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Increasing the Role of Phenomenology in Psychiatric Diagnosis–The Clinical Staging Approach
The Journal of Medicine and Philosophy ( IF 1.493 ) Pub Date : 2020-10-23 , DOI: 10.1093/jmp/jhaa022
Anna Drożdżowicz 1
Affiliation  

Abstract Recent editions of diagnostic manuals in psychiatry have focused on providing quick and efficient operationalized criteria. Notwithstanding the genuine value of these classifications, many psychiatrists have argued that the operationalization approach does not sufficiently accommodate the rich and complex domain of patients’ experiences that is crucial for clinical reasoning in psychiatry. How can we increase the role of phenomenology in the process of diagnostic reasoning in psychiatry? I argue that this could be done by adopting a clinical staging approach in diagnostic reasoning in psychiatry. The approach has the resources to include the progressive nature of patients’ experiences to a much greater degree than is currently practiced. It can address the recent plea for increasing the role of phenomenology in psychiatric diagnosis by offering a model for clinical reasoning that goes beyond the operationalized, static criteria of diagnostic manuals, without depriving us of their benefits.

中文翻译:

增加现象学在精神病学诊断中的作用——临床分期方法

摘要 精神病学诊断手册的最新版本侧重于提供快速有效的操作标准。尽管这些分类具有真正的价值,但许多精神病学家认为,操作化方法并没有充分适应对精神病学临床推理至关重要的丰富而复杂的患者体验领域。我们如何才能增加现象学在精神病学诊断推理过程中的作用?我认为这可以通过在精神病学诊断推理中采用临床分期方法来完成。该方法具有资源,可以将患者体验的渐进性纳入到比当前实践更大的程度。
更新日期:2020-10-23
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