¿Cómo actualizar la propuesta psicopatológica de Castilla del Pino (y no morir en el intento)?  <span class="so-article-trans-title" dir="auto"> Translated title: How to update Castilla del Pino&apos;s work on psychopathology (and not die trying)? </span>

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Abstract

Resumen: La obra psicopatológica de Carlos Castilla del Pino es poco conocida por las nuevas generaciones de residentes. Existen razones externas e internas a la propia obra que podrían servir de explicación de este hecho. Sin embargo, las cuestiones planteadas por Castilla del Pino en su obra psicopatológica pueden tener plena vigencia, independientemente de que las respuestas por él ofrecidas puedan ser objeto de análisis crítico. Se proponen algunas estrategias para actualizar los planteamientos del autor en la enseñanza de la psicopatología descriptiva de los profesionales en formación.

Translated abstract

Abstract: Carlos Castilla del Pino's work on psychopathology is mostly unknown by the new generations of residents. This can be accounted for by reasons that are external and internal to his work. However, questions posed by Castilla in his psychopathology work may have validity, irrespective of the answers he proposed, which can be criticised. Some strategies to update Castilla's proposals that can be used on teaching descriptive psychopathology to trainees are presented.

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The RDoC framework: facilitating transition from ICD/DSM to dimensional approaches that integrate neuroscience and psychopathology.

Bruce N Cuthbert (2014)

In 2008, the National Institute of Mental Health (NIMH) included in its new Strategic Plan the following aim: "Develop, for research purposes, new ways of classifying mental disorders based on dimensions of observable behavior and neurobiological measures". The implementation of this aim was named the Research Domain Criteria project, or RDoC. RDoC is a programmatic initiative that will fund grants, contracts, early-phase trials, and similar activities for the purpose of generating studies to build a research literature that can inform future versions of psychiatric nosologies based upon neuroscience and behavioral science rather than descriptive phenomenology. RDoC departs markedly from the DSM and ICD processes, in which extensive workgroup meetings generate final and finely-honed sets of diagnoses that are modified in field tests only if problems with clinical utility arise. Rather, in keeping with its provenance as an experimental system, the RDoC provides a framework for conducting research in terms of fundamental circuit-based behavioral dimensions that cut across traditional diagnostic categories. While an important aim of the project is to validate particular dimensions as useful for eventual clinical work, an equally important goal is to provide information and experience about how to conceive and implement such an alternative approach to future diagnostic practices that can harness genetics and neuroscience in the service of more effective treatment and prevention. This paper summarizes the rationale for the RDoC project, its essential features, and potential methods of transitioning from DSM/ICD categories to dimensionally-oriented designs in research studies. Copyright © 2014 World Psychiatric Association.