册 (DSM) 中的排除标准对于可靠的诊断至关重要,但很难定义. 它们的模糊性挑战了DSM.
科学领域:
- 精神病学是一个精神病学.
- 心理病理学 心理病理学
- 诊断分类的诊断分类
背景情况:
- 在DSM中的诊断标准包括排除标准,以防止共同诊断.
- 排除标准澄清了诊断的独家性,确保了可靠的流行率测量.
研究的目的:
- 在整个DSM系列中追踪排除标准的概念化.
- 分析精神病诊断中定义排除标准的必要性和挑战.
主要方法:
- 跨DSM版本的排除标准的历史分析.
- 对排除规则的理论,本体学和务实影响的检查.
主要成果:
- 排除标准对于可靠的精神病诊断是必要的.
- 确定适当的排除标准存在重大和持久的困难.
- 排除规则反映了复杂的理论和务实判断,引入了紧张局势.
结论:
- 排除标准是不可或缺的,但它们的制定是难以解决的.
- 依赖理论和务实因素挑战了DSM的客观性和普遍适用性.
- 鉴别精神障碍的困难阻碍了最终排除规则和"自然类型"概念的发展.
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