Follette W C
Department of Psychology, University of Nevada, Reno 89557, USA.
J Pers Disord. 1997 Fall;11(3):232-41. doi: 10.1521/pedi.1997.11.3.232.
Clark, Livesley, and Morey critically analyze some of the deficiencies in the DSM approach to classifying personality disorders that derive from the fact that the construct of personality disorders is inadequately specified. This response agrees with their criticism, but argues that any significant improvement will have to entail a theory based taxonomy. A taxonomic system must eventually be explained rather than be an explanation for behavior. The theory chosen must relate to the goals of those creating the classification system. This paper suggests that a taxonomic system that is tied to an experimentally based set of behavioral principles, and can provide treatment utility, would have advantages over DSM-IV. The paper than presents the outline of a classification system founded on behavior analytic principles.
克拉克、利夫斯利和莫雷批判性地分析了《精神疾病诊断与统计手册》（DSM）对人格障碍进行分类方法中的一些缺陷，这些缺陷源于人格障碍的概念界定不充分这一事实。本回应认同他们的批评，但认为任何重大改进都必须采用基于理论的分类法。分类系统最终必须得到解释，而不是用来解释行为。所选择的理论必须与创建分类系统者的目标相关。本文认为，一个与基于实验的一系列行为原则相关联且能提供治疗效用的分类系统，将比《精神疾病诊断与统计手册》第四版（DSM-IV）具有优势。接着，本文呈现了一个基于行为分析原则的分类系统大纲。
