In Quest of ‘Good’ Medical Classification Systems

Medicine Studies - Tập 3 - Trang 53-70 - 2011
Lara K. Kutschenko1
1Institute for History, Philosophy and Ethics of Medicine, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany

Tóm tắt

Medical classification systems aim to provide a manageable taxonomy for sorting diagnoses into their proper classes. The question, this paper wants to critically examine, is how to correctly systematise diseases within classification systems that are applied in a variety of different settings. ICD and DSM, the two major classification systems in medicine and psychiatry, will be the main subjects of this paper; however, the arguments are not restricted to these classification systems but point out general methodological and epistemological challenges of classifying diseases for differing purposes. Deciding what qualifies as a disease to be included into a classification system as well as choosing a specific validator for correctly systematising diseases is complicated because the broad applicability of medical classification systems simultaneously appears as aim and challenge. Drawing upon the case study of classifying Alzheimer’s disease, this paper will address three dilemmas in designing ‘good’ medical classification systems. They are due to general epistemological problems of medicine, such as the relationship between individual manifestations of diseases and the necessity of building groups in order to scientifically elucidate causes of diseases. Moreover, they involve pragmatic issues of designing usable classifications that allow for easily discriminating between classes of diseases, restricting, however, the completeness of disease representations. This paper wants to trace how the choice of certain validators is unavoidably value-laden and deeply intertwined with epistemological assumptions of how different uses relate to each other, resulting either in a prioritisation of (constrained) coherence or of (vague) pluralistic connectibility.

Tài liệu tham khảo

Agich, George J. 1983. Disease and value: A rejection of the value-neutrality thesis. Theoretical Medicine 4: 27–41.

APA—American Psychiatric Association. 1968. DSM-II: Diagnostic and statistical manual of mental disorders, 2nd ed. Washington, D.C.: American Psychiatric Publishing.

APA—American Psychiatric Association. 1980. DSM-III: Diagnostic and statistical manual of mental disorders, 3rd ed. Washington, D.C.: American Psychiatric Publishing.

APA—American Psychiatric Association. 1987. DSM-III-R: Diagnostic and statistical manual of mental disorders, 3rd ed., Text revision. Washington, D.C.: American Psychiatric Publishing.

APA—American Psychiatric Association. 1994. DSM-IV: Diagnostic and statistical manual of mental disorders, 4th ed. Washington, D.C.: American Psychiatric Publishing.

APA—American Psychiatric Association. 2000. DSM-IV-TR: Diagnostic and statistical manual of mental disorders, 4th ed., Text revision. Washington: American Psychiatric Publishing.

APA—American Psychiatric Association. 2010. DSM-5 development. DSM-5 neurocognitive criteria, January 2010. http://www.dsm5.org/ProposedRevisions/Pages/Delirium,Dementia,Amnestic,OtherCognitive.aspx. Accessed 15 Oct 2010.

Berrios, G.E. 1990. Alzheimer’s disease: A conceptual history. International Journal of Geriatric Psychiatry 5: 355–365.

Berrios, G.E. 1999. Classifications in psychiatry: A conceptual history. Australian and New Zealand Journal of Psychiatry 33: 145–160.

Bolton, Derek. 2008. What is mental disorder? An essay in philosophy, science, and values. Oxford: Oxford University Press.

Boorse, Christopher. 1977. Health as a theoretical concept. Philosophy of Science 44: 542–573.

Borck, Cornelius, Volker Hess, and Henning Schmidgen. 2005. Maß und Eigensinn. Studien im Anschluß an Georges Canguilhem. München: Wilhelm Fink Verlag.

Bowker, Geoffrey C., and Susan Leigh Star. 2000. Sorting things out. Classification and its consequences. Cambridge/MA, London: The MIT Press.

Canguilhem, Georges. 1989. The normal and the pathological. New York/NY: Zone Books.

Carrier, Martin, Don Howard, and Janet Kourany, eds. 2008. The challenge of the social and the pressure of practice: Science and values revisited. Pittsburgh/PA: University of Pittsburgh Press.

Clarke, Brendan. 2011. Causation and melanoma classification. Theoretical Medicine and Bioethics 32: 19–32.

Clouser, K. Danner, Charles M. Culver, and Bernard Gert. 1981. Malady: A new treatment of disease. The Hastings Center Report 11: 29–37.

Conrad, Peter. 2007. The medicalization of society: On the transformation of human conditions into treatable disorders. Baltimore/MD: Johns Hopkins University Press.

Cooper, Rachel. 2005. Classifying madness: A philosophical examination of the diagnostic and statistical manual of mental disorders. Dordrecht: Springer.

