Psychologische Hochschule Berlin (PHB), Am Köllnischen Park 2, 10179, Berlin, Germany.
Zentrum für Psychosoziale Medizin, Klinikum Itzehoe, Germany.
Curr Psychiatry Rep. 2021 Jun 28;23(7):45. doi: 10.1007/s11920-021-01250-y.
The concept of personality functioning (Alternative DSM-5 Model of Personality Disorders) has led to increased interest in dimensional personality disorder diagnosis. While differing markedly from the current categorical classification, it is closely related to the psychodynamic concepts of personality structure and personality organization. In this review, the three dimensional approaches, their underlying models, and common instruments are introduced, and empirical studies on similarities and differences between the concepts and the categorical classification are summarized. Additionally, a case example illustrates the clinical application.
Numerous studies demonstrate the broad empirical basis, validated assessment instruments and clinical usefulness of the dimensional concepts. Their advantages compared to the categorical approach, but also the respective differences, have been demonstrated empirically, in line with clinical observations. Evidence supports the three dimensional concepts, which share conceptual overlap, but also entail unique aspects of personality pathology, respectively.
人格功能的概念（替代 DSM-5 人格障碍模式）增加了人们对多维人格障碍诊断的兴趣。虽然与目前的分类明显不同，但它与精神动力学的人格结构和人格组织概念密切相关。在这篇综述中，介绍了三维方法、其潜在模型和常见的工具，并总结了这些概念与分类之间的相似性和差异的实证研究。此外，还通过一个案例示例说明了临床应用。
大量研究证明了多维概念的广泛的实证基础、验证性评估工具和临床实用性。与分类方法相比，它们具有优势，而且也存在各自的差异，这与临床观察一致。证据支持三维概念，它们具有概念上的重叠，但也分别包含人格病理学的独特方面。
