¿es hora de despertar a la Bella Durmiente? En 1980, la psiquiatría europea cayó en un profundo sueño

Translated title of the contribution: Is it time to awaken Sleeping Beauty? European psychiatry has been sleeping since 1980

Research output: Contribution to journalArticlepeer-review

9 Scopus citations

Abstract

The Diagnostic and Statistical Manual of Mental Disorders (DSM-III), published in 1980, has led to a dead end, the DSM-V. Following the allegory of Sleeping Beauty, the DSM-III put European psychiatry to sleep; it now must wake up to create a 21st century psychiatric language for descriptive psychopathology and psychiatric nosology. Four topics are reviewed. First, the review of descriptive psychopathology focuses on: a) Chaslin's and Jaspers's books, and b) Schneider's transmittal of Jaspers's ideas and involvement with Kraepelin in incorporating neuroscience into psychiatric nosology. Second, US psychiatry's historic steps include: a) the pseudoscience of psychoanalysis, b) the low level of pre-DSM-III diagnostic expertise, c) the neo-Kraepelinian revolution which led to DSM-III, d) the failure to improve diagnostic skills, and e) the reprise of Kraepelin's marketing («neuroscience will save psychiatry»). Third, the DSM-III devastated European psychiatry by destroying: a) the national textbooks which increased consistency but eliminated creative European thinking; and b) the Arbeitsgemenschaft fur Methodic und Dokumentation in der Psychiatrie, the most reasonable attempt to reach diagnostic agreement: start with symptoms/signs (first level) rather than disorders (second level). Fourth, Berrios elaborated upon Jaspers, who described psychiatry as a hybrid science and heterogeneous. Berrios affirmed that psychiatric symptoms/signs are hybrid. Some symptoms are in the «semantic space» and cannot be «explained» by neuroscience.

Translated title of the contributionIs it time to awaken Sleeping Beauty? European psychiatry has been sleeping since 1980
Original languageSpanish
Pages (from-to)186-194
Number of pages9
JournalRevista de Psiquiatria y Salud Mental
Volume7
Issue number4
DOIs
StatePublished - Oct 1 2014

Bibliographical note

Publisher Copyright:
© 2013 SEP y SEPB.

Keywords

  • Diagnostic and Statistical Manual of Mental Disorders
  • Europe
  • History 19th century
  • History 20th century
  • United States

ASJC Scopus subject areas

  • Psychiatry and Mental health

Fingerprint

Dive into the research topics of 'Is it time to awaken Sleeping Beauty? European psychiatry has been sleeping since 1980'. Together they form a unique fingerprint.

Cite this