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DSM-5 人格障碍特征替代模型的治疗框架。

A framework for treating DSM-5 alternative model for personality disorder features.

机构信息

Department of Psychology, University of California, Davis, CA, USA.

出版信息

Personal Ment Health. 2018 May;12(2):107-125. doi: 10.1002/pmh.1414. Epub 2018 Apr 15.

Abstract

Despite its demonstrated empirical superiority over the DSM-5 Section 2 categorical model of personality disorders for organizing the features of personality pathology, limitations remain with regard to the translation of the DSM-5 Section 3 alternative model of personality disorders (AMPD) to clinical practice. The goal of this paper is to outline a general and preliminary framework for approaching treatment from the perspective of the AMPD. Specific techniques are discussed for the assessment and treatment of both Criterion A personality dysfunction and Criterion B maladaptive traits. A concise and step-by-step model is presented for clinical decision making with the AMPD, in the hopes of offering clinicians a framework for treating personality pathology and promoting further research on the clinical utility of the AMPD. Copyright © 2018 John Wiley & Sons, Ltd.

摘要

尽管 DSM-5 第二部分的人格障碍分类模式在组织人格病理学特征方面具有明显的经验优势,但在将 DSM-5 第三部分的人格障碍替代模型(AMPD)转化为临床实践方面仍存在局限性。本文的目的是概述从 AMPD 的角度处理治疗的一般和初步框架。讨论了评估和治疗标准 A 人格功能障碍和标准 B 适应不良特征的具体技术。为了为临床医生提供一种治疗人格病理学的框架,并促进对 AMPD 的临床实用性的进一步研究,本文提出了一个简洁的、分步骤的临床决策模型。版权所有 © 2018 约翰威立父子公司

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