Broadening the international base for the development of an integrated diagnostic system in psychiatry.

摘要: One of the long-cherished aspirations in international psychiatry has been development a common language to allow clinicians and researchers from four corners world be able truly communicate with each other (1,2). This should universal concepts causation standardization strategies techniques diagnosis treatment mental disorders, while avoiding influence confounding variables that might cloud their true nature. aspiration source tremendous advances for psychiatry. It moved forward field understanding genetic biological factors illness, increased reliability psychiatric clinical practice research across world. Taken extremes, however, this can serious drawbacks. First, it may promote generalization reductionistic views disease based on culturally biased cognitive schemas, which, if adapted cultures without consideration local realities, reach level ineffective myths appropriate explanatory usefulness (3). In addition, position create risky assumption practitioners developing areas must accept use uncritically theories about originated scientific centers developed world, only marginal what is idiosyncratic particular patient who presents care. Although great differences remain amount quality resources (human, financial otherwise) devoted study illness between undeveloped recent years increase communications direct projects such as WPA's International Guidelines Psychiatric Diagnosis have provided an opportunity more assertive incorporation process production knowledge concerning multidimensional nature illness. Their participation brought fore discussion issues effect culture generation shaping illnesses effective ways treating preventing them, especially individuals 'disparate cultures' living countries (4). This scenario confronted health workers new challenges. For those main challenge remains diligent methods technology gain credibility data coming studies. They also pay attention which incorporated locally order benefit patients under care keeping connected mainstream practicing challenges taming ethnocentrism (5), reviewing self-fulfilling prophecies world. The goal avoid presumption contributions are non-serious flawed. An additional commit scientists support through collaborative transmission classification areas.