The Alternative Model of Personality Disorders: Assessment, Convergent and Discriminant Validity, and a Look to the Future.

IF 17.8 1区心理学 Q1 PSYCHOLOGY

Annual Review of Clinical Psychology Pub Date : 2024-07-01 Epub Date: 2024-07-02 DOI:10.1146/annurev-clinpsy-081122-010709

Luis F García, Fernando Gutiérrez, Oscar García, Anton Aluja

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Abstract

The Alternative Model of Personality Disorders (AMPD) is a dimensional, empirically based diagnostic system developed to overcome the serious limitations of traditional categories. We review the mounting evidence on its convergent and discriminant validity, with an incursion into the less-studied ICD-11 system. In the literature, the AMPD's Pathological Trait Model (Criterion B) shows excellent convergence with normal personality traits, and it could be useful as an organizing framework for mental disorders. In contrast, Personality Functioning (Criterion A) cannot be distinguished from personality traits, lacks both discriminant and incremental validity, and has a shaky theoretical background. We offer some suggestions with a view to the future. These include removing Criterion A, using the real-life consequences of traits as indicators of severity, delving into the dynamic mechanisms underlying traits, and furthering the integration of currently disengaged psychological paradigms that can shape a sounder clinical science.

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人格障碍的替代模式：评估、收敛性和判别性的有效性，以及对未来的展望。

人格障碍替代模式（AMPD）是一种基于经验的维度诊断系统，旨在克服传统分类的严重局限性。我们回顾了有关其收敛性和鉴别性有效性的越来越多的证据，并对研究较少的 ICD-11 系统进行了探讨。在文献中，AMPD 的病态特质模型（标准 B）与正常人格特质有很好的趋同性，可以作为精神障碍的组织框架。相比之下，人格功能（标准 A）无法与人格特质区分开来，缺乏判别效度和增量效度，而且理论背景不稳固。展望未来，我们提出了一些建议。这些建议包括取消标准 A，使用特质的现实后果作为严重程度的指标，深入研究特质背后的动态机制，以及进一步整合目前不相干的心理学范式，从而形成更健全的临床科学。临床心理学年度评论》第 20 卷的最终在线出版日期预计为 2024 年 5 月。修订后的预计日期请参见 http://www.annualreviews.org/page/journal/pubdates。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annual Review of Clinical Psychology 医学-心理学

CiteScore

31.50

自引率

0.50%

发文量

期刊介绍： The Annual Review of Clinical Psychology is a publication that has been available since 2005. It offers comprehensive reviews on significant developments in the field of clinical psychology and psychiatry. The journal covers various aspects including research, theory, and the application of psychological principles to address recognized disorders such as schizophrenia, mood, anxiety, childhood, substance use, cognitive, and personality disorders. Additionally, the articles also touch upon broader issues that cut across the field, such as diagnosis, treatment, social policy, and cross-cultural and legal issues. Recently, the current volume of this journal has transitioned from a gated access model to an open access format through the Annual Reviews' Subscribe to Open program. All articles published in this volume are now available under a Creative Commons Attribution License (CC BY), allowing for widespread distribution and use. The journal is also abstracted and indexed in various databases including Scopus, Science Citation Index Expanded, MEDLINE, EMBASE, CINAHL, PsycINFO, and Academic Search, among others.