Department of Psychology, University of Kentucky.
Personal Disord. 2022 Jul;13(4):347-355. doi: 10.1037/per0000524.
The fifth edition of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM-5; American Psychiatric Association, 2013) includes within a section for emerging measures and models an alternative model of personality disorder (AMPD). This article provides a brief overview of its development, noting, in particular, issues and controversies. The article concludes with a discussion of and recommendations for further research in regard to 8 issues: (a) whether the DSM-5 AMPD offers any incremental validity over DSM-IV with respect to the validity or clinical utility; (b) development of the treatment implications for the AMPD components; (c) whether the DSM-5 AMPD level of personality functioning (LPF) is a unitary construct; (d) whether the LPF does in fact identify the core of personality disorder, (e) whether the LPF is even necessary; (f) whether the AMPD trait model is sufficiently comprehensive in its coverage; (g) the synchronization of International Classification of Diseases, Eleventh Revision, and DSM-5 Section III; and (h) whether the future classification of personality disorder should continue to include any of the DSM-IV syndromes. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
美国精神病学会的《精神障碍诊断与统计手册》（DSM-5；美国精神病学会，2013 年）第五版在新兴措施和模型部分包括了一种人格障碍的替代模型（AMPD）。本文简要概述了其发展过程，特别注意到了相关问题和争议。文章最后讨论了并提出了以下 8 个问题的进一步研究建议：（a）与 DSM-IV 相比，DSM-5 AMPD 在有效性或临床实用性方面是否提供了任何增量有效性；（b）为 AMPD 成分制定治疗意义；（c）DSM-5 AMPD 人格功能水平（LPF）是否是一个单一的结构；（d）LPF 是否确实确定了人格障碍的核心；（e）LPF 是否真的有必要；（f）AMPD 特质模型在其涵盖范围上是否足够全面；（g）《国际疾病分类》第十一版与 DSM-5 第三部分的同步；（h）人格障碍的未来分类是否应继续包含 DSM-IV 综合征中的任何一种。（PsycInfo 数据库记录（c）2022 APA，保留所有权利）。
