From diversity to unity. The classification of mental disorders in 21st-century China.

摘要: Although the ICD-10 and DSM-IV have become truly global systems of psychiatric classifications, 2,29 local diagnostic exist in some important regions world. One example is Chinese Classification Mental Disorders (CCMD) China, which constitutes over one fifth humankind. Understanding this system allows us to communicate with psychiatrists attunes clinicians forms distress an intercultural treatment context. Besides, analysis its discrepancies from international fosters reflective self-criticism on hand, rewarded insights both universality particularity psychopathology other. 14,23,27 The first published classification mental disorders appeared 1979. This has undergone steady revisions 1981, 1984, 1989, 1995 most recently 2001. 7,8,16 latter (3rd) edition, known as CCMD-3, been substantially influenced by schemata, but contains locally salient features that are absent systems. CCMD-3 English same volume, 234 pages. It sold at RMB20 (US$2.70) per copy China. Published April 2001, it widely used throughout country. Many opinion special advantages, such simplicity, continuity, inclusion culture-distinctive categories, exclusion irrelevant Western categories. Because etiologic factors can determine decisions prognosis, approach said be symptomatologic. based field trials involving 1538 adult 773 adolescent child subjects various disorders. 8 article highlights issues cross-cultural interest CCMD-3.