Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende
Erweiterte Suche
Anmelden
nach oben
Social Psychiatry and Psychiatric Epidemiology
Erschienen in: Social Psychiatry and Psychiatric Epidemiology 1/2015

01.01.2015 | Invited Reviews

Psychopathology and classification in psychiatry

verfasst von: David Goldberg

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 1/2015

Einloggen, um Zugang zu erhalten

Abstract

Introduction

The strengths and weaknesses of the 5th edition of the Diagnostic and Statistical Manual of the American Psychiatric Association are considered, and the likely form of the revised version of the International Classification of Disease, due to be released in the future is briefly considered.

Commentary

It is argued that there are a number of problems in the checklist approach to diagnosis: there are no points of rarity between common disorders, and that many disorders are rough groupings containing highly heterogeneous syndromes. The tendency to reify these disorders and to view them as independent entities, and to stretch the concept of co-morbidity to cover individuals who satisfy more than one of the diagnostic checklists is seen as being misleading as it gives a false air of precision.

Conclusion

Two broadly similar solutions are proposed for an alternative approach to common mental disorders.
Literatur
1.
American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders (DSM-5), 5th edn. American Psychiatric Association, Arlington, VA, p 946
2.
Greenberg G (2013) The rats of N.I.M.H. The New Yorker, 16 May 2013
3.
Coghlan A, Reardon S (2013) Psychiatry divided as mental health ‘bible’ denounced. New Scientist, 3 May 2013
4.
Horgan J (2013) Psychiatry in crisis! Mental health director rejects psychiatric “Bible” and replaces with… Nothing. Scientific American, 4 May 2013
5.
The International Classification of Disease (ICD) (1992) The ICD-10 classification of mental and behavioural disorders. Diagnostic criteria for research. World Health Organisation, Geneva
6.
Feinstein AR (1970) The pre-therapeutic classification of comorbidity in chronic disease. J Chronic Dis 23:455–468CrossRef
7.
Kessler RC, McGonagle KA, Zhao S, Nelson CB, Hughes M, Eshleman S, Kendler K (1994) Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States: results from the National Comorbidity Survey. Arch Gen Psychiatry 51:8–19PubMedCrossRef
8.
Vollebergh WA, Iedema J, Bijl RV, de Graa R, Smit F, Ormel J (2001) The structure and stability of common mental disorders. The Nemesis Study. Arch Gen Psychiatry 58:597–603PubMedCrossRef
9.
Slade T, Watson D (2006) The structure of common DSM-IV and ICD-10 mental disorders in the Australian general population. Psychol Med 36:1593–1600PubMedCrossRef
10.
The International Classification of Disease (ICD) (1992) The ICD-10 classification of mental and behavioural disorders. Clinical descriptions and diagnostic guidelines. World Health Organisation, Geneva
11.
World Health Organisation (1996) ICD-10 diagnostic and management guidelines for mental disorders in primary care. Primary care version. World Health Organisation/Hogrefe & Huber, Gottingen
12.
Simms LJ, Prisciandaro JJ, Krueger RF, Goldberg DP (2012) The structure of depression, anxiety and somatic symptoms in primary care. Psychol Med 42:15–28PubMedCentralPubMedCrossRef
13.
Goldberg DP, Simms LJ, Gater R, Krueger RF (2011) Integration of dimensional spectra for depression and anxiety into categorical diagnoses for general medical practice. In: Regier D, Narrow WE, Kuhl EA, Kupfer DJ (eds) The conceptual evolution of DSM-5. American Psychiatric Publishing, Washington, DC, pp 19–36
14.
Goldberg DP, Bridges K, Duncan-Jones P, Grayson D (1987) Dimensions of neuroses seen in primary care settings. Psychol Med 17:461–470PubMedCrossRef
15.
Goldberg DP, Prisciandaro JJ, Williams P (2012) The detection of common mental disorders in general medical settings. Gen Hosp Psychiatry 34(6):665–670
16.
Goldberg DP (2012) The overlap between the common mental disorders—challenges for classification. Int Rev Psychiatry (Early Online: 1–7)
17.
Goldberg D, Klinkman M (2013) Primary health care and the ICD-11. Die Psychiatrie 10(1):33–37
18.
Insel T, Cuthbert BN, Garvey M (2010) Research domain criteria (RDoC): toward a new classification framework for research on mental disorders. Am J Psychiatry 167:748–751PubMedCrossRef
19.
Cuthbert BN (2014) The RDoC framework: facilitating transition from ICD/DSM to dimensional approaches that integrate neuroscience and psychopathology. World Psychiatry 13:28–35PubMedCentralPubMedCrossRef
Metadaten
Titel
Psychopathology and classification in psychiatry
verfasst von
David Goldberg
Publikationsdatum
01.01.2015
Verlag
Springer Berlin Heidelberg
Erschienen in
Social Psychiatry and Psychiatric Epidemiology / Ausgabe 1/2015
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-014-0924-y

Weitere Artikel der Ausgabe 1/2015

Social Psychiatry and Psychiatric Epidemiology 1/2015 Zur Ausgabe

Letter to the Editor

Re: Hjorthøj et al.’s article: Risk of suicide according to level of psychiatric treatment: a nationwide nested case–control study, Soc Psychiatry Psychiatr Epidemiol. 2014

Original Paper

Frequencies and predictors of barriers to mental health service use: a longitudinal study of Hurricane Ike survivors

Original Paper

Institutionalization in incident dementia cases in comparison to age- and sex- matched controls: a 5-year follow-up from Germany

Original Paper

Help-seeking characteristics of Chinese- and English-speaking Australians accessing Internet-delivered cognitive behavioural therapy for depression

Original Paper

Association between living arrangements and depressive symptoms among older women and men in South Korea

Original Paper

Acceptability of psychological treatment to Chinese- and Caucasian-Australians: Internet treatment reduces barriers but face-to-face care is preferred

Neu im Fachgebiet Psychiatrie

Demenzkranke durch Antipsychotika vielfach gefährdet

23.04.2024 Demenz Nachrichten

Wenn Demenzkranke aufgrund von Symptomen wie Agitation oder Aggressivität mit Antipsychotika behandelt werden, sind damit offenbar noch mehr Risiken verbunden als bislang angenommen.

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

23.04.2024 Depression antepartal oder postpartal Nachrichten

Bislang gibt es kein Medikament zur Prävention von Wochenbettdepressionen. Das Injektionsanästhetikum Esketamin könnte womöglich diese Lücke füllen.

„Psychotherapie ist auch bei sehr alten Menschen hochwirksam!“

22.04.2024 DGIM 2024 Kongressbericht

Die Kombination aus Medikamenten und Psychotherapie gilt als effektivster Ansatz bei Depressionen. Das ist bei betagten Menschen nicht anders, trotz Besonderheiten.

Auf diese Krankheiten bei Geflüchteten sollten Sie vorbereitet sein

22.04.2024 DGIM 2024 Nachrichten

Um Menschen nach der Flucht aus einem Krisengebiet bestmöglich medizinisch betreuen zu können, ist es gut zu wissen, welche Erkrankungen im jeweiligen Herkunftsland häufig sind. Dabei hilft eine Internetseite der CDC (Centers for Disease Control and Prevention).

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen
Bildnachweise