Sheldon A E, West M
Behavioral Sciences Research Group, Faculty of Medicine, University of Calgary, Alberta.
Can J Psychiatry. 1990 Oct;35(7):596-9. doi: 10.1177/070674379003500706.
The criterion of desire for affection and acceptance was eliminated from the definition of avoidant personality disorder in the DSM-III-R. But clinical experience in our setting suggests that attachment pathology related to such desires is an important diagnostic feature and a frequent focus of clinical intervention with avoidant individuals. Forty-seven patients receiving a clinical diagnosis of avoidant personality disorder completed a brief questionnaire which rated desire for an attachment relationship, fear of an attachment relationship and level of social skills. The results support our hypotheses that attachment security is distinct from general social skills and that desire for but fear of an attachment relationship is more characteristic of those diagnosed with avoidant personality disorder than a low level of social skills.
在《精神疾病诊断与统计手册》第三版修订本（DSM-III-R）中，对情感和接纳的渴望这一标准已从回避型人格障碍的定义中剔除。但我们临床环境中的经验表明，与这种渴望相关的依恋病理学是一项重要的诊断特征，也是对回避型个体进行临床干预时常见的关注焦点。47名被临床诊断为回避型人格障碍的患者完成了一份简短问卷，该问卷对依恋关系的渴望、对依恋关系的恐惧以及社交技能水平进行了评分。结果支持了我们的假设，即依恋安全性与一般社交技能不同，对依恋关系既渴望又恐惧比社交技能水平低更能体现被诊断为回避型人格障碍者的特征。
