Problem of diagnostics of mental and behavioural disorders during the postmodernism era

1944

Abstract

In article theoretical, methodological and practical problems of diagnostics of mental and behavioural disorders during a postmodernism era are analyzed. The role of phenomenological and psychometric approaches is estimated. The conclusion that classification of mental and behavioral disorders (ICD and DSM) leads to washing out of borders between mental and behavioral norm and pathology is drawn.

General Information

Keywords: psychiatric diagnostics

Journal rubric: Psychodiagnostics

Article type: scientific article

DOI: https://doi.org/10.17759/exppsy.2015080308

For citation: Mendelevich V.D. Problem of diagnostics of mental and behavioural disorders during the postmodernism era. Eksperimental'naâ psihologiâ = Experimental Psychology (Russia), 2015. Vol. 8, no. 3, pp. 82–90. DOI: 10.17759/exppsy.2015080308. (In Russ., аbstr. in Engl.)

References

  1. Anckarsäter H. Beyond categorical diagnostics in psychiatry: Scientific and medicolegal implications. Int J Law Psychiatry. 2010, vol. 33, no. 2, pp. 59–65.
  2. Baker P. Hearing Voices: Open mind, 1989, vol. 40, pp. 16–17.
  3. Batstra L., Hadders-Algra M., Nieweg E. et al. Childhood emotional and behavioral problems: reduc- ing overdiagnosis without risking undertreatment. Developmental Medicine, Child Neurology, 2012, vol. 54, pp. 492–494.
  4. Bech P. Clinical psychometrics. Oxford: Wiley-Blackwell, 2012. 200 p.
  5. Bech P. Rating scales for psychopathology, health status and quality of life. Berlin: Springer, 1993. 520 p.
  6. Bobrov A.E. Metodologicheskie voprosy diagnostiki psihicheskih rasstrojstv i sovremennye programmy podgotovki specialistov v psihiatrii. [Methodological issues of diagnosis of mental disorders, and modern training programs in psychiatry] Social’naya i klinicheskaya psihiatriya [Social and clinical psychiatry], 2014, no. 2, pp. 50–54 (In Russ.; abstr. in Engl.).
  7. Bouras N, Ikkos G. Ideology, psychiatric practice and professionalism. Psychiatriki, 2013, vol. 24, no. 1, pp. 17–26.
  8. Bracken P., Thomas Ph. Postpsychiatry: a new direction for mental health. The British Medical Journal, 2001, vol. 322, pp. 724–727.
  9. Bradley L. A spirited critique of the practice of psychiatry in the United States that argues for the de- mocratization of psychiatric knowledge. In Moving Beyond Prozac, DSM, and the New Psychiatry. The Birth of Postpsychiatry. Michigan Press, 2006. 216 p.
  10. Christmas D. DSM-5: Fictions, Fallacies, and the Future of Classification. http://www.rcpsych.ac.uk/ pdf/DChristmas_DSM-5FFFC.pdf
  11. Cygankov B.D., Ovsyannikov S.A. O celesoobraznosti perekhoda k nacional’noj klassifikacii psihich- eskih zabolevanij dlya ispol’zovaniya v pedagogicheskoj rabote i pri provedenii nauchnyh issledovanij (proekt). [About the feasibility of the transition to the national classification of mental disorders for use in educational work and scientific research (project)]. Psihiatriya i psihofarmakoterapiya [Psychiatry and pharmacotherapy], 2011, no. 2, pp. 8–9 (In Russ.; abstr. in Engl.).
  12. Fava G.A., Guidi J., Grandi S. et al. The Missing Link between Clinical States and Biomarkers in Mental Disorders. Psychother Psychosom. 2014, vol. 83, pp. 136–141.
  13. Fontenelle L.F., Grant J.E. Hoarding disorder: a new diagnostic category in ICD-11? Revista Brasileira de Psiquiatria, 2014, vol. 36, pp. 28–39.
  14. Frances A. The past, present and future of psychiatric diagnosis. World Psychiatry, 2013, vol. 12, pp. 111–112.
  15. Freeman R., Lewis D., Michels R. et al. The initial Field Trials of DSM-5: New Blooms and Old Thorns. Am. J. Psychiatry, 2013, vol. 170, pp. 1–5.
  16. Humphreys K., Blodgett J.C., Wagner T.H. Estimating the efficacy of Alcoholics Anonymous without self-selection bias: an instrumental variables re-analysis of randomized clinical trials. Alcohol Clin Exp Res., 2014, vol. 38, no. 11, pp. 2688–2694.
  17. Ingenhoven T., Lafay P., Rinne T. et al. Effectiveness of pharmacotherapy for severe personality disor- ders: meta-analyses of randomized controlled trials. J Clin Psychiatry, 2010, vol. 71, no. 1, pp. 14–25.
