Assigning things to their proper class: taxonomic issues and trends in psychiatry

Banzato, Cláudio E. M.

doi:10.1590/1415-47142002001002

Cited by 3 publications

(2 citation statements)

References 9 publications

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“…A narrow comprehension of what evidence means may have been overlooked such as bedside skills and in particular phenomenological examining tradition ( 37 – 39 ). Maybe ongoing “taxonomic issues” and “classification wars” in psychiatry ( 40 – 42 ) are fair and useful, but we should also pinpoint some relevant matters that concern the examination, clinical reasoning and the diagnostic process itself ( 43 ).…”

Section: Introductionmentioning

confidence: 99%

Mental State Examination and Its Procedures—Narrative Review of Brazilian Descriptive Psychopathology

et al. 2019

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Background: Mental State Examination (MSE) is compared with physical examination as a reliable method of objective data investigation. There is a growing concern with psychiatric clinics, nosology, and the reliability of diagnostic interview methods as a source of valid diagnostic strategy. Efforts to achieve an international diagnosis protocol have been unsuccessful or polemical. This paper focuses on psychopathology, MSE, and mental function development within Brazilian psychiatry over the last few decades.Methods: Searches, interviews, and narrative reviews were done to look for systematic ways in which to conduct MSE, mental functions, symptom clusters, orientations about data observation and records. Brazilian psychopathology textbooks were examined, if they provided access to consolidated knowledge on psychopathology examination.Results: Sixteen textbooks were selected from a 49 year span. Descriptive psychopathology with phenomenological orientation was the primary trend in the MSE. Concepts derived from different traditions, most lacking common terminology, suggested some divergence among authors. Recommendations for patient observation and how to collect objective data was clear, but MSE standardization efforts were missing. A detailed description of mental function abnormalities was the main MSE record strategy, without consensus about ways to summarize and record this data. In an examination summary, mental strata was divided into “mental functions,” and MSE subsets were frequent. All authors considered the following mental functions: consciousness, perception, thought, memory, attention, orientation, and volition.Discussion: Psychiatric competence demands MSE proficiency. Official documents are not clear about performance and recording standards. MSE data was usually recorded through descriptive psychopathology. A shift from detailed descriptive findings, to an array of observed pathological elements, described through a mental function checklist was observed over time. Clinical practice and research guidelines should consider the development of reliable MSE practices; however, it has been neglected by modern psychiatry/neuroscience through the excessive emphasis on interview protocols. Better MSE practices, and the improvement of bedside skill in psychiatry are necessary and depend on the recovery of psychopathological debates and semiological reasoning, which will allow the return of phenomenology-oriented “observational” techniques.

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Section: Introductionmentioning

confidence: 99%

Mental State Examination and Its Procedures—Narrative Review of Brazilian Descriptive Psychopathology

et al. 2019

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“…Ese tipo de conocimiento es justificable por el tipo de terapéutica al que conduce: Si los fármacos son sensibles para síntomas y síndromes independientemente de sus entidades o estructuras de origen, entonces cabe pensar que una escatología basada en una propuesta sintomática o sindromológica sea más prudente para ella. Las taxonomías psiquiátricas sólo ofrecen dos de las perspectivas esbozadas anteriormente esencialística -Marxista -o numérica -positivista - (Banzato, 2002) quedando al menos otras dos por explorar. 11.…”

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Los borrosos límites del diagnóstico de las psicosis. ¿En qué ayuda un psicoanálisis? Ilustración clínica

Romero¹,

Machin²

2006

Rev. latinoam. psicopatol. fundam.

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En el artículo se tratan de mostrar las ventajas de una clínica de las psicosis desde una perspectiva psicoanalítica. Con este fin, se presentan cuatro casos que ilustran la problemática. Se discute sobre el lugar del episteme psicoanalítico en las ciencias del sujeto y se defiende su utilidad en la práctica clínica. Luego se ilustran los principales hechos descubiertos por el saber psicoanalítico en la clínica de las psicosis, cuya particular agudeza ayudó a resolver satisfactoriamente los casos presentados. Finalmente se convoca, a través de otro caso, a discutir sobre las lagunas con las que aún debe confrontarse ese saber.

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Ordenando a babel psiquiátrica: Juliano Moreira, Afrânio Peixoto e a paranoia na nosografia de Kraepelin (Brasil, 1905)

Oda

2010

Hist. cienc. saude-Manguinhos

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Investiga os significados da paranoia e de sua aplicação como categoria nosográfica. Apresenta o artigo de Juliano Moreira e Afrânio Peixoto "A paranoia e as síndromes paranoides", apontando a diferenciação que eles estabelecem entre esse constructo clínico e a demência precoce. Indica ainda que situar os limites diagnósticos da paranoia 'legítima' foi maneira de delimitar suas posições teóricas e seu alinhamento a Kraepelin, justificando a escolha da postura científica para tornar moderna a psiquiatria brasileira. Adicionalmente, discute aspectos da história conceitual da paranoia (suas relações com personalidade), quanto aos referenciais teóricos usados por aqueles autores brasileiros em seu artigo.

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Assigning things to their proper class: taxonomic issues and trends in psychiatry

Abstract: In this article the author examines some of the taxonomic challenges still facing diagnostic classification in psychiatry, especially those mentioned in Hempel’s important work entitled Fundamentals on Taxonomy. New trends in research and classification are also discussed.

Cited by 3 publications

References 9 publications

Mental State Examination and Its Procedures—Narrative Review of Brazilian Descriptive Psychopathology

Mental State Examination and Its Procedures—Narrative Review of Brazilian Descriptive Psychopathology

Los borrosos límites del diagnóstico de las psicosis. ¿En qué ayuda un psicoanálisis? Ilustración clínica

Ordenando a babel psiquiátrica: Juliano Moreira, Afrânio Peixoto e a paranoia na nosografia de Kraepelin (Brasil, 1905)

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