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对《精神疾病诊断与统计手册》第三版中分裂样人格障碍和回避型人格障碍的历史评论。

Historical comment on DSM-III schizoid and avoidant personality disorders.

作者信息

Livesley W J, West M, Tanney A

出版信息

Am J Psychiatry. 1985 Nov;142(11):1344-7. doi: 10.1176/ajp.142.11.1344.

Abstract

The authors examine the DSM-III distinction between schizoid and avoidant personality disorders. This distinction is based on Millon's biosocial learning theory and his interpretation of Kretschmer's personality types. The authors argue that this separation of a continuous distribution is historically misconceived and serves to obscure the significant features of schizoid personality. They examine Kretschmer's conceptualization of schizoid personality for the implications it carries for the development of a classification of personality disorder, suggesting that Kretschmer's approach implies a "polythetic" model of personality disorder that conceptualizes disorders as categories of dimensions.

摘要

作者们研究了《精神疾病诊断与统计手册》第三版(DSM-III)中分裂样人格障碍和回避型人格障碍的区别。这种区别基于米隆的生物社会学习理论以及他对克雷奇默人格类型的解读。作者们认为,对连续分布的这种划分在历史上是错误的观念,并且掩盖了分裂样人格的重要特征。他们研究了克雷奇默对分裂样人格的概念化,以探讨其对人格障碍分类发展的影响,表明克雷奇默的方法暗示了一种人格障碍的“多特质”模型,该模型将障碍概念化为维度类别。

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