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Les catégories psychiatriques sont-elles dépassées ?

Is categorization in psychiatry outdated?

  • Méthodologie / Methodology
  • Published:
PSN

Résumé

Nous mettons en lumière les ressorts théoriques de l’opposition qui existe en psychiatrie, concernant l’avenir des classifications nosologiques, entre partisans d’une approche catégorielle et partisans d’une approche dimensionnelle de la pathologie mentale. Nous cherchons à montrer que la rigidité de cette opposition est en partie due à l’affrontement de deux positions théoriques que nous renvoyons dos à dos : un réalisme des maladies mentales d’un côté, un réalisme ou essentialisme des traits psychologiques de l’autre côté.

Abstract

This article sheds light on the issues raised by the current debate between advocates of psychological categorization and those of the dimensional approach in psychiatric nosology. The inflexibility of the two opposing positions can be explained in part by the clashing of the two theoretical points of view: a realism of mental disease on the one hand and a realism (or essentialism) of psychological constructs on the other.

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Références

  1. American Psychiatric Association (2000) Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision, Washington, DC: American Psychiatric Association

    Google Scholar 

  2. Baruch P, Filteau M, Bouchard R, et al (1992) The dimensional approach to clinical psychopharmacology: a polysemous concept. J Psychiatry Neurosc 17(2): 55–60

    CAS  Google Scholar 

  3. Cloninger R (1987) A systematic method for clinical description and classification of personality variants. Arch Gen Psychiatry, 44: 573–588

    PubMed  CAS  Google Scholar 

  4. Cloninger R (2006) The science of well being: An integrated approach to mental health and its disorders. World Psychiatry 5(2): 71–76

    PubMed  Google Scholar 

  5. Cronbach LJ, Meehl PE (1955) Construct validity in psychological tests. Psychol Bull 52: 281–302

    Article  PubMed  CAS  Google Scholar 

  6. Eison M (1989) The new generation of serotonergic anxiolytics: possible clinical roles. Psychopathology 22(Suppl 1): 13–20

    Article  PubMed  Google Scholar 

  7. Engelhardt H (1981) The Concepts of Health and Disease. In: Caplan A, Engelhardt H Jr, MacCartney J (eds), Concepts of Health and Disease — Interdisciplinary Perspectives (31–45), Reading (MA): Addison-Wesley Publishing Company

    Google Scholar 

  8. Essen-Moller E, Wohlfahrt S (1947) Suggestions for the amendment of the official Swedish classification of mental disorders. Ada Psychiatrica Scandinavica 551–555

  9. Fagot-Largeault A (1988) Le concept de maladie sousjacent aux tentatives d’informatisation du diagnostic médical. Hist Phil Life Sci 10(suppl): 89–110

    Google Scholar 

  10. Feighner J, Robins E, Guze S, et al (1972) Diagnostic criteria for use in psychiatric research. Arch Gen Psychiatry 26: 57–63

    PubMed  CAS  Google Scholar 

  11. First M (2004) Dimensional Models of Personality Disorders: etiology, pathology, phenomenology, and treatment. The future of psychiatric diagnosis: refining the research agenda, American Psychiatric Publishing, Inc

  12. Foulds G (1976) The hierarchical nature of personal illness, London: Academic Press.

    Google Scholar 

  13. Gayon J (2004) Épistémologie de la médecine. Dans Lecourt D (dir.), Dictionnaire de la pensée médicale, Paris: PUF

    Google Scholar 

  14. Goldberg LR (1993) The Structure of Phenotypic Personality Traits. Am Psychol 48(1): 26–34

    Article  PubMed  CAS  Google Scholar 

  15. Haslam N (2002) Kinds of Kinds: A Conceptual Taxonomy of Psychiatric Categories. Philosophy, Psychiatry, & Psychology 9: 203–218

    Article  Google Scholar 

  16. Haslam N (2003) The dimensional view of personality disorders: a review of the taxometric evidence. Clin Psychol Rev 23: 75–93

