Viersprong Institute for Studies on Personality Disorders, De Viersprong, Halsteren, The Netherlands.
Center for Personality Disorder Research, Psychiatric Research Unit, Region Zealand Psychiatry, Slagelse, Denmark.
Personal Ment Health. 2020 Aug;14(3):304-318. doi: 10.1002/pmh.1481. Epub 2020 Mar 9.
Published case studies on the DSM-5 (section III) Alternative Model for Personality Disorders (AMPD) generally utilized unstandardized assessment procedures or mono-method approaches. We present a case from clinical practice to illustrate a standardized, clinically feasible procedure for assessing personality pathology according to the full AMPD model, using a multi-method approach. We aim to present a procedure that can guide and inspire clinicians that are going to work with dimensional models as presented in DSM-5 and ICD-11. Specifically, we show how questionnaire and interview data from multiple sources (i.e. patient and family) can be combined. The clinical case also illustrates how Criterion A (i.e. functioning) and B (i.e. traits) are interrelated, suggesting that the joint assessment of both Criterion A and B is necessary for a comprehensive and clinically relevant case formulation. It also highlights how multi-method information can enhance diagnostic formulations. Finally, we show how the AMPD model can serve treatment planning and provide suggestions for how patient feedback might be delivered. © 2020 John Wiley & Sons, Ltd.
已发表的关于《精神障碍诊断与统计手册》（第五版）（第三部分）人格障碍替代模型（AMPD）的案例研究通常使用非标准化的评估程序或单一方法。我们展示了一个临床实践中的案例，来说明根据完整的 AMPD 模型，使用多方法评估人格病理学的标准化、临床可行的程序。我们旨在提出一种能够指导和启发临床医生的程序，这些医生将按照 DSM-5 和 ICD-11 中的维度模型进行工作。具体来说，我们展示了如何将来自多个来源（即患者和家属）的问卷和访谈数据结合起来。该临床案例还说明了标准 A（即功能）和标准 B（即特质）是如何相互关联的，表明为了进行全面和具有临床意义的病例构建，同时评估标准 A 和 B 是必要的。它还强调了多方法信息如何增强诊断表述。最后，我们展示了 AMPD 模型如何服务于治疗计划，并为如何提供患者反馈提供了建议。© 2020 约翰威立父子公司
