DSM-5 Level of Personality Functioning: Refocusing Personality Disorder on What It Means to Be Human.

IF 17.8 1区心理学 Q1 PSYCHOLOGY

Annual Review of Clinical Psychology Pub Date : 2021-05-07 Epub Date: 2020-12-11 DOI:10.1146/annurev-clinpsy-081219-105402

Carla Sharp, Kiana Wall

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引用次数: 68

Abstract

Level of Personality Functioning (LPF) represents the entry criterion (Criterion A) of the Alternative Model for Personality Disorders (AMPD) in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). It is defined as a dimensional general severity criterion common to all personality disorders and conceptually independent of personality types or traits, and it represents maladaptive self (identity and self-direction) and interpersonal (empathy and intimacy) functioning. We review the history, measurement, and significance of LPF. We show that the inclusion of LPF in the AMPD is well justified if it is defined as a general adaptive failure of a subjective intrapsychic system needed to fulfill adult life tasks. If so defined, LPF distinguishes itself from maladaptive traits (Criterion B of the AMPD) and captures the contribution humans make as agentic authors to the interpretation and management of the self. While Criterion B maladaptive traits provide important descriptive nuance to manifestations of personality pathology, maladaptive LPF is conditional to the diagnosis of personality disorder.

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DSM-5人格功能水平:重新关注人格障碍对人类的意义。

人格功能水平(Level of Personality Functioning, LPF)是《精神疾病诊断与统计手册》(DSM-5)第五版中人格障碍替代模型(Alternative Model for Personality Disorders, AMPD)的进入标准(criteria A)。它被定义为所有人格障碍共同的维度一般严重程度标准，在概念上独立于人格类型或特征，它代表了适应不良的自我(认同和自我导向)和人际(移情和亲密)功能。我们回顾了LPF的历史、测量和意义。我们表明，如果将LPF定义为完成成人生活任务所需的主观心理内系统的一般适应性失败，则将其纳入AMPD是合理的。如果这样定义，LPF将自己与适应不良特征(AMPD的标准B)区分开来，并抓住了人类作为代理作者对自我的解释和管理所做的贡献。虽然B标准的适应不良特征为人格病理学的表现提供了重要的描述性细微差别，但适应不良的LPF对人格障碍的诊断是有条件的。

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.