Huprich Steven K, Bornstein Robert F
Department of Psychology, Eastern Michigan University, Ypsilianti, MI 48197, USA.
J Pers Assess. 2007 Aug;89(1):3-15. doi: 10.1080/00223890701356904.
Despite long-standing efforts to improve the current diagnostic system for Axis II, problems remain with the categorical conceptualization of personality disorders (PDs). Due in part to these problems, interest has developed in dimensional models of PD classification. In this article, we discuss four issues relevant to categorical vs. dimensional assessment of PDs: (a) problems with self-reports in PD patients, (b) methodological issues in behavioral and clinician assessment of PDs, (c) challenges that arise when dimensional models are applied to patient and nonpatient samples, and (d) clinical implications of categorical and dimensional PD models. We suggest that researchers and clinicians address these concerns to avoid implementing a new PD assessment model that-although different from the current system-would otherwise remain fraught with difficulties.
尽管长期以来一直在努力改进目前的轴II诊断系统，但人格障碍（PDs）的分类概念仍存在问题。部分由于这些问题，人们对PD分类的维度模型产生了兴趣。在本文中，我们讨论了与PDs的分类评估和维度评估相关的四个问题：（a）PD患者自我报告的问题，（b）PD行为和临床医生评估中的方法学问题，（c）将维度模型应用于患者和非患者样本时出现的挑战，以及（d）分类和维度PD模型的临床意义。我们建议研究人员和临床医生关注这些问题，以避免实施一种新的PD评估模型，该模型虽然与当前系统不同，但否则仍将充满困难。