  18. Insel T. Director’s Blog: Treatment Development: The Past 50 Years. http://www.nimh.nih.gov/about/di- rector/2011/treatment-development-the-past-50-years.shtml
  19. Jaspers K. Obshchaya psihopatologiya [General Psychopathology]. Moscow: Praktika, 1997. 1056 p. (In Russ.; abstr. in Engl.).
  20. Kagee A., Tsai A.C., Lund C. et al. Screening for common mental disorders in low resource settings: Reasons for caution and a way forward. Int. Health, 2013, vol. 5, no. 1, pp. 11–14.
  21. Katschnig H. Are psychiatrists an endangered species? Observations on internal and external challenges to the profession. World Psychiatry, 2010, vol. 9, pp. 21–28.
  22. Korolenko C.P., Dmitrieva N.V. Nomo Postmodernus. Psihologicheskie i psihicheskie narusheniya v post- modernistskom mire. [Nomo Postmodernus. Psychological and psychiatric disorders in the postmodern world]. Novosibirsk: Izd. NGPU, 2009. 248 p. (In Russ.; abstr. in Engl.).
  23. Kotsyubinsky A.P., Shejnina N.S., Mel’nikova Yu.V. et al. Problemy sovremennoj diagnostiki psihich- eskih rasstrojstvyu. [Issues of modern diagnostics of mental disorders]. Obozrenie psihiatrii i medicinskoj psihologii [Review of Psychiatry and Medical Psychology], 2012, no. 4, pp. 7–11 (In Russ.; abstr. in Engl.).
  24. Kursakov A.A. K voprosu ob ehvolyucii i perspektivah razvitiya psihometricheskogo metoda: opyt primeneniya klinicheskogo interv’yu dlya ocenki depressii i smezhnyh sindromov [On the evolution and prospects of the psychometric method: the experience of the clinical interview to assess depression and related syndromes]. Psihiatriya i psihofarmakoter [Psychiatry and psihofarmakoter], 2013, no. 3, pp. 78–81 (In Russ.; abstr. in Engl.).
  25. Kut’ko I.I., Panchenko O.A., Linev A.N. i dr. Klinicheskij metod diagnostiki na sovremennom ehtape razvitiya psihiatrii [Clinical diagnostic method at the present stage of development of psychiatry]. Novosti mediciny i farmacii [News of medicine and pharmacy], 2013, no. 10 (461) (In Russ.; abstr. in Engl.).
  26. Långström N., Zucker K.J. Transvestic fetishism in the general population. Journ. of Sex and Marital Therapy, 2005, vol. 31, no. 2, pp. 87–95.
  27. Lebedeva I.S., Ahadov T.A., Semenova N.A. i dr. Na puti k mul’tidisciplinarnomu sintezu v psihiatrii: metody nejrovizualizacii [On the way to the multidisciplinary synthesis in psychiatry neuroimaging]. In Medicinskaya (klinicheskaya) psihologiya: tradicii i perspektivy (K 85-letiyu Yuriya Fedorovicha Polyakova): sbornik nauchnyh statej [Medical (clinical) psychology: traditions and perspectives (the 85th anniversary of Yuri Fedorovich Polyakov): volume of research papers]. Moscow: MGPPU, 2013. pp. 229–235 (In Russ.; abstr. in Engl.).
  28. Mendelevich V.D. Psihopatologizaciya narkologicheskih rasstrojstv kak dominirushchaya paradigma otechestvennoj narkologii. [Psihopatologizatsiya substance abuse disorders as the dominant paradigm of the national narcology]. Nezavisimyj psihiatricheskij zhurnal [Independent Journal of Psychiatry], 2010, no. 3, pp. 21–27 (In Russ.; abstr. in Engl.).
  29. Mendelevich V.D., Sadykova R.A. Zavisimost’ kak psihologicheskij i psihopatologicheskij fenomen (problemy diagnostiki i differenciacii). [The dependence of both the psychological and psychopathological phenomenon (problem diagnosis and differentiation)]. Vestnik klinicheskoj psihologii [Journal of Clinical Psychology], 2003, no. 2, pp. 153–158 (In Russ.; abstr. in Engl.).
  30. Mezhdunarodnaya klassifikaciya boleznej: 10-j peresmotr. Klassifikaciya psihicheskih i povedencheskih rasstrojstv. Klinicheskie opisaniya i ukazaniya po diagnostike. [International Classification of Diseases: 10th revision. Classification of mental and behavioral disorders. Clinical descriptions and guidelines for the diagnosis]. Eds. Yu. L. Nuller, S. Yu. Cirkin. VOZ. SPb.: Overlajd, 1994 (In Russ.; abstr. in Engl.).
  31. Mezzich H., Saloum I. K voprosu ob usovershenstvovannyh klassifikacionnyh i diagnosticheskih sistemah: MKB-11 i lichnostno-orientirovannyj integrativnyj diagnoz. [On the question of improved diagnostic and classification systems: ICD-11 and a student-centered integrative diagnosis]. Nezavisimyj psihiatricheskij zhurnal [Independent Journal of Psychiatry], 2007, no. 3, pp. 15–19 (In Russ.; abstr. in Engl.).
