DIFFERENTIATION OF AXIS-I AND AXIS-II DISORDERS

被引:66
作者
WIDIGER, TA [1 ]
SHEA, T [1 ]
机构
[1] BROWN UNIV,PROVIDENCE,RI 02912
关键词
D O I
10.1037/0021-843X.100.3.399
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
The revised 3rd edition of the Diagnostic and Statistical Manual of Mental Disorders (American Psychiatric Association, 1987) distinguishes between Axis I and Axis II disorders: Axis II includes personality (and developmental) disorders, and all others are on Axis I. This distinction is often useful, but the reification of Axis I and II constructs through diagnostic criteria sets that demarcate categorically distinct entities is at times problematic. We review the issues of differentiating personality from Axis I disorders, specifically illustrated by schizotypal and schizophrenic disorders, borderline and mood disorders, antisocial and substance use disorders, and avoidant personality from social phobia. The options for addressing their differentiation include adding exclusion criteria, shifting the placement of disorders, deleting overlapping criteria, adding differentiating criteria, and converting to a dimensional format.
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页码:399 / 406
页数:8
相关论文
共 71 条
[1]  
AKISKAL HS, 1985, AM J PSYCHIAT, V142, P192
[2]  
AKISKAL HS, 1990, 143RD ANN M AM PSYCH
[3]  
American Psychiatric Association, 1987, DIAGNOSTIC STAT MANU, V3rd
[4]  
American Psychiatric Association, 1980, DIAGN STAT MAN MENT, V3rd
[5]  
American Psychiatric Association, 1968, DIAGN STAT MAN MENT, V2
[6]  
Brooks R. B., 1989, J ANXIETY DIORD, V3, P259
[7]  
Cantor N., 1986, CONT DIRECTIONS PSYC, P233
[8]   CONCEPTIONS OF STATES AND TRAITS - DIMENSIONAL ATTRIBUTES WITH IDEALS AS PROTOTYPES [J].
CHAPLIN, WF ;
JOHN, OP ;
GOLDBERG, LR .
JOURNAL OF PERSONALITY AND SOCIAL PSYCHOLOGY, 1988, 54 (04) :541-557
[9]  
Costa P. T., 1985, NEO PERSONALITY INVE
[10]   PERSONALITY STABILITY AND ITS IMPLICATIONS FOR CLINICAL-PSYCHOLOGY [J].
COSTA, PT ;
MCCRAE, RR .
CLINICAL PSYCHOLOGY REVIEW, 1986, 6 (05) :407-423