Frances A
Am J Psychiatry. 1980 Sep;137(9):1050-4. doi: 10.1176/ajp.137.9.1050.
The author reviews the DSM-III section on personality disorders, discusses several of its more controversial diagnoses, and suggests some possible alternatives. He attributes the continued low reliability of personality diagnoses, compared with the other major sections of DSM-III, to two inherent obstacles: the lack of clear boundaries demarcating the personality disorders from normality and from one another, and the confounding influence of state and role factors. Nonetheless, the DSM-III multiaxial system highlights the importance of personality diagnosis and, together with the provision of clearly specified diagnostic criteria, achieves a considerably improved reliability compared with previous nomenclatures.
作者回顾了《精神疾病诊断与统计手册》第三版（DSM-III）中关于人格障碍的章节，讨论了其中一些更具争议性的诊断，并提出了一些可能的替代方案。他将人格诊断的可靠性持续低于DSM-III其他主要章节归因于两个内在障碍：缺乏明确的界限来区分人格障碍与正常状态以及不同人格障碍之间的差异，以及状态和角色因素的混杂影响。尽管如此，DSM-III多轴系统突出了人格诊断的重要性，并且与提供明确规定的诊断标准一起，与以前的命名法相比，可靠性有了显著提高。
