DSM-5. ¿La incorporación definitiva de la psiquiatría en la medicina?
- Autores: Gustavo Figueroa
- Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 147, Nº. 4, 2019, págs. 475-479
- Idioma: español
- Títulos paralelos:
- DSM-5: the definitive inclusion of psychiatry in medicine?
- Enlaces
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Resumen
DSM-5 is a significant factor in promoting the “remedicalization” of psychiatry as the focus of psychiatric knowledge, developed by the evidence-based medicine movement, shifted from the clinically-based biopsychosocial model to a research-based medical model. DSM-5 purposes are 1]clinical: diagnosis, prevention, early identification, management, outcome, assessment of improvement; 2] clinical research: etiology, course, effective treatments, cost-effective treatments, reliability and validity and utility of diagnosis; 3] a worldwide common language of diagnostic criteria used by mental health professionals; and 4] to improve communication with users of services, caregivers, and society in general. In the absence of a “gold standard” there are two basic questions still without answers 1] what kind of entities are psychiatric disorders?; and 2] How to integrate the multiple explanatory perspectives of psychiatric illness?.
