Hostname: page-component-669899f699-g7b4s Total loading time: 0 Render date: 2025-04-24T15:56:54.282Z Has data issue: false hasContentIssue false

Advancing psychiatric nosology through philosophical inquiry

Published online by Cambridge University Press:  11 October 2024

Shokouh Arjmand*
Affiliation:
Department of Clinical Medicine, Translational Neuropsychiatry Unit, Aarhus University, Aarhus, Denmark
Reza Saboori Amleshi
Affiliation:
Kerman Neuroscience Research Center, Institute of Neuropharmacology, Kerman University of Medical Sciences, Kerman, Iran
Francisco S. Guimarães
Affiliation:
Department of Pharmacology, School of Medicine of Ribeirão Preto, University of São Paulo (USP), Ribeirão Preto-SP, Brazil
Gregers Wegener*
Affiliation:
Department of Clinical Medicine, Translational Neuropsychiatry Unit, Aarhus University, Aarhus, Denmark
*
Corresponding authors: Shokouh Arjmand; Email: [email protected]; Gregers Wegener; Email: [email protected]
Corresponding authors: Shokouh Arjmand; Email: [email protected]; Gregers Wegener; Email: [email protected]

Abstract

Here, we have utilised the concept of fuzzy logic and Karl Popper’s notion of verisimilitude to advocate navigating the complexity of psychiatric nosology, emphasising that psychiatric disorders defy Boolean logic. We underscore the importance of embracing imprecision and collecting extensive data for a more nuanced understanding of psychiatric disorders, asserting that falsifiability is crucial for scientific progress. We encourage the advancement of personalised psychiatric taxonomy, urging the continual accumulation of data to inform emerging advancements like artificial intelligence in reshaping current psychiatric nosology.

Type
Commentary
Copyright
© The Author(s), 2024. Published by Cambridge University Press on behalf of Scandinavian College of Neuropsychopharmacology

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

References

Aftab, A and Ryznar, E (2020) Conceptual and historical evolution of psychiatric nosology. International Review of Psychiatry 33, 486499. doi: 10.1080/09540261.2020.1828306.CrossRefGoogle ScholarPubMed
Arjmand, S, Grassi-Oliveira, R and Wegener, G (2023) Rethinking treatment-resistant depression to quasi-tenacious depression. European Psychiatry 66, e14. doi: 10.1192/j.eurpsy.2022.2353.CrossRefGoogle ScholarPubMed
Clark, LA, Cuthbert, B, Lewis-Fernández, R, Narrow, WE and Reed, GM (2017) Three approaches to understanding and classifying mental disorder: ICD-11, DSM-5, and the National Institute of Mental Health’s Research Domain Criteria (RDoC). Psychological Science in the Public Interest 18, 72145. doi: 10.1177/1529100617727266.CrossRefGoogle ScholarPubMed
Groen, RN, Ryan, O, Wigman, JTW, Riese, H, Penninx, BWJH, Giltay, EJ, Wichers, M and Hartman, CA (2020) Comorbidity between depression and anxiety: assessing the role of bridge mental states in dynamic psychological networks. BMC Medicine 18, 117. doi: 10.1186/S12916-020-01738.CrossRefGoogle ScholarPubMed
Jerotic, S and Aftab, A (2021) Scientific pluralism is the only way forward for psychiatry. Acta Psychiatrica Scandinavica 143, 537538. doi: 10.1111/acps.13298.CrossRefGoogle Scholar
Niiniluoto, I (2014) Scientific progress as increasing verisimilitude. Studies in History and Philosophy of Science Part A 46, 7377. doi: 10.1016/J.shpsa.2014.02.002.CrossRefGoogle ScholarPubMed
Vlamou, E, Papadopoulos, B, Vlamou, E and Papadopoulos, B (2019) Fuzzy logic systems and medical applications. AIMS Neuroscience 6, 266272. doi: 10.3934/neuroscience.2019.4.266.Google ScholarPubMed
Wood, AJ, Carroll, AR, Shinn, AK, Ongur, D and Lewandowski, KE (2021) Diagnostic stability of primary psychotic disorders in a research sample. Frontiers in Psychiatry 12, 734272. doi: 10.3389/fpsyt.2021.734272/BIBTEX.CrossRefGoogle Scholar