REVISING THE BORDERLINE DIAGNOSIS FOR DSM-V: AN ALTERNATIVE PROPOSAL
REVISING THE BORDERLINE DIAGNOSIS FOR DSM-V: AN ALTERNATIVE PROPOSAL
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DOI：
10.1521/pedi.2010.24.6.694
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发表时间：
2010-12-01
影响因子：
2.3
通讯作者：
Gunderson, John G.
中科院分区：
文献类型：
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作者：
Gunderson, John G.
DSM-V人格障碍工作组提出的边缘型人格障碍（BPD）诊断的变化涉及格式（原型和维度）和描述性特征（特质）的根本变化。这种幅度的变化将与指导BPD研究和疾病特异性治疗发展的定义产生不受欢迎和潜在有害的中断。本文提供了一个与临床和研究领导者合作开发的替代方案。它包括修改现有的标准，使用基于表型的诊断算法，并给予BPD与其他人格障碍的等级关系。这些变化是渐进的，减少重叠和异质性，维持临床和研究开发，并将提高利用率。
The changes in the borderline personality disorder (BPD) diagnosis proposed by the DSM-V personality disorder work group involve radical changes in format (prototype and dimensions) and descriptive characteristics (traits). Changes of this magnitude will create an unwelcome and potentially harmful discontinuity with the definition that has guided BPD research and the development of disorder-specific therapies. This paper offers an alternative proposal that was developed in collaboration with clinical and research leaders. It includes modification of existing criteria, use of a diagnostic algorithm based on phenotypes, and giving BPD a hierarchical relationship vis-a-vis other personality disorders. These changes are incremental, diminish overlap and heterogeneity, sustain clinical and research development, and will improve utilization.