[Thinking on the coming psychiatry--what the DSM-diagnosis brought about in our psychiatry].
Since the DSM-III diagnosis has been introduced in our psychiatric practices in 1980, the mental disorders which have been thought to be of psychological quality now came to have the biological basis. This means the rebirth of W. Griesinger's concept in which the psychosis is the brain disease. We should say, the mental disorders are the brain disease. This movement is a new conservatism. The second characteristics are widening of concept "mental disorder". The personality disorder is new category which is different from the classical concept of psychopathy. Now all psychiatric professors in Japan have recognize the concept "borderline personality disorder". This means that the psychiatrist has taken over the responsibility about the psychosocial problems from which they had kept themselves away in their clinical practices. The third is that the generalized anxiety disorder and the social anxiety disorder have been included in the DSM diagnosis. These are the borderland concept between the healthy and pathological condition which has been thought to belong to the mental health area. These have given us, the psychiatrist, the opportunity to think again on what the mental soundness really is.
Ushijima
Sadanobu
S
Department of Psychiatry, Jikei University School of Medicine.
D001008:Anxiety Disorders / Q000175:diagnosis / Q000523:psychology / Q000628:therapy; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005544:Forecasting; D006801:Humans; D010554:Personality Disorders / Q000175:diagnosis / Q000523:psychology / Q000628:therapy; D011570:Psychiatry / Q000639:trends*