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Yıl:2018; Cilt: 55; Sayı: 1>> Özet
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Nöropsikiyatri Arşivi; 2018;55(1):91-97
Psikanalitik İlkeleri Temel Alan Tanısal Sınıflandırma Sistemleri
VO Kotan, Z Kotan, GÖ Bilgili
Başkent Üniversitesi, Ankara
Psikiyatri pratiğinde tüm dünyada yaygın olarak kullanılan tanısal sınıflandırma sistemleri olan, Ruhsal Bozuklukların Tanısal ve İstatistiksel El Kitabı (The Diagnostic and Statistical Manual of Mental Disorders-DSM) ile Uluslararası Hastalık Sınıflaması (International Statistical Classification of Diseases and Related Health Problems –ICD), psikanalitik bakış açısına uzak sistemlerdir. Yıllarca, bu uzaklığın hastaların anlaşılmasını güçleştirdiği dile getirildi. Bunun yanı sıra, bunların psikanalitik ilkelerin geçerlilik ve güvenilirliğinin bilimsel araştırmalarla sınanmasına engel oluşturduğu düşünüldü. Öte taraftan psikanaliz de, ampirik temellerden yoksun oluşu gerekçesiyle yoğun biçimde eleştirildi. Bu eksikliğin sonucu olarak, psikiyatri biyomedikal yaklaşımın etkisi altında şekillendi. Psikanalitik ilkelerin kanıta dayalı tıp dünyasında yeterli dayanağa sahip olmayışı, psikiyatri pratiğinde yaygınlaşmalarına da izin vermedi. Son yirmi yıldır, hem eleştirilere yanıt vermek hem de psikanalitik disiplinin çağdaş psikiyatrideki yerini sağlamlaştırmak amacıyla, bilimsel araştırmalara hız verildi. Nesnel psikodinamik tanı araçlarının geliştirilmesi, ampirik çalışmaların tasarlanabilmesini sağladı. Bu derlemede, başta Psikodinamik Tanı El Kitabı (Psychodynamic Diagnostic Manual-PDM) ve İşlevselleştirilmiş Psikodinamik Tanı (Operationalized Psychodynamic Diagnosis-OPD) sistemleri olmak üzere, psikodinamik tanısal sınıflandırma araçları hakkında bilgi vermek, psikiyatri disiplini içerisinde psikanalitik bakış açısına sağladıkları katkılara dikkat çekmek amaçlanmıştır
Diagnostic Classification Systems Based on Psychoanalytical Principles
The diagnostic classification systems in psychiatry practice which are used worldwide extensively, The Diagnostic and Statistical Manual of Mental Disorders (DSM) and International Statistical Classification of Diseases and Related Health Problems (ICD) are far away from the psychoanalytical point of view. It is thought that this gap results in the difficulty to understand psychiatric patients in clinical practice for many years. It has also created an obstacle to scientific researches addressing the validity and reliability of the psychoanalytical principles. On the other hand, psychoanalysis has been much criticised for years due to the lack of empirical foundations. As a result of this paucity, psychiatry is led by the biomedical approach. Without enough grounds in evidence-based medicine, psychoanalytical principles could not become widespread in psychiatric practice. To survive criticism and strengthen its place in contemporary psychiatry, empirical research in psychoanalytical discipline has gained momentum in the last two decades. Development of objective psychodynamic diagnostic tools enabled the design of such studies. The aim of this review is to introduce such diagnostic tools, namely Psychodynamic Diagnostic Manual (PDM) and Operationalized Psychodynamic Diagnosis (OPD), and to discuss the possible contributions they provide for psychoanalytical perspective to take its deserved place in the psychiatry discipline.

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