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DSM-5 中的人格特质。

Personality traits in the DSM-5.

机构信息

Department of Psychology, Michigan State University, East Lansing, MI 48824-1116, USA. hopwood2@ msu.edu

出版信息

J Pers Assess. 2011 Jul;93(4):398-405. doi: 10.1080/00223891.2011.577472.

Abstract

Recent advances in personality research coupled with a broad acknowledgment of the limitations of the representation of personality pathology in the third and fourth editions of the Diagnostic and Statistical Manual of Mental Disorders (DSM-III and DSM-IV) have positioned personality science to influence the shape of personality assessment in the fifth edition (DSM-5). Representing normative personality with well-validated traits that are broad, normally distributed, theoretically integrative, and distinct from personality disorder constructs would take optimal advantage of this opportunity. The assessment of normative traits would also link a large body of personality research with the practice of clinical diagnosis and would encourage clinicians to consider every patient's personality regardless of his or her diagnosis. Furthermore, conceptualizing personality traits and disorders separately would promote more careful clinical consideration of the functional severity and specific symptom constellations among personality disorders. Based on these considerations I argue that Five-factor model personality traits should be assessed separately from personality disorders in the DSM-5.

摘要

近年来,人格研究取得了进展,同时人们广泛认识到,在《精神障碍诊断与统计手册》(DSM-III 和 DSM-IV)的第三版和第四版中,人格病理学的表现存在局限性,这些因素使得人格科学有机会影响第五版(DSM-5)的人格评估形式。使用经过充分验证的特质来代表正常人格,这些特质具有广泛、正态分布、理论上的综合性,并且与人格障碍结构不同,将充分利用这一机会。正常特质的评估还将把大量的人格研究与临床诊断实践联系起来,并鼓励临床医生考虑每个患者的人格,而不论其诊断如何。此外,将人格特质和障碍分开来概念化,将促进更仔细地考虑人格障碍中的功能严重程度和特定症状组合。基于这些考虑,我认为在 DSM-5 中,五因素模型人格特质应与人格障碍分开评估。

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