[The process of decision in the categorical-nosological classification of depressives syndromes and its importance for the concept of therapy (author's transl)].
Proceeding from the fact psychiatric thinking is very much based on fixed categories we try to study the rigidity of the traditional system of nosological classification of the depressive syndromes. Though an increasing number of colleagues advocates a multiconditional or complex analysis of depressive states in theory and praxis, and in their majority is convinced of an involvement of both endogenous and psychogenic factors in most depressions, this conviction seems not to influence the use of those traditional categories. A classification of endogenous and psychogenic depressions corresponding to the accustomed diagnostical schemes is being applied. The general acceptance of this coercion to an absolute alternative diagnosis reveals us the reign of traditional categories in our mental attitude. Thus, we must aspire to create denotations for a nosological main-group of depressive states that will be interpreted multi-conditional. Such a step would have extensive consequences for our treatment concepts. The traditional alternative diagnostics still suggest the possibility of an alternative therapy and thus mainly tend to a single-track accentuation in either pharmacological or psychological therapy. Provided a better categorial and nosological differentiation of the depressive spectrum, the construction of integrated plans of therapy could be achieved in a more differentiated and better founded way.
D003863:Depression / Q000145:classification*; D006801:Humans
Zum Entscheidungszwang in der begrifflich-nosologischen Zuordnung depressiver Syndrome und seiner Bedeutung für das therapeutische Konzept