Glas Gerrit
Department of Philosophy, University of Leiden, The Netherlands.
J Pers Disord. 2006 Apr;20(2):126-38; discussion 181-5. doi: 10.1521/pedi.2006.20.2.126.
Who is the person, or self, associated with personality disorder and its treatment? How are we to account for a self conceptualized in terms of schemas and representations, that at the same time--as self--scrutinizes these schemas and representations (as in cognitive therapy for personality disorders)? Five approaches to personhood are examined: metaphysical, empirical, transcendental, hermeneutical, and phenomenological. An elementary sense of selfhood is tied to all one's experiences and activities; this sense of self is experientially irreducible and conceptually connected to a primordial form of self-relatedness. After examining these issues, I formulate four provisional conclusions: (a) the separation between person and roles (functions, personality features) is a modern fiction--persons are not neutral bearers of roles and functions; (b) the concept of personality in DSM-IV refers to nonhomogeneous behaviors such as feelings, moods, inclinations, temperaments, and habits, and these behaviors differ with respect to their distance to the core self; (c) there exists an enormous variety of ways of self-relating and this variety may affect the contents of the core self under certain circumstances; and (d) the concept of person may be primitive; that is, irreducible and referring to a background of unity and integrity.
与人格障碍及其治疗相关的人或自我是什么?我们该如何解释一个根据图式和表征来概念化的自我,而这个自我同时——作为自我——又会审视这些图式和表征(就像在人格障碍的认知疗法中那样)?本文考察了五种关于人的观点:形而上学的、经验主义的、先验的、诠释学的和现象学的。一种基本的自我感与一个人所有的经历和活动相联系;这种自我感在体验上是不可还原的,并且在概念上与一种原始的自我关联形式相联系。在考察了这些问题之后,我得出了四个初步结论:(a)人与角色(功能、人格特征)之间的分离是一种现代虚构——人不是角色和功能的中立承载者;(b)《精神疾病诊断与统计手册》第四版中的人格概念指的是诸如情感、情绪、倾向、气质和习惯等非同质的行为,并且这些行为在与核心自我的距离方面存在差异;(c)存在着各种各样的自我关联方式,并且在某些情况下这种多样性可能会影响核心自我的内容;以及(d)人的概念可能是原始的;也就是说,不可还原的,并且指的是一种统一和完整的背景。