Department of Psychology and Philosophy, Sam Houston State University.
Clinical Department of Psychology, William James College.
Personal Disord. 2022 Jul;13(4):397-401. doi: 10.1037/per0000525.
The current review examines the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) alternative model for personality disorders' (AMPD) operationalization of antisocial personality disorder (ASPD), particularly as it relates to the construct of psychopathy. We review the available literature on the AMPD conceptualization of ASPD, its potential improvement over previous versions of the DSM, and its relationship to established measures of psychopathy. In addition, we review the literature on the AMPD's psychopathy specifier, including its utility in differentiating between ASPD and psychopathy. We provide a critical commentary for what these findings mean moving forward and discuss areas for future research direction. We argue that the DSM-5 conceptualization of ASPD is a vast improvement over previous iterations of the diagnosis; however, we discuss potential limitations and disagreements that could arise in its overlap with the construct of psychopathy. Finally, we argue that work moving forward should focus more broadly on dimensional traits and their prediction of outcomes, rather than continuing to seek diagnostic accuracy in conceptualizing ASPD and/or psychopathy and that the AMPD provides a good framework for this work. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
当前的综述检查了《精神障碍诊断与统计手册》第五版（DSM-5）人格障碍的替代模型（AMPD）对反社会人格障碍（ASPD）的操作化，特别是与精神病态的建构有关。我们回顾了有关 AMPD 对 ASPD 的概念化、其相对于 DSM 之前版本的潜在改进，以及其与已建立的精神病态测量方法的关系的现有文献。此外，我们还回顾了有关 AMPD 的精神病态特征的文献，包括其在区分 ASPD 和精神病态方面的效用。我们对这些发现意味着什么提出了批判性的评论，并讨论了未来的研究方向。我们认为，DSM-5 对 ASPD 的概念化是对该诊断之前迭代的重大改进；然而，我们讨论了在其与精神病态的建构重叠时可能出现的潜在局限性和分歧。最后，我们认为，未来的工作应该更广泛地关注维度特征及其对结果的预测，而不是继续在概念化 ASPD 和/或精神病态方面寻求诊断准确性，并且 AMPD 为此提供了一个很好的框架。（PsycInfo 数据库记录（c）2022 APA，保留所有权利）。