  32. Mihel’ D.V. Medikalizaciya kak social’nyj fenomen [Medicalization as a social phenomenon]. Vestnik SGTU, 2011, no. 4 (60). Vypusk 2. pp. 256–263 (In Russ.; abstr. in Engl.).
  33. Moser C., Kleinplatz, Peggy J. DSM-IV-TR and the paraphilias. Journ. of Psychology and Human Sexuality, 2006, vol. 17, no. 3, pp. 91–109.
  34. Mosolov S.N. Shkaly psihometricheskoj ocenki simptomatiki shizofrenii i koncepciya pozitivnyh i negativnyh rasstrojstv [Scale of psychometric evaluation of symptoms of schizophrenia and the concept of positive and negative disorders]. Moscow: Novyj cvet, 2001. 238 p. (In Russ.; abstr. in Engl.).
  35. Novohacki A.V. Principy dokazatel’noj mediciny v klinicheskoj psihologii: sovremennyj podhod k prinyatiyu ob’ektivnyh klinicheskih reshenij. [Principles of evidence-based medicine in clinical psychology: a modern approach to the adoption of objective clinical solutions]. Vestnik YUUrGU, 2010, no. 17. pp. 85–88 (In Russ.; abstr. in Engl.).
  36. Petho B. Recent crisis of psychiatry in the context of modern and postmodern science. Psychiatr Hung, 2008, vol. 3, no. 6, pp. 396–419.
  37. Polishchuk YU.I., Letnikova Z.V. Diagnosticheskoe i terapevticheskoe znachenie vrachebnoj ehmpatii v psihiatrii. [Letnikova Diagnostic and therapeutic value of empathy in medical psychiatry]. Social’naya i klinicheskaya psihiatriya [Social and clinical psychiatry], 2013, no. 3, pp. 99–103 (In Russ.; abstr. in Engl.).
  38. Polunina A.G., Bryun E.A. Antisocial’noe povedenie: nejropsihologicheskie korrelyaty i rol’ nejrobiologicheskih faktorov [Antisocial behavior: neuropsychological correlates of the role of neuro- biological factors]. Social’naya i klinicheskaya psihiatriya [Social and clinical psychiatry], 2013, no. 4, pp. 83–90 (In Russ.; abstr. in Engl.).
  39. Popov Yu.V., Vid V.D. Sovremennaya klinicheskaya psihiatriya[Modern clinical psychiatry]. Moscow: Ekspertnoe byuro, 1997 (In Russ.; abstr. in Engl.).
  40. Psihiatriya: nacional’noe rukovodstvo. [Psychiatry: national handbook] Eds. T.B. Dmitrieva, V.N. Krasnov, N.G. Neznanova, V.Ya. Semke, A.S. Tiganova. Moscow: GEHOTAR-Media, 2012. 622 p. (In Russ.; abstr. in Engl.).
  41. Schneider K. Klinicheskaya psihopatologiya. [Clinical Psychopathology]. Kiev, 1999. 215 p. (In Russ.; abstr. in Engl.).
  42. Sobchik L.N. Psihodiagnostika v medicine: prakticheskoe rukovodstvo [Psychodiagnostics in medicine: a practical guide]. Moscow: BORGES, 2007. 416 p. (In Russ.; abstr. in Engl.).
  43. Solov’eva S.L. Kriterii normy v klinicheskoj psihologii. [Criteria of norm in clinical psychology]. Medicinskaya psihologiya v Rossii: ehlektron. nauch. zhurn. [Medical psychology in Russia: the electronic scientific journal], 2014, no. 3 (26). URL: http://mprj.ru (access date: 20.07.2015) (In Russ.; abstr. in Engl.).
  44. Szasz T.S. The Myth of Mental Illness. American Psychologist, 1960, vol. 15, pp. 113–118.
  45. Trushchelyov S.A. Usloviya primeneniya diagnosticheskih testov v psihiatrii (analiticheskij obzor). [Terms of use of diagnostic tests in psychiatry (analytical review)]. Rossijskij psihiatricheskij zhurnal [Russian Journal of Psychiatry], 2014, no. 5, pp. 81–91 (In Russ.; abstr. in Engl.).
  46. Vlasova O. Antipsihiatriya. Social’naya teoriya i social’naya praktika. [Antipsychiatry. Social Theory and Social Practice]. Moscow: Vysshaya Shkola Ekonomiki (Gosudarstvennyj Universitet), 2014. 432 p. (In Russ.; abstr. in Engl.).
  47. Vygonskij S. Psihiatricheskij diagnoz kak fenomen kul’tury [Psychiatric diagnosis as a phenomenon of culture]. Medicina Yuga Rossii [Medicine of Southern Russia], 2001, no. 12 (73), pp. 12 (In Russ.; abstr. in Engl.).
  48. Whitley R. Postmodernity and mental health. Harv Rev Psychiatry, 2008, vol. 16, no. 6, pp. 352–364.

Information About the Authors

Vladimir D. Mendelevich, Doctor of Medicine, Head of Chair of Medical Psychology of Department of Medical and General Psychology, Kazan State Medical University, Kazan, Russia, e-mail: mend@tbit.ru

Metrics

Views

Total: 3103
Previous month: 33
Current month: 23

Downloads

Total: 1944
Previous month: 5
Current month: 5