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LVR-Klinikum Düsseldorf Hospital of the Heinrich-Heine University ...

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<strong>LVR</strong>-KLINIKUM DÜsseLDORF – hOsPITaL OF The heINRIch-heINe UNIVeRsITY DÜsseLDORF<br />

3.1.3 Research groups<br />

3.1.3.1 Classification <strong>of</strong> mental disorders<br />

Director: W. Gaebel<br />

Scientific coworker: J. Zielasek<br />

The international classification systems <strong>of</strong> mental<br />

disorders are currently being revised. The aim <strong>of</strong> this<br />

project is to identify new scientific knowledge which could<br />

possibly be <strong>of</strong> interest to <strong>the</strong> revisions and to assess its<br />

significance for <strong>the</strong> classification <strong>of</strong> mental disorders. The<br />

research group on <strong>the</strong> classification <strong>of</strong> mental disorders<br />

has undertaken this work for <strong>the</strong> German Association for<br />

Psychiatry and Psycho<strong>the</strong>rapy (Deutsche Gesellschaft<br />

für Psychiatrie, Psycho<strong>the</strong>rapie und Nervenheilkunde,<br />

DGPPN). The research group has been in existence since<br />

autumn 2007. W. Gaebel is a member <strong>of</strong> <strong>the</strong> Mental Health<br />

Topic Advisory Group <strong>of</strong> <strong>the</strong> World Health Organization<br />

(WHO), which advises <strong>the</strong> WHO on <strong>the</strong> revision <strong>of</strong> <strong>the</strong><br />

international classification system ICD-10, <strong>the</strong> ICD-11, which<br />

is currently being developed. In this context, <strong>the</strong> research<br />

group constructed – for <strong>the</strong> Global Scientific Partnership<br />

Network <strong>of</strong> <strong>the</strong> WHO (Chair: Pr<strong>of</strong>. Dr. N. Sartorius,<br />

Geneva) – a questionnaire for an international survey. In<br />

collaboration with <strong>the</strong> DGPPN, <strong>the</strong> research group used this<br />

questionnaire in 2008 to survey psychiatrists in Germanspeaking<br />

countries (Germany, Austria and Switzerland)<br />

on <strong>the</strong>ir opinions on <strong>the</strong> need for a revision <strong>of</strong> <strong>the</strong> ICD-10<br />

chapter on mental illnesses. In addition, a group <strong>of</strong> Germanspeaking<br />

experts was formed for questions on <strong>the</strong> revision<br />

<strong>of</strong> psychiatric classification systems, and in collaboration<br />

with <strong>the</strong> WHO a systematic review <strong>of</strong> <strong>the</strong> German-language<br />

literature was started to collect German-language<br />

publications that may be relevant for <strong>the</strong> revision process.<br />

For <strong>the</strong> GSPN group, an international working session was<br />

organised and coordinated in Berlin within <strong>the</strong> framework <strong>of</strong><br />

<strong>the</strong> DGPPN annual congress in 2008. In addition, W. Gaebel<br />

has been a member since 2008 <strong>of</strong> <strong>the</strong> Psychosis Workgroup<br />

<strong>of</strong> <strong>the</strong> American Psychiatric Association (APA), which advises<br />

<strong>the</strong> APA on <strong>the</strong> revision <strong>of</strong> <strong>the</strong> classification <strong>of</strong> psychotic<br />

disorders.<br />

National cooperation partners<br />

DGPPN, German Institute for Medical Documentation and<br />

Information (DIMDI, Cologne)<br />

International cooperation partners<br />

Department <strong>of</strong> Mental Health and Substance Abuse, WHO<br />

(Geneva); American Psychiatric Association (Arlington, USA);<br />

Section on Schizophrenia, World Psychiatric Association.<br />

88<br />

Modular psychiatry<br />

Director: W. Gaebel<br />

Scientific coworkers: J. Brinkmeyer, W. Wölwer, J. Zielasek<br />

Within <strong>the</strong> context <strong>of</strong> <strong>the</strong> classification <strong>of</strong> mental disorders,<br />

this research group fur<strong>the</strong>r developed <strong>the</strong> concept <strong>of</strong><br />

orientating classification systems <strong>of</strong> mental disorders to <strong>the</strong><br />

neurobiological foundations <strong>of</strong> <strong>the</strong> disorders. To this end,<br />

this project aims to identify physiological brain modules,<br />

which are first to be identified and <strong>the</strong>n studied with<br />

regard to <strong>the</strong>ir characteristics in mental disorders. Having<br />

determined <strong>the</strong> conceptual foundations <strong>of</strong> this approach,<br />

which were published in international journals, <strong>the</strong> research<br />

group is currently preparing empirical investigations <strong>of</strong> <strong>the</strong><br />

concept <strong>of</strong> modular psychiatry using magnetic resonance<br />

imaging and EEG.<br />

Frame analysis <strong>of</strong> psychiatric classification texts<br />

Director: J. Zielasek<br />

Scientific assistants: I. Girgin, J. Weiland, S. Jungbluth<br />

Cooperation partner: Institute <strong>of</strong> Linguistics, <strong>Heinrich</strong>-<strong>Heine</strong><br />

<strong>University</strong>, <strong>Düsseldorf</strong> (W. Löbner)<br />

Resource funding: Humanities and Medical Scientific<br />

Research Centre, <strong>Heinrich</strong>-<strong>Heine</strong> <strong>University</strong>, <strong>Düsseldorf</strong><br />

This project originated from <strong>the</strong> shared interest <strong>of</strong><br />

<strong>the</strong> working group, <strong>the</strong> Institute <strong>of</strong> Linguistics and <strong>the</strong><br />

Philosophical Institute <strong>of</strong> <strong>the</strong> <strong>Heinrich</strong>-<strong>Heine</strong> <strong>University</strong><br />

<strong>Düsseldorf</strong> in <strong>the</strong> fur<strong>the</strong>r development <strong>of</strong> <strong>the</strong> concepts <strong>of</strong><br />

<strong>the</strong> classification <strong>of</strong> mental disorders. On <strong>the</strong> basis <strong>of</strong> L.<br />

Barsalou´s Frame Theory, <strong>the</strong> research group investigates<br />

in an interdisciplinary research approach whe<strong>the</strong>r Frame<br />

Theory can be used to identify and analyse concepts <strong>of</strong><br />

<strong>the</strong> representation <strong>of</strong> mental disorders in psychiatric<br />

classification texts. To this end, both texts <strong>of</strong> <strong>the</strong> current<br />

classification systems for mental disorders (ICD-10, DSM-<br />

IV) and historical texts (Kraepelin, Bleuler, Schneider)<br />

were analysed in close cooperation with <strong>the</strong> Institute <strong>of</strong><br />

<strong>the</strong> History <strong>of</strong> Medicine (H. Fangerau, now Ulm, Germany).<br />

Currently, <strong>the</strong> group is working on questions <strong>of</strong> <strong>the</strong> notation<br />

<strong>of</strong> frame structures, as well as on <strong>the</strong> use <strong>of</strong> process<br />

analytical procedures and <strong>the</strong> inclusion <strong>of</strong> neurobiological<br />

fundamentals <strong>of</strong> psychopathological phenomena in Frame<br />

analysis.

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