A practical way to diagnosis personality disorder: A proposal

被引:194
作者
Cloninger, CR
机构
[1] Washington Univ, Sch Med, Dept Psychiat, St Louis, MO 63130 USA
[2] Washington Univ, Dept Genet, St Louis, MO 63130 USA
[3] Washington Univ, Dept Psychol, St Louis, MO 63130 USA
关键词
D O I
10.1521/pedi.2000.14.2.99
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
General criteria for the diagnosis of personality disorder are provided based on rating a few items describing four core features of personality disorder: (a) low Self-directedness, (b) low Cooperativeness, (c) low Affective Stability, and (d) low Self-transcendence. These core features correspond closely with the basic concept of personality disorder in DSM-TV and are based on specific items easy for clinicians to rate in a short time. Criteria are also provided for rating severity of personality disorganization and for subtyping based on a profile of three additional dimensions corresponding to core features of DSM-TV clusters A, B, and C. This approach should facilitate efficient screening in clinical practice, encourage an understanding of the development of comorbidity as a self-organizing process, and provide a theory-driven basis for therapeutic planning with drugs and psychotherapy.
引用
收藏
页码:99 / 108
页数:10
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