Psicopatología y semiología psiquiátrica. Front Cover. Ricardo Capponi M. Editorial Universitaria, – Mental illness – pages. Psicopatología y semiología psiquiátrica. Front Cover. Ricardo Capponi M. Universitaria, Semiologia Em Psiquiatria Da Infancia E Da · FRANCISCO . Psicopatología y semiología psiquiatrica. Front Cover. Ricardo Capponi M. Bibliographic information. QR code for Psicopatología y semiología psiquiatrica.
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The syllabus for semiologua psychiatrists in the 21 st century has changed radically in recent decades. Although advances in neurosciences using various techniques to address the etiology and physiopathology of mental disorders have provided objective information to locate them in their corresponding place in medical pathology, certain essential elements of medicine have been lost, such as a broad clinical interview and a detailed semiology, both of which are essential to arriving at a correct srmiologia and providing an accurate therapeutic approach.
On the subject of loss, there is an increasing disincorporation from study programs in the specialty from disciplines such as calponi, sociology, and anthropology, which nourishes psychiatry and give it a crucial multidisciplinary psicopatologiq to understand the person suffering a mental disorder.
Using this tool requires teaching theoretical aspects, and developing this skill requires empathy, clinical acuity and a detailed complete observation of the information patients provide in their speech and behavior. DSM-II, published inreflects a psychoanalytic vision of mental disorders, with all its limitations for the understanding of etiology and the provision of a therapeutic approach.
However, for many disorders, the essential and defining characteristics required to make a diagnosis were not considered. The proposal to create DSM-5, initially supported by the US National Institute of Mental Health, suggested designing criteria that would not only have defining clinical characteristics, but also other levels of information such as elements of genetics, brain imaging, and cognitive science. However, the later version failed to meet these objectives, leading the institution to disassociate itself from the new manual Insel, There is clearly a need for a diagnostic classification of mental disorders Belloch, as an initial approach to the phenomenon under study, to establish a common language among clinicians by providing terms for communication.
It could also be a useful basis for formulating diagnostic, therapeutic, and prognostic hypotheses. However, one of the main criticisms leveled at DSM is the validity and reliability of the same, which have persisted in each updated version Vanhuele, He highlights the importance of the close relationship between biology and culture in the development of mental disorders, and considers that each society has its own approach to illnesses.
Thus the DSM classification system is perfectly suited to the North American society that created it, but does not apply to other cultures Berrios, An interesting but not always easily visible fact is that behind the use of DSM as a substitute for classical texts, or the use of semi-structured interviews associated with the criteria of this manual, is the pragmatism involved in evaluating patients, and the attempts to cut the costs of psychiatric care. The work of John Bernal, a pioneer in the study of the relationship between science and society Bernal,suggests that beyond these paradigm shifts we must reflect on the role of science at a specific historical moment, whose research question it seeks to answer and how this impacts the everyday practice of the knowledge obtained.
Likewise, the sociologist Hilary Rose has written on how the prevailing economic model guides scientific research and teaching, in order to perpetuate the values and knowledge of capitalism Rose, Taking these aspects into account, it is feasible to think that the quicker forms of evaluation and the standardization of pathological processes also form part of the globalization policies imposed, in which tools such as the DSM can be useful for these purposes, as the goal of those who create them and as an illusion for rather naive clinicians who do not question its implications.
In my view, the most reprehensible feature of this manual is the excessive, inappropriate use made of it, particularly in clinical and academic spheres, in a misguided attempt to replace the teaching and practice of accurate clinical interviews, semiology, and psychopathology, and abandon classical readings.
PSICOPATOLOGIA Y SEMIOLOGIA PSIQUIATRICA (P)
In this regard, in clinical training environments for psychiatry residents, excessive importance is placed on reading and memorizing DSM criteria at the expense of learning about and practicing clinical interviews, mental exams, semiology, and producing full, descriptive clinical notes. In many cases, the latter activities have been replaced by a brief note to comply with the administrative requirement of the case.
This indifference, whether conscious or not, towards the teaching and use of the tools of psychopathology and semiology, among others, wastes semiologiq opportunity to evaluate the patient in a comprehensive, accurate, and interdisciplinary manner.
We lose valuable evaluations for arriving at a diagnosis and providing treatment and improvement, as well as opportunities for clinical and basic research.
PSICOPATOLOGIA Y SEMIOLOGIA PSIQUIATRICA (P) by CAPPONI
In this context, which is overwhelming because of its importance and vast scope, how can we escape these difficulties? One possibility is to reexamine the seminal capponj on psychopathology. The classic authors are always an endless source of knowledge, and a starting point for new questions and different approaches and conceptions.
The language of psychiatry is still being written, and there are many terms that require a clearer definition and research into how they occur in various clinical scenarios.
Terms such as insight and diffuse clinical states, such as the coexistence of apparently divergent symptoms such as those observed in the schizo-obsessive phenomenon and pathological doubt, capppni just some examples that open up opportunities for research on semiological and psychopathological aspects. We should obviously take up these elements psicopatollogia everyday clinical practice in order to have a better understanding of the people sitting opposite us and telling us their experiencial problems in order to help them improve their lives.
Diagnostic and statistical manual of mental disorders DSM La Ciencia en nuestro tiempo. Political economy of the science: Symptoms in the mind.
An introduction to descriptive psychopathology pp. A Critical Review pp. San Lorenzo Huipulco, Del. This is an open-access article distributed under the terms of the Creative Commons Attribution License. Editorial The misguided attempt to replace psychopathological evaluation with DSM.