Goldstein W N
Am J Psychother. 1985 Jan;39(1):4-16. doi: 10.1176/appi.psychotherapy.1985.39.1.4.
In order to achieve more understanding of the term narcissistic personality, particularly as it relates to DSM III, the works of Kohut and Kernberg are examined in much detail. Focus is placed on descriptive and dynamic aspects of these works, along with the question of the relationship of the narcissistic personality to the borderline. The descriptive aspects of both Kohut's and Kernberg's works are each recast in a symptom-oriented check-list approach, to provide direct comparisons to DSM III. The DSM III criteria for the narcissistic personality are found to nicely represent a descriptive compilation of the work of these two predominant psychoanalysts. Although the DSM III criteria do not yet supply reliability or validity, they do describe a distinct group of patients, appear highly useful clinically, and are viewed very favorably.
为了更深入地理解自恋型人格这一术语，尤其是它与《精神疾病诊断与统计手册》第三版（DSM III）的关系，本文对科胡特（Kohut）和克恩伯格（Kernberg）的著作进行了详细研究。重点关注这些著作的描述性和动力学方面，以及自恋型人格与边缘型人格关系的问题。科胡特和克恩伯格著作的描述性方面均以症状导向的检查表方法重新呈现，以便与DSM III进行直接比较。结果发现，DSM III中自恋型人格的标准很好地体现了这两位主要精神分析学家著作的描述性汇编。尽管DSM III的标准尚未提供可靠性或有效性，但它们确实描述了一组独特的患者，在临床上显得非常有用，并且受到高度认可。
