Department of Psychology, University of Kassel, Hollaendische Str. 36–38, 34127 Kassel, Germany.
J Pers Assess. 2012;94(5):522-32. doi: 10.1080/00223891.2012.700664. Epub 2012 Jul 18.
A key ingredient in the current proposal of the DSM-5 Work Group on Personality and Personality Disorders is the assessment of overall severity of impairment in personality functioning: the Levels of Personality Functioning Scale (LPFS). The aim of this article is to contribute a conceptual and empirical discussion of the LPFS from the perspective of the Operationalized Psychodynamic Diagnosis (OPD) system (OPD Task Force, 2008 ). First, we introduce the OPD Levels of Structural Integration Axis (OPD-LSIA), a measure of individual differences in severity of personality dysfunction that is rooted in psychodynamic theory. We show that the OPD-LSIA is reliable, valid, and highly associated with observer ratings of personality disorders. In the second part, we present results from an OPD expert consensus study exploring potential limitations of the current LPFS item set from the perspective of the OPD-LSIA. We conclude with highlighting implications for future revisions of the DSM-5 proposal.
当前《精神障碍诊断与统计手册》（DSM-5）人格障碍工作小组提案的一个关键要素是评估人格功能整体严重受损程度：人格功能水平量表（LPFS）。本文旨在从操作性心理动力学诊断（OPD）系统（OPD 工作组，2008）的角度，对 LPFS 进行概念和实证讨论。首先，我们介绍 OPD 结构整合轴水平（OPD-LSIA），这是一种基于心理动力学理论的严重人格功能障碍个体差异的衡量标准。我们表明，OPD-LSIA 具有可靠性、有效性，并与人格障碍的观察者评定高度相关。在第二部分，我们展示了一项 OPD 专家共识研究的结果，该研究从 OPD-LSIA 的角度探讨了当前 LPFS 项目集的潜在局限性。最后，我们强调了对 DSM-5 提案未来修订的影响。
