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分裂型人格障碍与边缘型人格障碍分离的依据。

Justification for separating schizotypal and borderline personality disorders.

作者信息

Spitzer R L, Endicott J

出版信息

Schizophr Bull. 1979;5(1):95-104. doi: 10.1093/schbul/5.1.95.

Abstract

Siever and Gunderson (1979) have questioned the decision to separate Schizotypal Personality Disorder from Borderline Personality Disorder in DSM-III. The justification for this separation rests not on genetic evidence, but rather on the relative independence of the behavioral characteristics of two dimensions that up to now have both been referred to with the appellation "borderline." We believe that this separation provides the tools with which investigators may usefully study the interaction of genetic and environmental factors as they relate to personality and the major psychiatric disorders. The benefits of this separation are already apparent in that research investigators are now using two terms to describe different phenomena, when previously they were using the single term borderline. Proposed diagnostic criteria for Schizotypal Personality Disorder and Borderline Personality Disorder are appended.

摘要

西弗和冈德森(1979年)对《精神疾病诊断与统计手册》第三版(DSM - III)中将分裂型人格障碍与边缘型人格障碍区分开来的决定提出了质疑。这种区分的依据并非基于遗传学证据,而是基于两个维度行为特征的相对独立性,这两个维度迄今为止都被称为“边缘型”。我们认为,这种区分提供了工具,研究人员可以借此有效地研究遗传和环境因素与人格及主要精神疾病之间的相互作用。这种区分的益处已经显现出来,因为研究人员现在使用两个术语来描述不同的现象,而之前他们只用“边缘型”这一个术语。附录中列出了分裂型人格障碍和边缘型人格障碍的拟议诊断标准。

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