Abstract:
:To locate the place of idiographic, narrative formulations in a psychiatric nosology and to address the problems stemming from the absence of such formulations in ICD-10 and DSM-IV, the author begins with a review of the stated goals of DSM-IV: that it should serve clinical, research, educational and information-management purposes. He argues that there is a conflict between the clinical and research goals of both manuals and that, with their emphasis on categorical diagnoses, criteria sets and statistical reliability, they serve the purposes of the biomedically oriented researcher better than those of the clinician. The latter is focused on the individual patient and tends in his diagnostic assessment toward a narrative fleshing out of the particulars of the patient's life and personality. Clinicians do not work with tight criteria sets but rather with a prototypal or ideal-type approach, and they emphasize individual histories, psychodynamic formulations and other kinds of idiographic accounts. If a psychiatric nosology is to serve as a clinically useful instrument, it will have to allow for such formulations. The author then offers a description and definition of idiographic, narrative formulations, along with remarks on the conceptual background to this approach. He concludes by highlighting the work of the workgroup of the World Psychiatric Association in developing a section of their International Guidelines for Diagnostic Assessment entitled 'Idiographic (personalised) Diagnostic Formulation'.
journal_name
Psychopathologyjournal_title
Psychopathologyauthors
Phillips Jdoi
10.1159/000086087subject
Has Abstractpub_date
2005-07-01 00:00:00pages
180-4issue
4eissn
0254-4962issn
1423-033Xpii
86087journal_volume
38pub_type
杂志文章相关文献
PSYCHOPATHOLOGY文献大全abstract:BACKGROUND:The aim of the study was to reveal the background dimensions of suicidal behaviour (SB) and to identify clusters of Hungarian adolescent outpatients suffering from suicidality by means of the following correlates of SB: depression, inadequate conflict-solving methods, dysfunctional attitudes, maladaptive cop...
journal_title:Psychopathology
pub_type: 杂志文章
doi:10.1159/000228839
更新日期:2009-01-01 00:00:00
abstract::In contrast to the clinical psychopathological approach to emotion, we used aspects of the cognitive emotion theories formulated by Lazarus [1966] and Folkman and Lazarus [1985]. According to these theories, emotion is a product of cognitive appraisal and coping a mechanism regulating emotion. We put into operation fo...
journal_title:Psychopathology
pub_type: 杂志文章
doi:10.1159/000284566
更新日期:1988-01-01 00:00:00
abstract::A case report is presented of a koro-like syndrome in a 34-year-old Bedouin man living in the Negev desert in Israel. The patient's disturbance is accompanied by voyeurism and the onset appears to be related to his sexual practices. This is the first reported case among Bedouins, who are an Arab nomadic tribe living i...
journal_title:Psychopathology
pub_type: 杂志文章
doi:10.1159/000029037
更新日期:1998-01-01 00:00:00
abstract::The recognition and treatment of depressive states, as well as their prevention, call for special knowledge and experience. Therefore it was considered desirable that practising physicians with no specialised knowledge of psychiatry should be given more extensive opportunity for post-graduate instruction in the diagno...
journal_title:Psychopathology
pub_type: 杂志文章
doi:10.1159/000285134
更新日期:1986-01-01 00:00:00
abstract:BACKGROUND:Psychoanalytical theories coincide in understanding depersonalization (DP) as a disorder of narcissistic self-regulation. DP is described as an ego defense against overwhelming shame resulting in a splitting of an observing ego detached from the experiencing self. In contrast to a behavioral-cognitive theory...
journal_title:Psychopathology
pub_type: 杂志文章
doi:10.1159/000093523
更新日期:2006-01-01 00:00:00
abstract:BACKGROUND:Eating disturbances are frequent in bipolar disorder and are associated with poor outcome. Our objective is to assess the psychometric properties of a specific scale for the evaluation of eating disturbances in bipolar patients. SAMPLING AND METHODS:Validation study of 2 groups with a 6-month follow-up (90 ...
journal_title:Psychopathology
pub_type: 杂志文章
doi:10.1159/000155216
更新日期:2008-01-01 00:00:00
abstract::People having intimate relationships with persons suffering from borderline personality disorder (BPD) - for instance, members of their family - are likely to be involved in stormy, roller coaster relationships. Thus, they may feel overwhelmed by extreme, unpredictable feelings and situations, even when they do not su...
journal_title:Psychopathology
pub_type: 杂志文章,评审
doi:10.1159/000486603
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Impulsivity is a core feature of borderline personality disorder (BPD). However, previous clinical and experimental studies investigating impulsivity in BPD rendered mixed results. In this study, impulsivity was assessed by self-report scales and behavioral inhibition tasks to compare different data levels. ...
