Proposed Changes in Personality and Personality Disorder Assessment and Diagnosis for DSM-5 Part I: Description and Rationale
Proposed Changes in Personality and Personality Disorder Assessment and Diagnosis for DSM-5 Part I: Description and Rationale
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DOI：
10.1037/a0021891
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发表时间：
2011-01-01
影响因子：
2.8
通讯作者：
Oldham, John M.
中科院分区：
文献类型：
--
作者：
Skodol, Andrew E.;Clark, Lee Anna;Oldham, John M.
DSM-5对人格心理病理学提出了一个重大的重新构想，它确定了人格功能的核心障碍、病理性人格特征和突出的病理性人格类型。一个全面的人格评估由四个部分组成：人格功能水平、人格障碍类型、病理性人格特质领域和方面、人格障碍的一般标准。这个由四部分组成的评估侧重于根据临床医生可用的时间、信息和专业知识，以越来越高的特异度识别个性精神病理学。在这篇由两部分组成的文章的第一部分中，我们描述了新模型的组成部分，并简要介绍了每个组成部分的理论和经验基础。在第二部分中，我们将以不同程度的人格精神病理学患者的小场景来说明该模型的临床应用，以显示如何进行评估和诊断。
A major reconceptualization of personality psychopathology has been proposed for DSM-5 that identifies core impairments in personality functioning, pathological personality traits, and prominent pathological personality types. A comprehensive personality assessment consists of four components: levels of personality functioning, personality disorder types, pathological personality trait domains and facets, and general criteria for personality disorder. This four-part assessment focuses attention on identifying personality psychopathology with increasing degrees of specificity, based on a clinician's available time, information, and expertise. In Part I of this two-part article, we describe the components of the new model and present brief theoretical and empirical rationales for each. In Part II, we will illustrate the clinical application of the model with vignettes of patients with varying degrees of personality psychopathology, to show how assessments might be conducted and diagnoses reached.