Kim H A
Cornell University Medical College, New York City, Pearl River, New York 10965, USA.
Psychiatry Clin Neurosci. 1998 Dec;52 Suppl:S242-5. doi: 10.1111/j.1440-1819.1998.tb03233.x.
The author will attempt to equate so-called personality disorders with what used to be called psychoneurosis. Some suggestions for theoretical and technical modifications to apply psychoanalysis and psychotherapy on selective cases within the current managed care environment have been offered. In order to develop a comprehensive and effective psychotherapy system, a collaboration of psychotherapists both in collectivistic and individualistic societies is highly desirable. Furthermore, the differences of personality disorder and neurosis in both social structure are either minimal or insignificant from a psychotherapeutic point of view.
作者将尝试把所谓的人格障碍与过去所称的精神神经症等同起来。文中已针对在当前管理式医疗环境下对特定案例应用精神分析和心理治疗提出了一些理论和技术改进建议。为了建立一个全面且有效的心理治疗体系，集体主义社会和个人主义社会的心理治疗师开展合作是非常必要的。此外，从心理治疗的角度来看，这两种社会结构中人格障碍和神经症的差异要么极小，要么并不显著。
