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边缘性障碍的诊断。

Diagnosis of the borderline disorders.

作者信息

Dahl A A

出版信息

Psychopathology. 1985;18(1):18-28. doi: 10.1159/000284212.

Abstract

Only a few of the borderline concepts introduced in clinical psychiatry have adequate diagnostic reliability. They are the borderline personality disorder of Gunderson and of DSM-III and the schizotypal personality disorder of DSM-III. Diagnostic interviews for these disorders have been developed, and their features are discussed. The diagnosis of borderline disorder can also be made with self-report instruments which are presented. Basic prevalence and demographic data for these disorders are given. The delimitation of the borderline disorders from other personality disorders is a major diagnostic problem still unresolved. The method of differentiated weight for symptoms is discussed as a probable solution for this problem.

摘要

临床精神病学中引入的边缘概念中,只有少数具有足够的诊断可靠性。它们是冈德森提出的边缘型人格障碍、《精神疾病诊断与统计手册》第三版(DSM-III)中的边缘型人格障碍以及DSM-III中的分裂型人格障碍。针对这些障碍的诊断访谈已经开发出来,并对其特征进行了讨论。边缘型障碍的诊断也可以通过所介绍的自我报告工具来进行。给出了这些障碍的基本患病率和人口统计学数据。将边缘型障碍与其他人格障碍区分开来仍是一个尚未解决的主要诊断问题。讨论了症状差异加权法作为解决这一问题的可能方案。

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