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de Leon J. Is it time to awaken Sleeping Beauty? European psychiatry has been sleeping since 1980. Rev Psiquiatr Salud Ment. 2014;7(4):186-94doi: 10.1016/j.rpsm.2013.12.004.
de Leon, J. (2014). Is it time to awaken Sleeping Beauty? European psychiatry has been sleeping since 1980. Revista de psiquiatria y salud mental, 7(4), 186-94. https://doi.org/10.1016/j.rpsm.2013.12.004
de Leon, Jose. "Is it time to awaken Sleeping Beauty? European psychiatry has been sleeping since 1980." Revista de psiquiatria y salud mental vol. 7,4 (2014): 186-94. doi: https://doi.org/10.1016/j.rpsm.2013.12.004
de Leon J. Is it time to awaken Sleeping Beauty? European psychiatry has been sleeping since 1980. Rev Psiquiatr Salud Ment. 2014 Oct-Dec;7(4):186-94. doi: 10.1016/j.rpsm.2013.12.004. Epub 2014 Jan 31. Spanish. PMID: 24486358.
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Rev Psiquiatr Salud Ment. 2014 Oct-Dec;7(4):186-94. doi: 10.1016/j.rpsm.2013.12.004. Epub 2014 Jan 31.

Is it time to awaken Sleeping Beauty? European psychiatry has been sleeping since 1980.

Revista de psiquiatria y salud mental

[Article in Spanish]
Jose de Leon

Affiliations

  1. University of Kentucky Mental Health Research Center, Eastern State Hospital, Lexington, KY, Estados Unidos; Psychiatry and Neurosciences Research Group (CTS-549), Institute of Neurosciences, University of Granada, Granada, España. Electronic address: [email protected].

PMID: 24486358 DOI: 10.1016/j.rpsm.2013.12.004

Abstract

The Diagnostic and Statistical Manual of Mental Disorders (DSM-III), published in 1980, has led to a dead end, the DSM-V. Following the allegory of Sleeping Beauty, the DSM-III put European psychiatry to sleep; it now must wake up to create a 21st century psychiatric language for descriptive psychopathology and psychiatric nosology. Four topics are reviewed. First, the review of descriptive psychopathology focuses on: a) Chaslin's and Jaspers's books, and b) Schneider's transmittal of Jaspers's ideas and involvement with Kraepelin in incorporating neuroscience into psychiatric nosology. Second, US psychiatry's historic steps include: a) the pseudoscience of psychoanalysis, b) the low level of pre-DSM-III diagnostic expertise, c) the neo-Kraepelinian revolution which led to DSM-III, d) the failure to improve diagnostic skills, and e) the reprise of Kraepelin's marketing ("neuroscience will save psychiatry"). Third, the DSM-III devastated European psychiatry by destroying: a) the national textbooks which increased consistency but eliminated creative European thinking; and b) the Arbeitsgemenschaft fur Methodic und Dokumentation in der Psychiatrie, the most reasonable attempt to reach diagnostic agreement: start with symptoms/signs (first level) rather than disorders (second level). Fourth, Berrios elaborated upon Jaspers, who described psychiatry as a hybrid science and heterogeneous. Berrios affirmed that psychiatric symptoms/signs are hybrid. Some symptoms are in the "semantic space" and cannot be "explained" by neuroscience.

Copyright © 2013 SEP y SEPB. Published by Elsevier España. All rights reserved.

Keywords: Diagnostic and Statistical Manual of Mental Disorders; Estados Unidos; Europa; Europe; Historia del siglo xix; Historia del siglo xx; History 19th century; History 20th century; United States

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