Department of Psychology, Oklahoma State University, Stillwater, OK, USA.
Department of Psychology, University of California-Davis, Davis, CA, USA.
Personal Ment Health. 2020 Feb;14(1):123-141. doi: 10.1002/pmh.1464. Epub 2019 Jul 31.
Despite the emphasis on evidence-based treatment for psychological disorders, to date, there has been limited research examining treatment for nine of the 10 categorical personality disorders in DSM-5 Section 2. This is perhaps not surprising given the complex heterogeneity and co-morbidity within personality pathology. The hierarchical taxonomy of psychopathology (HiTOP) was proposed to address limitations within the traditional categorical model of the diagnostic system. Within this system are five spectra: detachment, antagonistic externalizing, disinhibited externalizing, thought disorder and internalizing. These foundational personality traits potentially have direct and specific treatment implications. The purpose of this paper is to highlight potential psychotherapeutic and pharmacological treatment recommendations within the personality spectra. Additionally, we outline the advantages of considering the personality science found within dimensional models of psychopathology in clinical assessment and intervention to aid in treatment planning. © 2019 John Wiley & Sons, Ltd.
尽管强调了基于证据的心理障碍治疗方法，但迄今为止，对于 DSM-5 第 2 节中 10 种分类人格障碍中的 9 种，研究仍很有限。鉴于人格病理中的复杂异质性和共病性，这或许并不奇怪。精神病理学的层级分类（HiTOP）被提出是为了应对诊断系统中传统分类模型的局限性。在该系统中有五个谱：脱抑制、敌对性外化、脱抑制性外化、思维障碍和内化。这些基础人格特质可能具有直接和特定的治疗意义。本文的目的是突出人格谱内潜在的心理治疗和药物治疗建议。此外，我们还概述了在临床评估和干预中考虑精神病理学维度模型中发现的人格科学的优势，以帮助治疗计划。© 2019 约翰威立父子公司
