Howard Richard C
Institute of Mental Health, University of Nottingham, Nottingham, United Kingdom.
Front Psychiatry. 2022 Oct 20;13:1023236. doi: 10.3389/fpsyt.2022.1023236. eCollection 2022.
The goal of this paper is to try and close the gap between the ways in which pathological and normal personality, including their development, are conceptualized. To this end, attention is drawn to parallels that exist between the ways self-function is conceptualized in contemporary personality psychology and in recent iterations of the major psychiatric nosologies, particularly ICD-11. Conceptualizations in both normal and abnormal personality see a fundamental dichotomy between and (vs autonomous). Evidence is reviewed supporting a basic dichotomy between two categories of personality pathology that can be subsumed under the labels "Acting Out" and "Anxious-Inhibited." It is suggested that fundamental to the personality pathology subsumed under "Acting Out" is a deficient interdependent self, while a defective self-identity is proposed to underlie the personality pathology subsumed under "Anxious-Inhibited."
本文的目标是尝试弥合对病理性人格和正常人格(包括其发展)进行概念化的方式之间的差距。为此,本文关注当代人格心理学以及主要精神疾病分类法(尤其是国际疾病分类第11版,即ICD - 11)的最新版本中对自我功能进行概念化的方式之间存在的相似之处。正常人格和异常人格的概念化都认为在[此处原文缺失两个关键描述词]与(相对自主的)之间存在基本的二分法。本文回顾了相关证据,支持可归为“外化行为”和“焦虑抑制型”这两类人格病理学之间的基本二分法。研究表明,“外化行为”所涵盖的人格病理学的根本原因是相互依存的自我存在缺陷,而“焦虑抑制型”所涵盖的人格病理学的基础则是自我认同存在缺陷。