Email this article Diagnosis of schizotypal disorder: reliability of categorial approach or validity of dimensional one?
- Authors: Kotsiubinskii A.P.1, Isaenko Y.V.1
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Affiliations:
- V.M. Bekhterev National Research Medical Center Psychiatry & Neurology
- Issue: Vol LIII, No 1 (2021)
- Pages: 71-75
- Section: Discussions
- URL: https://journal-vniispk.ru/1027-4898/article/view/58706
- DOI: https://doi.org/10.17816/nb58706
- ID: 58706
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Abstract
The article examines the problem of modern classifications used in psychiatry (ICD, DSM) that are devoid of the fundamental scientific base and primarily serve the goals of statistics and epidemiological research. In this context researchers are increasingly interested in the relationship between the two diagnostic approaches: categorical and dimensional. It is noted that each of these approaches has its own advantages and disadvantages. In this context it is proposed to take into consideration while making a diagnosis of schizotypal disorder not only typological (categorical) attributes but also dementia characteristics of the patient’s mental status, which, in the holistic approach, should be compared with the psychological, social and functional diagnosis.
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##article.viewOnOriginalSite##About the authors
Aleksandr P. Kotsiubinskii
V.M. Bekhterev National Research Medical Center Psychiatry & Neurology
Author for correspondence.
Email: ak369@mail.ru
Доктор медицинских наук, Профессор, Руководитель отделения биопсихосоциальной реабилитации психически больных.
Russian Federation, 192019, St. Petersburg, Bekhterev str., 3Yulia V. Isaenko
V.M. Bekhterev National Research Medical Center Psychiatry & Neurology
Email: m_juliya@bk.ru
кандидат медицинских наук, заведующая отделением биопсихосоциальной реабилитации психически больных
Russian Federation, 192019, St. Petersburg, Bekhterev str., 3References
- Maj M. Beyond diagnosis in psychiatric practice. Ann. Gen. Psychiatry. 2020; 19: 27. doi: 10.1186/s12991-020-00279-2.
- Мазо Г.Э., Незнанов Н.Г., Рукавишников Г.В. Психиатрический диагноз: вверх по лестнице, ведущей вниз. Обозрение психиатр. и мед. психологии им. В.М. Бехтерева. 2015; 1: 15–24. [Mazo G.Eh., Neznanov N.G., Rukavishnikov G.V. Psychiatric diagnosis: Up the down staircase. Obozrenie psikhiatrii i meditsinskoy psikhologii im. V.M. Bekhtereva. 2015; 1: 15–24. (In Russ.)]
- Циркин С.Ю. Аналитическая психопатология. Изд. 3-е, испр. и доп. М.: Бином. 2012; 288 с. [Tsirkin S.Yu. Analiticheskaya psikhopatologiya. 3rd ed. M.: Binom. 2012; 288 p. (In Russ.)]
- Kotov R., Krueger R.F., Watson D. et al. The hierarchical taxonomy of psychopathology: a dimensional alternative to traditional nosologies. J. Abnorm. Psychol. 2017; 126: 454–477. doi: 10.1037/abn0000258.
- Павличенко А.В. Настоящее и будущее диагноза в психиатрической практике. Трудный пациент. 2015; 5–6 (13): 41–48. [Pavlichenko A.V. Present and future of diagnosis in psychiatrics. Trudnyy patsient. 2015; 5–6 (13): 41–48. (In Russ.)]
- Kupfer D. Neuroscience — informed nosology in psychiatry: are we there yet? Asien. J. Psychiatry. 2014; 7: 4–5. doi: 10.1016/j.ajp.2013.12.008.
- Беззубова Е.Б. Клинические особенности витальной деперсонализации при шизофрении. Ж. неврол. и психиатрии. 1991; 7: 83–86. [Bezzubova E.B. Klinicheskie osobennosti vitalʹnoy depersonalizatsii pri shizofrenii. Zhurnal nevrologii i psikhiatrii. 1991;7: 83–86. (In Russ.)]
- Воробьёв В.Ю. Об одном из вариантов юношеской шизофрении, протекающей с преобладанием явлений деперсонализации. Ж. невропатол. и психиатрии им. С.С. Корсакова. 1971; 8: 1224–1232. [Vorobʹev V.Yu. Ob odnom iz variantov yunosheskoy shizofrenii, protekayushchey s preobladaniem yavleniy depersonalizatsii. Zhurnal nevropatologii i psikhiatrii im. S.S. Korsakova. 1971; 8: 1224–1232. (In Russ.)]
