Trestman Robert L
Dr. Trestman is Professor of Medicine, Psychiatry and Nursing, University of Connecticut Health Center, Farmington, CT.
J Am Acad Psychiatry Law. 2014;42(2):141-5.
The past decade has seen a period of extensive research into the etiology, pathophysiology, assessment, and treatment of personality disorders. Concomitantly, a group of experts in the field were brought together to form the Personality and Personality Disorder Work Group for the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), charged with the responsibility of updating the diagnostic approach to personality disorders. This article is a review of some of the history of the American Psychiatry Association's approach to the recognition and diagnosis of personality disorders over the past half century, the process of developing the recommendations for a DSM-5 personality disorder diagnosis and the elimination of the multiaxial system, and how DSM-5 has left us with essentially no changes of relevance to the practice of forensic psychiatry in the process for diagnosing personality disorders or in the specific diagnoses of personality disorder.
在过去十年里，人们对人格障碍的病因、病理生理学、评估和治疗进行了广泛研究。与此同时，该领域的一群专家齐聚一堂，组成了《精神疾病诊断与统计手册》第五版（DSM-5）的人格与人格障碍工作组，负责更新人格障碍的诊断方法。本文回顾了美国精神病学协会在过去半个世纪中对人格障碍的识别和诊断方法的一些历史，制定DSM-5人格障碍诊断建议和取消多轴系统的过程，以及DSM-5在人格障碍诊断过程中或人格障碍的具体诊断方面，如何让我们在法医精神病学实践中基本上没有看到相关性的变化。
