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再谈人格障碍:一种新提出的精神疾病。

Personality Disorders Revisited: A Newly Proposed Mental Illness.

作者信息

Ramsay Glen, Jolayemi Ayodeji

机构信息

Psychiatry, Interfaith Medical Center, Brooklyn, USA.

出版信息

Cureus. 2020 Aug 9;12(8):e9634. doi: 10.7759/cureus.9634.

Abstract

Personality disorders such as dependent personality disorder (DPD), among others, have shown limited academic development in terms of a more in-depth understanding or subtypes that may exist as a mental illness or associated condition. DPD was first published as a distinct personality disorder in the Diagnostic and Statistical Manual for Mental Disorders, 3rd edition (DSM III) psychiatry manual in 1980. Since its revision in the DSM IIIR in 1987, no significant advancements have been proposed to date. This case study reported a patient with suicidal ideation and offered a new type of DPD to advance personality disorders research. The new subtype of dependent personality disorder has a few key characteristics of the traditional disorder yet reveals features that mirror nearly opposite symptom criteria, making it unique as a distinct subtype or possibly a separate personality disorder of its kind. The case study patient report proposes comorbid diagnoses of adjustment disorder and dependent personality disorder, the altruistic depressive type. Recommendations for further research were made.

摘要

诸如依赖型人格障碍(DPD)等人格障碍,在更深入理解或可能作为精神疾病或相关病症存在的亚型方面,学术进展有限。DPD于1980年首次作为一种独特的人格障碍发表在《精神疾病诊断与统计手册》第三版(DSM-III)精神病学手册中。自1987年在DSM-IIIR中修订以来,迄今为止尚未提出重大进展。本病例报告了一名有自杀意念的患者,并提出了一种新型的DPD,以推动人格障碍研究。依赖型人格障碍的新亚型具有传统障碍的一些关键特征,但也揭示了几乎与症状标准相反的特征,使其作为一种独特的亚型或可能是一种单独的人格障碍而独具特色。该病例研究患者报告提出了适应障碍和依赖型人格障碍(利他抑郁型)的共病诊断。并提出了进一步研究的建议。

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