Department of Psychosocial and Personality Research, McLean Hospital, Belmont, MA 02478, USA.
Personal Disord. 2010 Apr;1(2):119-22. doi: 10.1037/a0019974.
This article develops the larger theme that the fundamental quantitatively developed architecture of personality provides a sound base for classifying all areas of psychopathology and, more specifically, should underlie the current effort to revise the classification of personality disorders (PDs) in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). My commentary is organized around what I perceive to be four significant problems with the proposed change to a trait-based system: (1) unfamiliarity to clinicians (and possibly unfeasibility), (2) lack of clinical utility, (3) the preliminary quality of the science upon which the proposed change is based, and (4) harmful effects on the diagnosis of borderline personality disorder (BPD).
本文阐述了一个更大的主题，即人格的基本定量发展结构为精神病理学的所有领域提供了一个合理的分类基础，更具体地说，它应该为目前修订《精神障碍诊断与统计手册》第五版（DSM-5）中人格障碍（PD）分类的努力提供依据。我的评论围绕着我认为特质为基础的系统改变存在四个显著问题展开：（1）临床医生不熟悉（可能也不可行），（2）缺乏临床实用性，（3）提议改变所基于的科学初步质量，以及（4）对边缘型人格障碍（BPD）诊断的有害影响。