journal_title:Psychopathology
pub_type: 杂志文章
doi:10.1159/000304174
更新日期:2010-01-01 00:00:00
abstract:INTRODUCTION:The DSM-5 Alternative Model of Personality Disorders (AMPD) and the ICD-11 classification of personality disorders (PD) are largely commensurate and, when combined, they delineate 6 trait domains: negative affectivity, detachment, antagonism/dissociality, disinhibition, anankastia, and psychoticism. OBJEC...
journal_title:Psychopathology
pub_type: 杂志文章
doi:10.1159/000507589
更新日期:2020-01-01 00:00:00
abstract::Alexithymia as a disorder of affect regulation entails a patient's reduced ability to process emotional information. The purpose of this study was to evaluate the impact of alexithymia [as measured by the Toronto Alexithymia Scale (TAS)-26, German version] on affective correlates in a dyadic therapeutic interaction (a...
journal_title:Psychopathology
pub_type: 杂志文章
doi:10.1159/000085772
更新日期:2005-05-01 00:00:00
abstract:BACKGROUND:Preoccupied and fearful attachment have both been associated with depressive symptoms, but it is unclear which attachment style is primarily associated with major depression. While preoccupied attachment denotes a focus on relationships as a source of self-validation, fearful attachment involves an avoidance...
journal_title:Psychopathology
pub_type: 杂志文章
doi:10.1159/000082268
更新日期:2004-11-01 00:00:00
abstract::In an investigation of 70 chronically mentally ill patients in a district psychiatric hospital, 11 cases were discovered which had been diagnosed up to now as schizophrenia, but could now be diagnosed as being of organic origin. In group 1 (cases 1-6) there are dementive states after toxic, inflammatory or early child...
journal_title:Psychopathology
pub_type: 杂志文章
doi:10.1159/000284493
更新日期:1987-01-01 00:00:00
abstract:BACKGROUND/AIMS:Until now, no brief self-report instrument for the assessment of dissociative states comprising somatoform and psychological items has been available. Thus, we developed a brief instrument for repeated assessment of dissociation during single neuropsychological experiments and neuroimaging. METHODS:Bas...
journal_title:Psychopathology
pub_type: 杂志文章
doi:10.1159/000236908
更新日期:2009-01-01 00:00:00
abstract:BACKGROUND:Misidentification phenomena, including the delusion of 'imposters' named after Joseph Capgras, occur in various major psychiatric and neurological disorders but have rarely been studied systematically in broad samples of modern patients. This study investigated the prevalence and correlated clinical factors ...
journal_title:Psychopathology
pub_type: 杂志文章
doi:10.1159/000357813
更新日期:2014-01-01 00:00:00
abstract::In order to compare the prevalence of certain symptoms in adolescence with those at other ages, 6,034 apparently normal subjects aged 9-60 years were studied by questionnaire. Fear of blushing and fear of being looked at showed a maximum in the mid-teens and a subsequent gradual decrease both in males and females. The...
journal_title:Psychopathology
pub_type: 杂志文章
doi:10.1159/000284448
更新日期:1986-01-01 00:00:00
abstract::The release of DSM-5 and the preparations for the launch of the ICD-11 provoked a series of critiques of psychiatric classification, which continues to depend largely on clinical description. Among the immediate problems are those of arbitrary diagnostic thresholds, tendency to reification, rigid category boundaries, ...
journal_title:Psychopathology
pub_type: 杂志文章
doi:10.1159/000437232
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:The aim of our study was to identify if defense mechanisms are associated with impulsivity and lifetime suicide attempts in depressed patients. SAMPLING AND METHODS:The Defense Style Questionnaire, the Impulsivity Rating Scale and the Impulse Control Scale were used in 77 depressed inpatients. RESULTS:Impu...
journal_title:Psychopathology
pub_type: 杂志文章
doi:10.1159/000075185
更新日期:2003-11-01 00:00:00
abstract::The various episodes of life significant for outbursts of different psychic disorders may give some facilitations of a better understanding of the underlying basic processes. Two of them are considered in several appearances: genetic predisposition and conditioning processes. A psychology of age may be interpreted in ...
journal_title:Psychopathology
pub_type: 杂志文章
doi:10.1159/000284907
更新日期:1995-01-01 00:00:00
abstract:BACKGROUND:In many severely mentally disordered children, the clinical presentation is complicated by comorbid affective and behavioral dysregulation. Recently, a highly heritable behavioral phenotype of simultaneous deviance on the anxious/depressed, attention problems, and aggressive behavior syndrome scales has been...
