The Development of the ICD-11 Classification of Personality Disorders: An Amalgam of Science, Pragmatism, and Politics.

IF 17.8 1区心理学 Q1 PSYCHOLOGY

Annual Review of Clinical Psychology Pub Date : 2019-05-07 Epub Date: 2019-01-02 DOI:10.1146/annurev-clinpsy-050718-095736

Peter Tyrer, Roger Mulder, Youl-Ri Kim, Mike J Crawford

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引用次数: 198

Abstract

The nomenclature of personality disorders in the 11th revision of the International Classification of Diseases and Related Health Problems represents the most radical change in the classification history of personality disorders. A dimensional structure now replaces categorical description. It was argued by the Working Group that only a dimensional system was consistent with the empirical evidence and, in the spirit of clinical utility, the new system is based on two steps. The first step is to assign one of five levels of severity, and the second step is to assign up to five prominent domain traits. There was resistance to this structure from those who feel that categorical diagnosis, particularly of borderline personality disorder, should be retained. After lengthy discussion, described in detail here, there is now an option for a borderline pattern descriptor to be selected as a diagnostic option after severity has been determined.

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ICD-11人格障碍分类的发展:科学、实用主义和政治的融合。

《国际疾病与相关健康问题分类》第11版中对人格障碍的命名是人格障碍分类史上最根本的变化。维度结构现在取代了分类描述。工作组认为，只有一个维度系统与经验证据相一致，本着临床效用的精神，新系统基于两个步骤。第一步是分配五个严重级别中的一个，第二步是分配多达五个突出的领域特征。有些人反对这种结构，他们认为应该保留绝对诊断，特别是边缘型人格障碍。经过长时间的讨论(在这里详细描述)，现在有一个选择，即在确定严重性之后，选择一个边界模式描述符作为诊断选项。

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.