Two kinds of borderline concepts. Conceptual and empirical agreement between DSM-III, DIB, and Kernberg.

Psychiatric developments Pub Date : 1989-01-01
R Sandell
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引用次数: 0

Abstract

The definitional criteria of the 3 systems (DSM-III, DIB and Kernberg) have been compared. While there is rather weak agreement between the criteria of DIB and those of DSM-III, there is no agreement at all between Kernberg's criteria and those of the other 2 systems. When the 3 systems are compared in terms of empirical diagnosis, the agreement between DSM-III and DIB is moderate and clearly stronger than that between Kernberg and either DSM-III or DIB. In terms of sensitivity, the Kernberg borderline comprises the DSM-III and DIB borderlines as subsets. The findings are consistent with the idea that Kernberg's borderline concept is an instance of a severity or maturity level construct, while DSM-III and DIB are characterological constructs, orthogonally related to the level construct.

两种边缘概念。DSM-III, DIB和Kernberg之间的概念和经验协议。
比较了3个系统(DSM-III, DIB和Kernberg)的定义标准。虽然DIB的标准与DSM-III的标准之间存在相当弱的一致性,但Kernberg的标准与其他两个系统的标准之间根本没有一致性。在实证诊断方面比较3种体系时,DSM-III与DIB之间的一致性是中等的,明显强于Kernberg与DSM-III或DIB之间的一致性。在敏感性方面,Kernberg边界包括DSM-III和DIB边界作为子集。研究结果与Kernberg的边缘概念是严重性或成熟度水平结构的一个实例的观点是一致的,而DSM-III和DIB是特征结构,与水平结构正交相关。
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