人格障碍:当前的概念化和挑战
Thomas A Widiger1, Michelle M Smith1
1Department of Psychology, University of Kentucky, Lexington, Kentucky, USA;
Annual review of clinical psychology
|January 21, 2025
概括
在DSM-5和ICD-11中,人格的替代模型 (AMPD) 面临挑战. 建议包括改进特征的位置,并增加切断点,以更好地分类人格障碍.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 心理健康分类心理健康分类
背景情况:
- 人格障碍正在过渡到维度分类模型.
- 在DSM-5和ICD-11中,人格的替代模型 (AMPD) 是这种转变的典范.
- 本综述探讨了这些新模型中的局限性和挑战.
研究的目的:
- 批判地评估DSM-5 AMPD特征模型和人格功能水平 (LPF) 的局限性.
- 确定与ICD-11人格障碍分类相关的挑战.
- 提出改善维度人格障碍模型的建议.
主要方法:
- 对DSM-5 AMPD和ICD-11现有文献的审查.
- 分析报告的局限性,包括特征覆盖范围,复杂性和诊断标准.
- 综合研究质疑人格障碍评估的核心构造.
主要成果:
- DSM-5 AMPD面临着特征放置,覆盖范围,复杂性和缺少切断点的问题.
- 在DSM-5中的LPF被质疑其对人格障碍核心,独特性和特征的区别的定义.
- 在ICD-11中,缺少低级面尺度,只要求严重程度.
结论:
- 抑郁应该与负面情感一致,怀疑与敌意一致.
- 建议在所有五个领域都有不适应性特征,以及应急/损伤截止点.
- ICD-11应该强制性地进行特征评估,并包括面向尺度来进行全面的评估.
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