Tyrer P, Casey P, Ferguson B
St Charles Hospital, London.
Br J Psychiatry. 1991 Oct;159:463-71. doi: 10.1192/bjp.159.4.463.
Personality disorders have for many years been on the fringe of psychiatry, with considerable doubts expressed about the usefulness, implications and validity of the concept. It is argued here that developments in the past few years have brought personality disorders into the mainstream of psychiatric practice. In particular, the recognition that personality function can be separated usefully from clinical symptoms, and that both mental state and personality can be disordered simultaneously, has led to better assessment and understanding. Advances in the classification, epidemiology, treatment and prognosis of personality disorders show that these conditions are common, extensive in their pathology, and cause much suffering. They cannot be ignored or dismissed as peripheral to psychiatry for they are an essential part of good psychiatric practice.
多年来，人格障碍一直处于精神病学的边缘，人们对这一概念的实用性、影响和有效性存在诸多质疑。本文认为，过去几年的发展已将人格障碍带入了精神病学实践的主流。特别是，认识到人格功能可以有效地与临床症状相分离，并且精神状态和人格可能同时出现紊乱，这带来了更好的评估和理解。人格障碍在分类、流行病学、治疗和预后方面的进展表明，这些病症很常见，病理范围广泛，且造成了许多痛苦。它们不能被忽视或视为精神病学的边缘问题，因为它们是良好精神病学实践的重要组成部分。
