Steven Hyman on Categorising Mental Disorders

史蒂文·海曼谈精神疾病分类

Philosophy Bites

社会与文化

2016-01-29

16 分钟
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Steven E. Hyman discusses the philosophical issues that arise from attempting to categorise mental disorders with David Edmonds in this episode of the Philosophy Bites podcast.
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  • This is philosophy bytes with me, David.

  • Edmonds, and me, Nigel Warburton.

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  • In America and elsewhere, psychiatrists use the DSM, the Diagnostic and Statistical Manual of Mental Disorders, to identify a range of symptoms of conditions such as depression and schizophrenia.

  • This is now in its fifth edition.

  • The analogy here is with other kinds of illness, such as smallpox or ebola.

  • But is the assumption that mental disorders are discrete discontinuous categories like other illnesses?

  • A reasonable one?

  • Stephen Hyman questions some of the philosophical assumptions on which the DSM categorisations are based.

  • Steve Hyman, welcome to philosophy bites.

  • Thank you.

  • It's a pleasure to be here.

  • The topic we're talking about today is the philosophy of psychiatry, and in particular the problem of categorization.

  • How are people categorized in psychiatry?

  • The current classification in psychiatry, which dates from Emil Kraepelin's work in the late 19th century, but was formalized with the Diagnostic and Statistical Manual of Mental Disorders.

  • The DSM three, published in 1980, is that psychiatric disorders are treated as discontinuous categories, that is, discontinuous from health and discontinuous from each other.

  • And the DSM lists a great number of them.

  • So we might have a category like autism or attention deficit hyperactive disorder, and there would be a set of criteria by which doctors, psychiatrists would use to judge whether you have that condition.