Svrakic D M, McCallum K, Milan P
Washington University Medical School, Department of Psychiatry, St. Louis, MO 63110.
Am J Psychoanal. 1991 Dec;51(4):413-32. doi: 10.1007/BF01251036.
The conception of personality disorders (PDs) as distinct units of mental disorders is neither precise nor useful. At least some PDs, classified as separate units, reflect different behavioral expression of the same personality deviation. In this article we describe structural, developmental, and clinical continuum between relatively distinct entities of antisocial PD and narcissistic PD. The two disorders represent different endpoints sharing a borderline level of personality organization and pathological narcissism. We propose a spectrum relation for antisocial and narcissistic PD because the disorders tend to co-occur in the same individual and to run in the same family more often than expected by chance.
将人格障碍（PDs）视为精神障碍的不同单元这一概念既不精确也无用处。至少一些被归类为不同单元的人格障碍，反映了同一人格偏差的不同行为表现。在本文中，我们描述了反社会型人格障碍和自恋型人格障碍这两个相对不同的实体之间的结构、发展和临床连续体。这两种障碍代表了共享边缘性人格组织水平和病理性自恋的不同端点。我们提出反社会型人格障碍和自恋型人格障碍之间存在谱系关系，因为这两种障碍在同一个体中比偶然预期的更常同时出现，并且在同一家族中也更常出现。
