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정신질환의 진단 및 통계 편람 (DSM) 조현병 진단 개념의 변천: 1980년에서 2013년까지

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Abstract
Schizophrenia has been conceptualized as a biologically caused mental disease. However, its
causes and pathophysiology have not yet been clearly defined. Unlike physical diseases that are
defined using specific biomarkers, mental disorders, such as schizophrenia, are usually diagnosed using the diagnostic criteria established by the consensus of a professional committee.
The Diagnostic and Statistical Manual of Mental Disorders (DSM) published by the American
Psychiatric Association is widely used as the authoritative guide for the diagnosis of mental disorders, including schizophrenia. If the cause and pathophysiology of a disease are uncertain, a
diagnostic concept should be considered valid only when the course, prognosis, or treatment
response is generally predictable and consistent. However, patients with schizophrenia who are
diagnosed based on the criteria defined by the DSM frequently display varied disease courses
and outcomes. This strongly suggests that the current diagnostic concept of schizophrenia in
the DSM fails to meet the standards for a valid diagnosis. Although this limitation has been recognized since the DSM-III was published, many psychiatrists today mistakenly believe that the
diagnostic concept in the DSM looks at schizophrenia as an explicit disease rather than as a
concept. In this review article, we analyze the historical changes in the concepts and diagnostic
criteria of schizophrenia. We believe that this will help us to better understand the nature of the
current diagnostic approach and also improve our understanding of how the DSM should be
used in research and everyday clinical practice.
Author(s)
조영탁주연호
Issued Date
2021
Type
Article
Keyword
SchizophreniaDSMHistoryValidityReliability
DOI
10.4306/jknpa.2021.60.4.241
URI
https://oak.ulsan.ac.kr/handle/2021.oak/8650
https://ulsan-primo.hosted.exlibrisgroup.com/primo-explore/fulldisplay?docid=TN_cdi_nrf_kci_oai_kci_go_kr_ARTI_9890592&context=PC&vid=ULSAN&lang=ko_KR&search_scope=default_scope&adaptor=primo_central_multiple_fe&tab=default_tab&query=any,contains,%EC%A0%95%EC%8B%A0%EC%A7%88%ED%99%98%EC%9D%98%20%EC%A7%84%EB%8B%A8%20%EB%B0%8F%20%ED%86%B5%EA%B3%84%20%ED%8E%B8%EB%9E%8C%20(DSM)%20%EC%A1%B0%ED%98%84%EB%B3%91%20%EC%A7%84%EB%8B%A8%20%EA%B0%9C%EB%85%90%EC%9D%98%20%EB%B3%80%EC%B2%9C:%201980%EB%85%84%EC%97%90%EC%84%9C%202013%EB%85%84%EA%B9%8C%EC%A7%80&offset=0&pcAvailability=true
Publisher
신경정신의학
Location
대한민국
Language
한국어
ISSN
1015-4817
Citation Volume
60
Citation Number
4
Citation Start Page
241
Citation End Page
252
Appears in Collections:
Medicine > Medicine
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