以“精神层面表”厘清各精神障碍之间的关系

Clarifying the Relationship between Mental Disorders through the"Mental Level Table"

目前精神障碍的诊断体系存在一些缺陷,如顺序缺乏逻辑、互相之间相差甚多。需要有一个底层逻辑将众多精神障碍串起来。由此提出“精神层面表”,其有两个要点:其一,将人的精神活动分为5个层面,即神经层面,动力层面,情感层面,思维层面和人格、心理和行为层面。其二,病理核心处于某一层面上的精神障碍,其症状可能在同一层,也可能将症状投射到更浅的层面。希望这个“精神层面表”能够指明每个精神障碍的病理核心、辨析互相之间的关系、合理排列精神障碍的顺序。

Current diagnostic systems of mental disorders have some defects,such as the lack of logic in the order and many differences between categories.A foundational framework is needed to interconnect various mental disorders.The author puts forward the"mental level table"with two main points.Firstly,human mental activities are divided into five levels,namely,the neural level,the dynamic level,the emotional level,the cognitive level and the level of personality,psychology,and behavior.Secondly,for mental disorders with a pathological core at a specific level,symptoms may be at the same level,or it may project symptoms to more superficial levels.The author believes that this"mental level table"can identify the pathological core of each mental disorder,clarify the relationship between each other,and arrange mental disorders in a logical sequence.