Caligor Eve, Preti Emanuele, Stern Barry L, Sowislo Julia F, Clarkin John F
Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University, New York City (Caligor, Stern); Department of Psychology, University of Milano-Bicocca, Milan, Italy (Preti); Department of Psychiatry, Weill Medical College of Cornell University, New York City (Sowislo, Clarkin).
Am J Psychother. 2023 Mar 1;76(1):26-30. doi: 10.1176/appi.psychotherapy.20220027. Epub 2022 Sep 2.
Contemporary models of the diagnosis and classification of personality disorders have diverged from the categorical diagnostic framework of the system. One response to this movement can be found in the Alternative DSM-5 Model for Personality Disorders (AMPD), which uses dimensions of personality functioning, coupled with identification of dominant pathological traits, to define and classify personality disorders. By applying psychodynamic object relations theory to the AMPD, therapists can enrich the understanding and assessment of personality functioning and pathology as described in the AMPD.
当代人格障碍的诊断和分类模型已背离了该系统的类别诊断框架。对这一趋势的一种回应可见于《精神疾病诊断与统计手册》第五版人格障碍替代模型（AMPD），该模型利用人格功能维度，结合对主要病理特征的识别来定义和分类人格障碍。通过将精神动力学客体关系理论应用于AMPD，治疗师可以丰富对AMPD中所描述的人格功能和病理的理解与评估。
