정신과 진단체계에 대한 역사적 고찰 : 우울증 개념을 중심으로

• 영문명: A Historical Consideration of Psychiatric Diagnostic Systems : Focusing on the Concept of Depression
• 발행기관: 대한신경정신의학회
• 저자명: 강웅구 김혜수
• 간행물 정보: 『신경정신의학』제53권 제5호, 259~292쪽, 전체 34쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2014.09.29

영문 초록

Today’s diagnostic criteria are based on consensus, however, they are still incomplete and being changed. These unstable but temporarily dogmatic criteria have been constraining the thinking of individual psychiatrists, and invalidating painful scientific achievements based on previous ones. The limitation of the criteria system appears especially clear concerning depression due to the ambiguity of its definition. Therefore, the aim of this article was to review the history of various concepts of depression and to compare this to today’s tendency, which attempts to consolidate diversity. In addition to all Diagnostic and Statistical Manual (DSM), Internal Classification of Diseases (ICD)-9, ICD-9-CM, and ICD-10 were centrally discussed. Classic descriptions of depression were extracted from reviews of classic literature, and some salient concepts and the process by which they had been integrated, divided, and newly proposed was traced. The descriptions of depression whose prototype had been melancholia have experienced significant conceptual changes through DSM-IV and the most recent DSM-V ; they impose tasks that are yet to be resolved. Among them, whether various depressive syndromes are diverse phenotypes of one disorder or they all represent different disorders could be regarded as the most fundamental problem. In order to conduct fruitful studies and to ensure proper treatment of every patient, more precise nosologic understanding of depression must be pursued.

목차

서 론

방 법

결 과

토 론

보론 ; DSM 및 ICD 체계에서 우울증 분류의 역사

REFERENCES

키워드

Depression Melancholia Diagnostic criteria DSM ICD Nosology Spectrum