Beach Steven R H, Wamboldt Marianne Z, Kaslow Nadine J, Heyman Richard E, Reiss David
Departmetn of Psychology, University of Georgia, Athens, GA 30602, and The Children's Hospital, Denver, CO, USA.
J Fam Psychol. 2006 Sep;20(3):359-68. doi: 10.1037/0893-3200.20.3.359.
The authors provide a description of the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV; American Psychiatric Association, 1994) and its limitations, as well as empirical connections between relational processes and mental health. Four types of relational processes are identified, with each type clearly distinguished in terms of its pattern of association with psychopathology. For illustrative purposes, examples are provided along with suggestions of how each might be accommodated in the DSM-V. In view of the importance and complexity of the connections between relational processes and mental health, the authors argue that reliable and standardized assessments of relational processes are needed and suggest 6 possible approaches for providing better coverage of relational processes and relational disorders in the DSM-V. The article concludes with a discussion of potential concerns about expansion of attention to relational processes in the DSM-V.
作者介绍了《精神疾病诊断与统计手册》第四版（DSM-IV；美国精神病学协会，1994年）及其局限性，以及关系过程与心理健康之间的实证联系。确定了四种关系过程类型，每种类型在与精神病理学的关联模式方面都有明确区分。为便于说明，文中提供了示例以及关于每种类型如何在《精神疾病诊断与统计手册》第五版（DSM-V）中得到体现的建议。鉴于关系过程与心理健康之间联系的重要性和复杂性，作者认为需要对关系过程进行可靠且标准化的评估，并提出了六种可能的方法，以便在DSM-V中更好地涵盖关系过程和关系障碍。文章最后讨论了在DSM-V中扩大对关系过程关注可能引发的潜在问题。
