”DSM-IV 情緒疾病診斷”這本書

Question

請提供一些DSM-IV 情緒疾病診斷的介紹與這本書的精闢之處
謝謝！！！

Answer 1

神疾病診斷與統計手冊，第四版(DSM-IV)定義廣泛的精神疾病標準‧因為保險公司和醫院喜歡正確、有條理的形式，大多數的精神科醫師用它來當作診斷病人的基礎‧然而，他們還是專注於用藥物或其他療法緩解病情而不是一心想把病人歸類在嚴格的定義分類裏‧ The Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV)[2] defines the criteria for a wide array of mental illnesses. Most psychiatrists use it as a basis for diagnosing patients since insurance companies and hospitals like nice, orderly forms. Yet, they tend to focus more on alleviating symptoms with medication and other therapy than on attempting to fit people into strictly defined categories.研究人員常用DSM-IV裡定義的標準以便與臨床試驗一致，然而，有些研究人員須要多一點彈性而使用一些修正的DSM-IV標準，例如創造新的診斷分類‧(你可以看到有些人提起雙極性三，四型等等‧與其他的項目不在DSM-IV裡‧)Researchers frequently use the criteria as defined in the DSM-IV to ensure consistency across clinical trials. However, some researchers wanting more flexibility use a modified form of the DSM-IV criteria, such as creating a new diagnostic category. (You may see some people mention Bipolar III, IV, etc. and other categories not part of the DSM-IV).DSM-IV的情緒性失調症章節從一些發作症狀開始‧然後用這些症狀定義不同的診斷‧最後，定義一套特別類進一步詳述病人的現況與循環的情形‧在整個DSM-IV裡，作者指定診斷編碼(例如196.40)給每一個可能的診斷‧The DSM-IV chapter on Mood Disorders begins with a list of episodes. It then defines the various diagnoses in terms of these episodes. Finally, it defines a set of specifiers which further detail a patient's current state and how they cycle. Throughout the DSM-IV, the authors give diagnostic codes (e.g. 296.40) for each possible diagnosis.這裡提供了一個情緒性失調症章節的內容摘要以便病人本身和家屬能明確瞭解術語和觀念‧We have provided a summary of the information provided in the Mood Disorders chapter to allow someone diagnosed with a mood disorder or a loved one to better understand the terminology and concepts.

Answer 2

精神科醫師用來診斷精神疾病的「診斷準則」而已。所謂「診斷準則」，也不是「放諸四海皆準」，裡面的分類還有不少爭議，只是一個在「精神醫學政治圈」裡被公開接受的一種診斷標準而已。一般人看了可能覺得很枯燥吧。