Department of Psychology, University of Alabama.
Sam Houston State University.
J Pers Disord. 2018 Apr;32(2):262-276. doi: 10.1521/pedi_2017_31_298. Epub 2017 Jun 12.
The DSM-5 includes an alternative model for the diagnosis of personality disorders (PDs). Although there has been growing support for this model there has been little investigation into how it will be utilized by clinicians. The current study evaluated clinician perspectives of a "prototypical" individual with antisocial and borderline PD using Section III traits in a sample of 105 mental health professionals. Results showed that clinicians' perspectives of these disorders were generally consistent with the Section III trait operationalizations. Indeed, clinicians rated each trait facet as more prototypical than nonproposed facets. Similarly, they rated nonproposed facets as less prototypical than included facets for both disorders, with some exceptions for borderline PD. Furthermore, the authors found that these ratings were generally in statistical agreement with empirical associations between Section III traits and Section II PDs found in previous studies. Overall, results suggest support for the trait operationalizations of these disorders by clinicians.
DSM-5 包括一种人格障碍（PD）诊断的替代模式。尽管这种模式得到了越来越多的支持，但对临床医生如何使用它的研究却很少。本研究在 105 名心理健康专业人员的样本中，使用第三部分特质评估了临床医生对具有反社会和边缘型 PD 的“典型”个体的看法。结果表明，临床医生对这些疾病的看法通常与第三部分特质的操作化一致。事实上，临床医生认为每个特质方面比非提议方面更具典型性。同样，他们认为，对于这两种疾病，非提议方面比包括方面的典型性都要低，边缘型 PD 也有一些例外。此外，作者发现，这些评估结果与之前研究中发现的第三部分特质与第二部分 PD 之间的实证关联在统计学上基本一致。总的来说，结果表明临床医生对这些疾病的特质操作化的支持。