Cooper, Rachel. 2008. Psychiatry and philosophy of science. Montreal/QC: McGill-Queen’s University Press.

Cooper, J.E., R.E. Kendell, B.J. Gurland, et al. 1972. Psychiatric diagnosis in New York and London: A comparative study of hospital admissions. London: Oxford University Press.

Daston, Lorraine, and Peter Galison. 2007. Objectivity. New York/NY: Zone Books.

De Vreese, Leen, Erik Weber, and Jeroen Van Bouwel. 2010. Explanatory pluralism in the medical sciences: theory and practice. Theoretical Medicine and Bioethics 31: 371–190.

Debru, Claude. 1998. Philosophie de l’inconnu: Le vivant et la recherche. Paris: Presses Universitaires de France.

Delkeskamp-Hayes, Corinna, and Mary Ann Gardell Cutter, eds. 1993. Science, technology, and the art of medicine. European-American dialogues. Dordrecht: Kluwer.

Douglas, Mary, and David Hull. 1992. Introduction. In How classification works: Nelson goodman among the social sciences, ed. Mary Douglas and David Hull, 1–12. Edinburgh: Edinburgh University Press.

Dupré, John. 2001. In defence of classification. Studies in History and Philosophy of Biological and Biomedical Sciences 23: 203–219.

Dupré, John, and Maureen O’Malley. 2007. Metagenomics and biological ontology. Studies in History and Philosophy of Science Part C: Studies in History and Philosophy of Biological and Biomedical Sciences 38: 834–846.

Erkinjuntti, Timo, Truls Østbye, Runa Steenhuis, and Vladimir Hachinski. 1997. The effect of different diagnostic criteria on the prevalence of dementia. The New England Journal of Medicine 337: 1667–1674.

Fagot-Largeault, Anne. 1989. Les causes de la mort. Histoire naturelle et facteurs de risques. Paris: Vrin.

Fagot-Largeault, Anne. 2002. L’ordre vivant. In Philosophie de sciences I, ed. Daniel Andler, Anne Fagot-Largeault, and Bertrand Saint-Sernin, 483–575. Paris: Éditions Gallimard.

Fleck, Ludwik. 1980 [1935]. Entstehung und Entwicklung einer wissenschaftlichen Tatsache. Einführung in die Lehre vom Denkstil und Denkkollektiv. (Mit einer Einleitung herausgegeben von Schäfer, Lothar, und Schnelle, Thomas). Frankfurt/M.: Suhrkamp Verlag.

Gannett, Lisa. 2010. Questions asked and unasked: how by worrying less about the ‘really real’ philosophers of science might better contribute to debates about genetics and race. Synthese 177: 363–385.

Giroux, Élodie. 2009. N’y a t-il de santé que de l’individu? Un point de vue épidémiologique sur les thèses de Canguilhem. In Philosophie et Médecine. En hommage à Georges Canguilhem, ed. Fagot-Largeault, Anne, Debru, Claude, and Morange, Michel (dir.), Han, Hee-Jin, 171–193. Paris: Vrin.

Goldstein, Kurt. 1934. Der Aufbau des Organismus. Einführung in die Biologie unter besonderer Berücksichtigung der Erfahrungen am kranken Menschen. Haag: Martinus Nijhoff.

Goodman, Nelson. 1955. Fact, fiction and forecast. Cambridge, MA: Havard University Press.

Goodman, Nelson. 1978. Ways of worldmaking. Indianapolis, IN: Hackett Publishing Company.

Gould, Stephan J. 1996. The mismeasure of man. Revised and expanded edition. New York/NY: W.W. Norton & Company.

Gzil, Fabrice. 2009. La maladie d’Alzheimer: Problèmes philosophiques. Paris: Presses Universitaires de France.

Hacking, Ian. 1995. The looping effects of human kinds. In Causal cognition: A multidisciplinary debate, ed. Dan Sperber, David Premack, and Ann James Premack, 351–383. New York/NY: Oxford University Press.

Hawthorne, Susan. 2010. Embedding values: How science and society jointly valence a concept—the case of ADHD. Studies in History and Philosophy of Biology and Biomedical Sciences 41: 21–31.

Hempel, Carl G. 1961. Introduction to problems of taxonomy. In Field studies in the mental disorders, ed. Joseph Zubin, 3–50. New York: Grune & Stratton.

Hess, Volker. 1999. Messen und Zählen. Die Herstellung des normalen Menschen als Maß der Gesundheit. Berichte zur Wissenschaftsgeschichte 22: 266–280.