journal_title:Psychopathology
pub_type: 杂志文章
doi:10.1159/000318164
更新日期:2011-01-01 00:00:00
abstract::In this study we have attempted to objectify the diagnosis of the borderline syndrome by the use of formal Rorschach testing criteria. The randomly selected protocols of 140 subjects between the ages of 17 and 25 were subjected to cluster analysis of currently accepted scoring criteria for such phenomena as prevalence...
journal_title:Psychopathology
pub_type: 杂志文章
doi:10.1159/000284213
更新日期:1985-01-01 00:00:00
abstract::Psychiatric disorders have a distinct shape, come in types and are inherent in Homo sapiens. To a social scientist, disorders exist by stipulation: contingent on a psychiatric frame of reference. Their materiality has meaning only in that framework. What is important is what that material might correspond to in a soci...
journal_title:Psychopathology
pub_type: 杂志文章
doi:10.1159/000086097
更新日期:2005-07-01 00:00:00
abstract::Capgras syndrome is characterized by a delusion of impostors who are thought to be physically similar but psychologically distinct from the misidentified person. This syndrome is generally thought to be relatively rare. Most of our knowledge about Capgras syndrome derives from single case studies and small series of c...
journal_title:Psychopathology
pub_type: 杂志文章
doi:10.1159/000284765
更新日期:1992-01-01 00:00:00
abstract::Sixty schizophrenics and 40 depressives in remission from the floridly psychotic phase were given a semi-structured interview concerning their abnormal perceptual experiences at the onset of their illness. About 50% of each set of subjects had experienced an alteration in the quality of their perception. However, ther...
journal_title:Psychopathology
pub_type: 杂志文章
doi:10.1159/000284459
更新日期:1986-01-01 00:00:00
abstract::The present paper focuses on two patients suffering from delusional jealousy with an uncommon feature. Both cases are women who developed a homosexual delusional jealousy, that is, 'the phantom other' is a person of the same gender as the individual supposedly having an affair. The discussion centres on the possible s...
journal_title:Psychopathology
pub_type: 杂志文章
doi:10.1159/000069651
更新日期:2003-01-01 00:00:00
abstract::A clinical follow-up lasting from 1 to 6 years on 25 outpatients affected by endogenous psychoses and manifesting ego disorders demonstrates the presence of both activity and passivity experiences in schizophrenias and affective psychoses. No differential diagnosis between the two nosographical groups can be based on ...
journal_title:Psychopathology
pub_type: 杂志文章
doi:10.1159/000284817
更新日期:1993-01-01 00:00:00
abstract::The reliability and usefulness of the Scale for Assessment of Thought, Language and Communication was evaluated in a group of psychotic in-patients. A very high interrater reliability (0.75-1.0) and an optimum rate-rerate reliability (0.50-1.0) were found on the individual items of the scale as well as the global rati...
journal_title:Psychopathology
pub_type: 杂志文章
doi:10.1159/000284714
更新日期:1991-01-01 00:00:00
abstract:BACKGROUND:Cannabis is a possible risk factor for the onset of schizophrenia and can induce neurocognitive, behavioural and motor co-ordination alterations. The aim of this study was to evaluate the role of cannabis in the occurrence of neurological soft signs (NSS) and, considering that this drug has been related to p...
journal_title:Psychopathology
pub_type: 杂志文章
doi:10.1159/000067064
更新日期:2002-09-01 00:00:00
abstract:BACKGROUND:Mental disorders can be associated with suicidal or aggressive ideation and behavior, especially in the context of embitterment. The aim of this study is to investigate the types, prevalence, and dangerousness of aggressive and suicidal ideations associated with embitterment. METHODS:When therapists from th...
journal_title:Psychopathology
pub_type: 杂志文章
doi:10.1159/000489176
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND/AIMS:Several components of social cognition are compromised in schizophrenia (SCZ) from the early stage of the illness. In this study we first investigated whether mirror neuron-driven embodied simulation (mnES) is altered in first-episode SCZ. Second, we tested whether emotional cues impact on the mnES in S...
journal_title:Psychopathology
pub_type: 杂志文章
doi:10.1159/000366133
更新日期:2014-01-01 00:00:00
abstract:BACKGROUND:Anxiety and depression are often found in cardiac patients, but also in the general population. Therefore, evaluation of these symptoms in patients requires a comparison with norm values. The purpose of this study was to explore differences between cardiac patients and the general population in age dependenc...
journal_title:Psychopathology
pub_type: 杂志文章
doi:10.1159/000322796
更新日期:2011-01-01 00:00:00