- Pamas J. From predisposition to psychosis: progression of symptoms in schizophrenia. Acta Psychiat. Scand. 1999; 99 (395): 20–29. doi: 10.1111/j.1600-0447.1999.tb05979.x.
- Pamas J. Genetics and psychopathology of spectrum phenotypes. Acta Psychiat. Scand. 2000; 101: 413–415. doi: 10.1034/j.1600-0447.2000.101006413.x.
- Pamas J., Bovet P., Zahavi D. Schizophrenic autism: clinical phenomenology and pathogenetic implications. World Psychiatry. 2002; 1: 131–136.
- Allen J.G., Console D.A., Lewis L. Dissociative detachment and memory impairment: reversible amnesia or encoding failure? Compr. Psychiatry. 1999; 40 (2): 160–171. doi: 10.1016/s0010440x(99) 90121-9.
- Brown R.J. Different types of “dissociation” have different psychological mechanisms. J. Trauma Dissociation. 2006; 7 (4): 7–28. doi: 10.1300/J229v07n04_02.
- Holmes E.A., Brown R.J., Mansell W. et al. Are there two qualitativelydistinct forms of dissociation? A review and some clinical implications. Clin. Psychol. Rev. 2005; 25 (1): 1–23. doi: 10.1016/j.cpr.2004.08.006.
- Смулевич А.Б., Иванов С.В., Мясникова Л.К. и др. Диссоциативные реакции в траектории развития шизотипического расстройства личности (на модели нозо-гений у онкологических больных). Ж. неврол. и психиатрии им. С.С. Корсакова. 2014; 12: 12–22. [Smulevich A.B., Ivanov S.V., Myasnikova L.K. et al. Dissotsiativnye reaktsii v traektorii razvitiya shizotipicheskogo rasstroystva lichnosti (na modeli nozogeniy u onkologicheskikh bolʹnykh). Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova. 2014; 12: 12–22. (In Russ.)]. doi: 10.17116/jnevro201411412112-22.
- Westen D., Shedler J. A prototype matching approach to diagnosing personality disorders: toward DSM-V. J. Pers. Desord. 2000; 14 (2): 109–126. doi: 10.1521/pedi.2000.14.2.109.
- Kendell R.E., Cooper J.R., Gourlay A.J. et al. Diagnostic criteria of American and British psychiatrists. Arch. Gen. Psychiatry. 1971; 25: 123–130. doi: 10.1001/archpsyc. 1971.01750140027006.
- Kendell R.E., Jablensky A. Distinguishing between the validity and utility of psychiatric diagnoses. Am. J. Psychiatry. 2003; 160: 4–12. doi: 10.1176/appi.ajp.160.1.4.
- Raine A. Schizotypal personality: neurodevelopmental and psychosocial trajectories. Ann. Rev. Clin. Psychol. 2006; 2: 291–326.
- Коцюбинский А.П. Шизотипическое расстройство: психиатрия. Национальное руководство. Изд. 3-е, испр. и доп. М.: ГОЭТАР-Медиа. 2018; 264–279. [Kotsyubinskiy A.P. Shizotipicheskoe rasstroystvo: Psikhiatriya. Natsionalʹnoe rukovodstvo. 3rd ed M.: GEOTAR-Media. 2018; 264–279. (In Russ.)]
- Кузнецова С.Л., Коцюбинский А.П., Петрова Н.Н. Комплексный диагностический подход к оценке биопсихосоциального функционирования больных с эндогенными психическими расстройствами с позиций функционального диагноза. Мед. психол. в России. 2018; 4 (51): 5. [Kuznetsova S.L., Kotsiubinskii A.P., Petrova N.N. Wholistic diagnostic approach to the evaluation of the bio-psycho-social functioning of patients with endogenous mental disorders from the viewpoint of functional diagnosis. Meditsinskaya psikhologiya v Rossii. 2018; 6 (53): 8–12. (In Russ.)] doi: 10.24411/2219-8245-2018-16060.
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Fig. 1. Correlation of categorical and dimensional characteristics in patients with schizotypal disorder
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