Hofmann, Bjørn. 2001. On the value-ladenness of technology in medicine. Medicine, Health Care and Philosophy 4: 335–346.

Huber, Lara. 2009a. Operationalisierung—Standardisierung—Normalisierung: Die Produktion und Visualisierung von Daten in der kognitiven Neurowissenschaft. In Erkenntnis und Kritik. Zeitgenössische Positionen, ed. Devi Dumbadze, Johannes Geffers, Jan Haut, et al., 167–191. Bielefeld: transcript Verlag.

Huber, Lara. 2009b. Imaging the brain—‘visualising pathological entities’? Searching for reliable protocols within psychiatry and their impact on the understanding of psychiatric diseases. Poiesis & Praxis 6: 27–41.

Hucklenbroich, Peter. 2007. Krankheit–Begriffsklärung und Grundlagen einer Krankheitstheorie. Erwägen-Wissen-Ethik 18: 77–90. (see also in the same issue: Critiques: 91–139; Response: 140–158).

Hyman, Steven E. 2010. The diagnosis of mental disorders: The problem of reification. Annual Review of Clinical Psychology 6: 155–179.

Jablensky, Assen, and Robert E. Kendell. 2002. Criteria for assessing a classification in psychiatry. In Psychiatric diagnosis and classification, ed. Mario Maj, Wolfgang Gaebel, Juan José López-Ibor, Sartorius José, and Norman Sartorius, 1–24. West Sussex: Wiley.

Jaspers, Karl. 1963. Die Methoden der Intelligenzprüfung und der Begriff der Demenz. Kritisches Referat. In Gesammelte Schriften zur Psychopathologie, ed. Karl Jaspers, 142–190. Berlin, Heidelberg: Springer.

Katzman, Robert, and Katherine Bick. 2000. Alzheimer disease. The changing view. San Diego/CA: Academic Press.

Kendell, Robert E. 1975. The role of diagnosis in psychiatry. Osney Mead, Oxford: Blackwell Scientific Publications.

Kendler, Kenneth S., and Josef Parnas, eds. 2008. Philosophical issues in psychiatry: Explanation, phenomenology, and nosology. Baltimore/MD: The Johns Hopkins University Press.

Kitwood, Tom. 1997. Dementia reconsidered. The person comes first. Buckingham: Open University Press.

Kutchins, Herb, and Stuart A. Kirk. 1997. Making us crazy. DSM: The psychiatric bible and the creation of mental disorders. New York/NY: Free Press.

Machery, Pierre. 2009. De Canguilhem à Foucault la force des norms. Paris: La fabrique éditions.

Maj, Mario, Wolfgang Gaebel, Juan José López-Ibor, Sartorius José and Norman Sartorius, eds. 2002. Psychiatric diagnosis and classification. West Sussex: Wiley.

Mitchell, Sandra. 2009. Unsimple truths, science, complexity, and policy. Chicago/IL: The University of Chicago Press.

Morange, Michel. 2009. Articulating different modes of explanation: The present boundary in biological research. In Mapping the future of biology. Evolving concepts and theories, ed. Anouk Barberousse, Michel Morange, and Thomas Pradeu, 15–26. Dordrecht: Springer.

Murphy, Dominic. 2006. Psychiatry in the scientific image. Cambridge: The MIT Press.

Murphy, Dominic. 2009. Concepts of disease and health, In The stanford encyclopedia of philosophy (summer 2009 edition), ed. Edward N. Zalta. http://plato.stanford.edu/archives/sum2009/entries/health-disease/.

Naik, Mala, and Harald A. Nygaard. 2008. Diagnosing dementia–ICD-10 not so bad after all: A comparison between dementia criteria according to DSM-IV and ICD-10. International Journal of Geriatric Psychiatry 23: 279–282.

NLM—US National Library of Medicine. Not dated. Unified medical language system (UMLS). http://www.nlm.nih.gov/research/umls/. Accessed 7 Feb 2010.

Pantin, C.F.A. 1968. The relations between the sciences. In Based upon the tarner lectures of trinity college, 1959, ed. A.M. Pantin and W.H. Thorpe. Cambridge: Cambridge University Press.

Paul, Norbert W. 1998. Incurable suffering from the “Hiatus theoreticus”? Some epistemological problems in modern medicine and the clinical relevance of Philosophy of Medicine. Theoretical Medicine and Bioethics 19: 229–251.

Paul, Norbert W. 2010. A closer look at health and disease as prerequisites for diagnosis and prognosis. Medicine Studies 2: 95–100.

Pioggiosi, Philippe, Paola Forti, Giovanni Ravaglia, et al. 2003. Different classification systems yield different dementia occurence among nonagenarians and centenarians. Dementia and Geriatric Cognitive Disorders 17: 35–41.

