Diagnostic Handbooks

关键概述-性健康的含义

什么是性健康?

精神病诊断与统计手册

逝者如斯夫,现代精神病学的精神病诊断手册已经被修订。就性问题而言,精神病诊断手册不断地被修订得更加的富有自我批评精神、更加的合乎尺度和更加的简洁了。它们也被修订得更加的精确了。
一百年以前,精神病诊断手册仍然充斥着像堕落(degeneration)”性精神变态(sexual psychopathy)”道德精神错乱(moral insanity)”这样弹性十足的诊断术语(rubber diagnoses)”。这些术语仍旧几乎不能够涵盖任何一个道德卫道士可能感到讨厌的任何东西。与之相反,现代精神病诊断手册更加地专业化了,并对满足治疗需要而言,其定义则非常精炼了。总而言之,从前的许多精神病诊断标准已经被删除。这是由于来自于外界的不懈批评所导致的和精神病学界自我审定的结果。(另见:此处)

 

美国精神病协会诊断与统计手册 
左:精神病诊断与统计手册(第三版)-修订于1987年。中:精神病诊断与统计手册(第四版)-1994年文本修订版。右:精神病诊断与统计手册(第五版)-2013。

The Diagnostic and Statistical Manual
of the American Psychiatric Association.
Left: III. Edition - Revised 1987.
Middle: IV. Edition - Text Revision 1994.
Right: V. Edition
2013.

Critical Introduction - The Meaning of Sexual Health

What is Sexual Health?

Diagnostic Handbooks

The diagnostic handbooks of modern psychiatry have repeatedly been revised over the last years. With regard to sexual problems, they have become ever more self-critical, modest and brief. They have also become more precise.
One hundred years ago, they still contained "rubber diagnoses" like  "degeneration", "sexual psychopathy" or "moral insanity" that could be stretched to cover almost anything any moral busybody might find offensive. In contrast, today the diagnoses are much more specific, and the need for treatment is much more narrowly defined. Many former diagnoses have been removed altogether. This is the result of a critical self-evaluation which is prompted by continuing criticism from the outside.(
also see: here)

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