Dimensions of personality pathology: an alternative to the five-factor model.
Dimensions of personality pathology: an alternative to the five-factor model.
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人格病理学的维度：五因素模型的替代方案。
DOI：
10.1176/ajp.161.10.1743
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发表时间：
2004
期刊：
影响因子：
--
通讯作者：
Westen,Drew
中科院分区：
文献类型：
--
作者：
Shedler,Jonathan;Westen,Drew
研究人员主张用一种基于五因素模型的替代诊断系统来取代DSM-IV人格障碍分类。本研究评估的五因素模型的临床综合性，并解决了更广泛的问题，有多少因素，哪些因素，有必要了解人格psychology.METHODA全国样本的530名精神科医生和临床心理学家使用的谢德勒-韦斯顿评估程序（SWAP-200）提供详细的心理描述与人格障碍诊断的患者。SWAP-200是一个200项的工具，旨在捕捉临床观察的丰富性和复杂性，同时也为研究提供可量化的数据。我们使用因素分析，以确定有关的理解人格pathology.ESTSThe五因素结构复制在一个内容限制的子集60个SWAP-200项目的人格维度。然而，全SWAP-200的因素分析产生了一个概念上更丰富的因素解决方案，不类似于五因素模型。分析确定了12个临床相关的人格维度标记的心理健康，精神病，敌意，自恋，情绪失调，烦躁不安，偏执的取向，强迫症，思维障碍，俄狄浦斯冲突（表演性性欲化），解离，和性conflictions.CONCLUSIONSSThe五因素模型代表了一个健全的升华的人格结构所使用的外行。然而，它忽略了关键的临床结构，可能无法捕捉临床实践中看到的人格综合征的复杂性。SWAP-200因子可以为研究人格病理学提供一个框架，该框架既基于经验又与临床相关。
OBJECTIVEResearchers have advocated replacing the DSM-IV classification of personality disorders with an alternative diagnostic system based on the five-factor model. This study evaluates the clinical comprehensiveness of the five-factor model and addresses the broader question of how many factors, and which factors, are necessary to understand personality pathology.METHODA national sample of 530 psychiatrists and clinical psychologists used the Shedler-Westen Assessment Procedure (SWAP-200) to provide detailed psychological descriptions of patients with personality disorder diagnoses. The SWAP-200 is a 200-item instrument designed to capture the richness and complexity of clinical observations while also providing quantifiable data for research. We used factor analysis to identify dimensions of personality relevant to understanding personality pathology.RESULTSThe five-factor structure replicated in a content-restricted subset of 60 SWAP-200 items. However, factor analysis of the full SWAP-200 yielded a conceptually richer factor solution that did not resemble the five-factor model. The analysis identified 12 clinically relevant personality dimensions labeled psychological health, psychopathy, hostility, narcissism, emotional dysregulation, dysphoria, schizoid orientation, obsessionality, thought disorder, oedipal conflict (histrionic sexualization), dissociation, and sexual conflict.CONCLUSIONSThe five-factor model represents a sound distillation of the personality constructs used by laypersons. However, it omits key clinical constructs and may not capture the complexity of personality syndromes seen in clinical practice. The SWAP-200 factors may provide a framework for studying personality pathology that is both empirically grounded and clinically relevant.
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分类与维度分类：研究的意义和研究的意义
影响因子：
2.3
作者：
T. Widiger
通讯作者：
T. Widiger
DOI：
10.1176/ajp.154.7.895
发表时间：
1997-07
期刊：
The American journal of psychiatry
影响因子：
--
作者：
D. Westen
通讯作者：
D. Westen
影响因子：
9.3
作者：
L. A. Pervin
通讯作者：
L. A. Pervin
诊断人格障碍的原型匹配方法：走向 DSM-V。
影响因子：
2.3
作者：
Drew Westen;J. Shedler
通讯作者：
J. Shedler
影响因子：
3.6
作者：
L. Clark;W. Livesley;Marsha L. Schroeder;Stephen L. Irish
通讯作者：
Stephen L. Irish