Chanen Andrew M, Sharp Carla, Nicol Katie, Kaess Michael
Orygen, and Centre for Youth Mental Health, University of Melbourne, Melbourne (Chanen, Nicol); Department of Psychology, University of Houston, Houston (Sharp); University Hospital of Child and Adolescent Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland, and Department of Child and Adolescent Psychiatry, Center for Psychosocial Medicine, University Hospital Heidelberg, Heidelberg, Germany (Kaess).
Focus (Am Psychiatr Publ). 2022 Oct;20(4):402-408. doi: 10.1176/appi.focus.20220062. Epub 2022 Oct 25.
Both the Section III Alternative Model for Personality Disorders and the have introduced a genuinely developmental approach to personality disorder. Among young people with personality disorder, compelling evidence demonstrates a high burden of disease, substantial morbidity, and premature mortality, as well as response to treatment. Yet, early diagnosis and treatment for the disorder have struggled to emerge from its identity as a controversial diagnosis to a mainstream focus for mental health services. Key reasons for this include stigma and discrimination, lack of knowledge about and failure to identify personality disorder among young people, along with the belief that personality disorder must always be addressed through lengthy and specialized individual psychotherapy programs. In fact, evidence suggests that early intervention for personality disorder should be a focus for all mental health clinicians who see young people and is feasible by using widely available clinical skills.
《人格障碍的第三部分替代模型》以及其他相关内容都引入了一种真正具有发展性的人格障碍研究方法。在患有人格障碍的年轻人中，有力证据表明疾病负担沉重、发病率高、过早死亡，以及对治疗有反应。然而，该障碍的早期诊断和治疗一直难以从有争议的诊断身份转变为心理健康服务的主流关注点。造成这种情况的主要原因包括污名化和歧视、对年轻人中人格障碍的认识不足及未能识别，以及认为人格障碍必须始终通过长期且专门的个体心理治疗项目来解决。事实上，有证据表明，人格障碍的早期干预应成为所有接待年轻人的心理健康临床医生的关注重点，并且通过运用广泛可用的临床技能是可行的。
