Department of Psychology, Pennsylvania State University, University Park, Pennsylvania, USA,
Department of Clinical Psychology, Graduate School of Applied and Professional Psychology, Rutgers University, Piscataway, New Jersey, USA.
Psychopathology. 2020;53(3-4):133-140. doi: 10.1159/000506313. Epub 2020 Feb 28.
Criteria A of the DSM-5 Alternative Model for Personality Disorders (AMPD) defines personality pathology in terms of impairments in "self" (identity, self-direction) and "interpersonal" (empathy, intimacy) functioning. Articulated as a set of dynamic regulatory and relational processes that are stratified in the Level of Personality Functioning Scale, these impairments involve how individuals think and feel about themselves and others and how they relate to others. Defining personality pathology in terms of regulatory and relational processes involving self and other, and distinguishing severity of personality pathology from individual differences in its expression (Criteria B), offers the AMPD several advantages. First, it distinguishes the nature and severity of personality pathology from other forms of psychopathology. Second, it allows the AMPD to integrate personality structure and personality processes. Third, it is highly suitable for synthesis with the Contemporary Integrative Interpersonal Theory of personality. Finally, beyond the interpersonal perspective, it facilitates even broader theoretical and treatment integration.
DSM-5 人格障碍替代模型（AMPD）的标准 A 从“自我”（身份、自我导向）和“人际关系”（同理心、亲密）功能障碍的角度来定义人格病理学。这些障碍被表述为一系列分层的动态调节和关系过程，存在于人格功能水平量表中，涉及个体对自己和他人的思考和感受方式，以及他们与他人的关系方式。从涉及自我和他人的调节和关系过程的角度来定义人格病理学，并区分人格病理学的严重程度与其表达的个体差异（标准 B），为 AMPD 提供了几个优势。首先，它将人格病理学的性质和严重程度与其他形式的精神病理学区分开来。其次，它允许 AMPD 整合人格结构和人格过程。第三，它非常适合与当代综合人际关系理论的综合。最后，除了人际关系的角度，它还促进了更广泛的理论和治疗综合。
