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Gender and cultural issues in psychiatric nosological classification systems

机译：精神病学分类系统中的性别和文化问题

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Much has changed since the two dominant mental health nosological systems, the International Classification of Diseases (ICD) and the Diagnostic and Statistical Manual of Mental Disorders (DSM), were first published in 1900 and 1952, respectively. Despite numerous modifications to stay up to date with scientific and cultural changes (eg, exclusion of homosexuality as a disorder) and to improve the cultural sensitivity of psychiatric diagnoses, the ICD and DSM have only recently renewed attempts at harmonization. Previous nosological iterations demonstrate the oscillation in the importance placed on the biological focus, highlighting the tension between a gender-and culture-free nosology (solely biological) and a contextually relevant understanding of mental illness. In light of the release of the DSM 5, future nosological systems, such as the ICD 11, scheduled for release in 2017, and the Research Development Criteria (RDoC), can learn from history and apply critiques. This article aims to critically consider gender and culture in previous editions of the ICD and DSM to inform forthcoming classifications.
机译：自从国际疾病分类（ICD）和《精神疾病诊断和统计手册》（DSM）分别在1900年和1952年首次出版以来，情况发生了很大变化。尽管进行了许多修改以适应科学和文化的变化（例如，排除同性恋疾病）并提高精神病学诊断的文化敏感性，但ICD和DSM只是在最近才进行了统一尝试。先前的疾病学论证表明，生物学关注的重要性发生了振荡，突显了无性别和文化的疾病学（仅生物学）与上下文相关的精神疾病理解之间的张力。鉴于DSM 5的发布，未来的疾病分类系统（如计划于2017年发布的ICD 11和研究发展标准（RDoC））可以借鉴历史并进行批评。本文旨在认真考虑ICD和DSM先前版本中的性别和文化，以为即将到来的分类提供信息。

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