我们是否需要一个用于精神病理学分类的新框架？一篇讨论文章。
Do We Need a Novel Framework for Classifying Psychopathology? A Discussion Paper.
作者信息
Rief Winfried, Hofmann Stefan G, Berg Max, Forbes Miriam K, Pizzagalli Diego A, Zimmermann Johannes, Fried Eiko, Reed Geoffrey M
机构信息
Clinical Psychology and Psychotherapy Group, Department of Psychology, Philipps-University of Marburg, Marburg, Germany.
Translational Clinical Psychology Group, Department of Psychology, Philipps-University of Marburg, Marburg, Germany.
出版信息
Clin Psychol Eur. 2023 Dec 22;5(4):e11699. doi: 10.32872/cpe.11699. eCollection 2023 Dec.
INTRODUCTION
The ICD-11 and DSM-5 are the leading systems for the classification of mental disorders, and their relevance for clinical work and research, as well as their impact for policy making and legal questions, has increased considerably. In recent years, other frameworks have been proposed to supplement or even replace the ICD and the DSM, raising many questions regarding clinical utility, scientific relevance, and, at the core, how best to conceptualize mental disorders.
METHOD
As examples of the new approaches that have emerged, here we introduce the Hierarchical Taxonomy of Psychopathology (HiTOP), the Research Domain Criteria (RDoC), systems and network approaches, process-based approaches, as well as a new approach to the classification of personality disorders.
RESULTS AND DISCUSSION
We highlight main distinctions between these classification frameworks, largely related to different priorities and goals, and discuss areas of overlap and potential compatibility. Synergies among these systems may provide promising new avenues for research and clinical practice.
引言
国际疾病分类第11版（ICD - 11）和精神疾病诊断与统计手册第5版（DSM - 5）是精神障碍分类的主要系统，它们在临床工作和研究中的相关性，以及对政策制定和法律问题的影响都显著增加。近年来，人们提出了其他框架来补充甚至取代ICD和DSM，这引发了许多关于临床实用性、科学相关性以及核心的如何最佳地概念化精神障碍的问题。
方法
作为新出现的方法的示例，我们在此介绍精神病理学层次分类法（HiTOP）、研究领域标准（RDoC）、系统和网络方法、基于过程的方法，以及一种人格障碍分类的新方法。
结果与讨论
我们强调了这些分类框架之间的主要区别，主要与不同的优先事项和目标相关，并讨论了重叠领域和潜在的兼容性。这些系统之间的协同作用可能为研究和临床实践提供有前景的新途径。
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