Pope, Harrison G., and Joseph F. Lipinski Jr. 1978. Diagnosis in schizophrenia and manic-depressive illness: a reassessment of the specificity of “schizophrenic” symptoms in the light of current research. Archives of General Psychiatry 35: 11–28.

Pradeu, Thomas. 2010. What is an organism? An immunological answer. History and Philosophy of the Life Sciences 32: 247–268.

Robertson, Simon. 2010. Epistemic constraints on practical normativity. Synthese. doi:10.1007/s11229-010-9851-y.

Rosenberg, Charles E. 2007. Our present complaint. American medicine, then and now. Baltimore: The Johns Hopkins University Press.

Rothschuh, Karl E. 1959. Theorie des Organismus. Bios–Psyche–Pathos. München und Berlin: Urban & Schwarzenberg.

Rothschuh, Karl E. (Hg.) 1975. Was ist Krankheit? Erscheinung, Erklärung, Sinngebung. Darmstadt: Wissenschaftliche Buchgesellschaft.

Salmon, David P., Nelson Butters, Leon Thal, et al. 1998. Alzheimer’s disease: Data analysis for the DSM-IV task force. In DSM-IV sourcebook, ed. Thomas A. Widiger, Allen J. Frances, Harold Alan Pincus, et al., 91–107. Washington, D.C.: American Psychiatric Publishing.

Schäfer, Lothar. 1993. On the scientific status of medical research: Case study and interpretation according to Ludwik Fleck. In Science, technology, and the art of medicine. European-American Dialogues, ed. Corinna Delkeskamp-Hayes, Mary Cutter, and Ann Gardell, 23–38. Dordrecht: Kluwer.

Sohn, Werner, and Mertens, Herbert (Hg.). 1999. Normalität und Abweichung. Studien zur Geschichte und Theorie der Normalisierungsgesellschaft. Opladen. Wiesbaden: Westdeutscher Verlag.

Spicker, Stuart F. 1993. Intuition and the process of medical diagnosis: the quest for explicit knowledge in the technological era. In Science, technology, and the art of medicine. European-American dialogues, ed. Corinna Delkeskamp-Hayes, Mary Cutter, and Ann Gardell, 199–209. Dordrecht: Kluwer.

Ten Have, Henk. 2004. Ethical perspectives on health technology assessment. International Journal of Technology Assessment in Health Care 20: 1–6.

UICC–Union for International Cancer Control. 2009. TNM classification of malignant tumours, 7th ed. West Sussex: Wiley.

Üstün, T. Bedirhan, Somnath Chatterji, and Gavin Andrews. 2002. International classifications and the diagnosis of mental disorders: strengths, limitations and future perspectives. In Psychiatric diagnosis and classification, ed. Mario Maj, Wolfgang Gaebel, Juan José López-Ibor, Sartorius José, and Norman Sartorius, 25–46. West Sussex: Wiley.

Wancata, Johannes, Anne Börjesson-Hanson, Svante Östling et al. 2007. Diagnostic criteria influence dementia prevalence. American Journal of Geriatric Psychiatry, 15: 1034–1045.

Whitehouse, Peter J., and Daniel George. 2008. The myth of Alzheimer’s. What you aren’t being told about today’s most dreaded diagnosis. New York/NY: St. Martin’s Griffin.

WHO—World Health Organization. 1965. International statistical classification of diseases and health-related problems, 8th revision. Geneva: World Health Organization.

WHO—World Health Organization. 1992a. International statistical classification of diseases and health-related problems, 10th revision. Geneva: World Health Organization.

WHO—World Health Organization. 1992b. Mental and behavioural disorders. Clinical descriptions and diagnostic guidelines. Geneva: World Health Organization.

WHO—World Health Organization. 1993. Mental and behavioural disorders. Diagnostic criteria of research. Geneva: World Health Organization.

WHO—World Health Organization. 1996. Diagnostic and management guidelines for mental disorders in primary care: ICD-10 primary care version. Bern: Hogrefe and Huber.

WHO—World Health Organization. not dated. Derived and related classifications in the WHO-FIC. http://www.who.int/classifications/related/en/index.html. Accessed 8 Feb 2011.

Zachar, Peter. 2008. Real kinds but no true taxonomy: An essay in psychiatric systematics. In Philosophical issues in psychiatry: Explanation, phenomenology, and nosology, ed. Kenneth S. Kendler and Josef Parnas, 327–355. Baltimore/MD: The Johns Hopkins University Press.

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Medicine Studies

Tập 3

53-70

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