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DSM-5 人格障碍替代模型中 A 标准的概念化和评估困难:对 Morey(2019)的回应。

Difficulties with the conceptualization and assessment of Criterion A in the DSM-5 alternative model of personality disorder: A reply to Morey (2019).

机构信息

Department of Psychology, University of Georgia.

Department of Psychological Sciences, Purdue University.

出版信息

Psychol Assess. 2019 Oct;31(10):1200-1205. doi: 10.1037/pas0000758.

DOI:10.1037/pas0000758
PMID:31580133
Abstract

The DSM-5 introduced an alternative model of personality disorders that is predicated on the presence of personality dysfunction (Criterion A) and pathological personality traits (Criterion B). Recently, a member of the DSM-5 Personality and Personality Disorder Work Group-Morey-published a measure of Criterion A. Our study (Sleep, Lynam, Widiger, Crowe, & Miller, 2019, this issue) examined the performance of Morey's (2017) Levels of Personality Functioning Scale-Self-Report (LFPS-SR) by testing its factor structure, relations with Axis I and II symptoms, and its incremental validity in predicting traditional personality disorders in comparison to Criterion B traits. In his response, Morey raised a number of issues regarding our examination of the LPFS-SR in relation to its factor structure, discriminant validity, and incremental validity. Moreover, he suggested our approach (i.e., pitting Criterion A vs. B) is emblematic of problems in the field that contributed to the relegating of the AMPD to Section III (on emerging measures and models). In our response, we answer his criticisms. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

摘要

DSM-5 引入了一种替代的人格障碍模型,该模型基于人格功能障碍的存在(标准 A)和病理性人格特征(标准 B)。最近,DSM-5 人格和人格障碍工作组的成员-Morey-发布了一种衡量标准 A 的方法。我们的研究(Sleep、Lynam、Widiger、Crowe 和 Miller,2019,本期)通过测试其因素结构、与轴 I 和 II 症状的关系以及与 Criterion B 特质相比预测传统人格障碍的增量有效性,检验了 Morey(2017)人格功能水平量表-自我报告(LFPS-SR)的性能。在他的回应中,Morey 提出了一些关于我们在因子结构、判别有效性和增量有效性方面对 LPFS-SR 进行检查的问题。此外,他还认为我们的方法(即,将标准 A 与 B 进行对比)是导致 AMPD 被降级到第三部分(新兴措施和模型)的该领域问题的象征。在我们的回应中,我们回答了他的批评。(PsycINFO 数据库记录(c)2019 APA,保留所有权利)。

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