    Article  PubMed  Google Scholar 

  17. Jay Gould S (1983) La mal-mesure de l’homme: l’intelligence sous la toise des savants, Paris: Ramsay

    Google Scholar 

  18. Kendell R (2002) The Distinction between Personality Disorder and Mental Illness. Br J Psychiatry 180: 110–115

    Article  PubMed  CAS  Google Scholar 

  19. Kendler K (2006) Reflections on The Relationship Between Psychiatric Genetics and Psychiatric Nosology. Am J Psychiatry 163(7): 1138–1146

    Article  PubMed  Google Scholar 

  20. Klerman G (1978) The evolution of a scientific nosology. In: Shershow J (ed), Schizophrenia: Science and practice, Cambridge: Harvard University Press

    Google Scholar 

  21. Kraemer H (2006) Dimensional Approaches in Diagnostic Classification: A Critical Appraisal. The Future of Psychiatric Diagnosis: Refining the Research Agenda. American Psychiatric Publishing, Inc

  22. Kupfer D, First M, Regier D (eds) (2002) A Research Agenda for DSM-V, Washington, D.C.: American Psychiatric Association

    Google Scholar 

  23. Lamiell JT (2006) La psychologie contemporaine des « traits » dans le cadre de la recherche néogaltonienne: comment elle est censée fonctionner et pourquoi en réalité elle ne fonctionne pas ? Psychol Fr 51: 337–355

    Google Scholar 

  24. Livesley W, Schroeder M, Jackson D, Jang K (1994) Categorical distinctions in the study of personality disorder: implications for classification. J Abnorm Psychol 103(1): 6–17

    Article  PubMed  CAS  Google Scholar 

  25. Machado P, Machado B, Goncalves S, Hoek H (2007) The prevalence of eating disorders not otherwise specified. Int J Eat Disord 40(3): 212–217

    Article  PubMed  Google Scholar 

  26. Millon T (1983) DSM-III: An insider’s perspective. Am Psychol 38: 804–814

    Article  PubMed  CAS  Google Scholar 

  27. Mischel W (1968) Personality and assessment, New York: Wiley

    Google Scholar 

  28. Oldham J, Skodol A, Kellman H, et al (1995) Comorbidity of axis I and axis II disorders. Am J Psychiatry 152(4): 571–578

    PubMed  CAS  Google Scholar 

  29. Robins E, Guze S (1970) Establishment of diagnostic validity in psychiatric illness: its application to schizophrenia. Am J Psychiatry 126: 983–987

    PubMed  CAS  Google Scholar 

  30. Van Praag H (2000) Nosologomania: a disorder of psychiatry. World J Biol Psychiatry, 1(3): 151–158

    Article  PubMed  Google Scholar 

  31. Van Praag H, Asnis G, Kahn R, et al (1990) Nosological tunnel vision in biological psychiatry. A plea for a functional psychopathology. Ann N Y Acad Sci 600: 501–510

    Article  PubMed  Google Scholar 

  32. Van Praag H, Kahn R, Asnis G, et al (1987) Denosologization of biological psychiatry or the specificity of 5-HT disturbances in psychiatric disorders. J Affect Disord 13(1): 1–8

    Article  PubMed  Google Scholar 

  33. Widiger TA, Trull TJ (2007) Plate Tectonics in The Classification of Personality Disorder. Shifting to a Dimensional Model. Am Psychol 62(2): 71–83

    Article  PubMed  Google Scholar 

  34. Zachar P, Kendler K (2007) Psychiatric disorders: a conceptual taxonomy. Am J Psychiatry 164(4): 557–565

    Article  PubMed  Google Scholar 

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  1. IHPST, 13, rue du Four, F-75006, Paris, France

    S. Demazeux

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  1. S. Demazeux
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Correspondence to S. Demazeux.

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Cet article est une version remaniée d’un texte initialement paru dans la revue Philonsorbonne, n° 2, décembre 2007. Je remercie Mme Chantal Jaquet de m’avoir autorisé à le publier dans PSN.

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Demazeux, S. Les catégories psychiatriques sont-elles dépassées ?. Psychiatr Sci Hum Neurosci 6, 17–25 (2008). https://doi.org/10.1007/s11836-008-0049-z

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