Charland Louis C
Department of Philosophy & Faculty of Health Sciences, University of Western Ontario, London, Canada.
J Pers Disord. 2006 Apr;20(2):116-25; discussion 181-5. doi: 10.1521/pedi.2006.20.2.116.
Moral considerations do not appear to play a large role in discussions of the DSM-IV personality disorders and debates about their empirical validity. Yet philosophical analysis reveals that the Cluster B personality disorders, in particular, may in fact be moral rather than clinical conditions. This finding has serious consequences for how they should be treated and by whom.
在对《精神疾病诊断与统计手册》第四版(DSM-IV)人格障碍的讨论以及关于其实证效度的辩论中,道德考量似乎并未发挥很大作用。然而,哲学分析表明,尤其是B类人格障碍,实际上可能是道德问题而非临床病症。这一发现对于它们应如何治疗以及由谁来治疗具有严重影响。