Ruscio John, Ruscio Ayelet Meron
Department of Psychology, Elizabethtown College, Elizabethtown, PA 17022, USA.
J Abnorm Psychol. 2004 Feb;113(1):24-38. doi: 10.1037/0021-843X.113.1.24.
Despite decades of debate, important questions about the boundaries that separate psychological disorder from normality and that distinguish 1 disorder from another remain largely unanswered. These issues pose empirical questions that may be addressed by assessing the latent structure of psychopathological constructs. Because these constructs are likely to be structurally complex, and no single statistical tool addresses all structural questions, it is proposed in this article that boundary issues be examined through programmatic research grounded in the taxometric method and elaborated by complementary analyses. The authors describe how such a program could delimit the structure of disorders and test competing explanations of diagnostic co-occurrence, emphasizing the potential to enhance the reliability and validity of assessment, maximize the power of research designs, and improve diagnostic classification.
尽管经过了数十年的争论,但关于区分心理障碍与正常状态以及区分一种障碍与另一种障碍的界限的重要问题,在很大程度上仍未得到解答。这些问题提出了实证性问题,可通过评估心理病理结构的潜在结构来解决。由于这些结构可能在结构上很复杂,而且没有单一的统计工具能解决所有结构问题,因此本文提出,应通过以分类测量法为基础并辅以补充分析的系统性研究来审视界限问题。作者描述了这样一个项目如何能够界定障碍的结构,并检验对诊断共现的相互竞争的解释,强调了增强评估的可靠性和有效性、最大化研究设计的效能以及改进诊断分类的潜力。