Abstract

The psychiatric semiology presents complex historical and theoretical underpinnings that lead us to question the method to organize semiological terms. The current organization of semiology is mainly based on lists of symptoms in order to make diagnosis validated by international nosography and epidemiological approach. This “atheoretical” diagnosis approach lacks sometimes of accuracy to understand the mechanisms underlying the semiology and to develop individualized care support. We propose here to present a comprehensive and scientific semiology, based on the current nosology, but also allowing personalized care in psychiatry. This article highlights thus the role of cognitive science according to a fundamental distinction of cognition in two views. On one hand, cognition can be view as a content of thought in the context of cognitive behavioral therapies. On the other hand, cognition can be view as containing or thought processes in the context of cognitive remediation. Each of theses views highlight the role of cognitive science to develop a comprehensive, validated and personalized semiology in psychiatry.

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