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A unifying perspective on personality pathology across the life span: developmental considerations for the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders.

机译:整个人生过程中人格病理学的统一观点:《精神疾病诊断和统计手册》第五版的发展考虑。

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Proposed changes in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-V) include replacing current personality disorder (PD) categories on Axis II with a taxonomy of dimensional maladaptive personality traits. Most of the work on dimensional models of personality pathology, and on personality disorders per se, has been conducted on young and middle-aged adult populations. Numerous questions remain regarding the applicability and limitations of applying various PD models to early and later life. In the present paper, we provide an overview of such dimensional models and review current proposals for conceptualizing PDs in DSM-V. Next, we extensively review existing evidence on the development, measurement, and manifestation of personality pathology in early and later life focusing on those issues deemed most relevant for informing DSM-V. Finally, we present overall conclusions regarding the need to incorporate developmental issues in conceptualizing PDs in DSM-V and highlight the advantages of a dimensional model in unifying PD perspectives across the life span.
机译:《精神疾病诊断和统计手册》(DSM-V)第五版中的拟议更改包括用维度适应不良的人格特征分类法代替目前在II轴上的人格障碍(PD)类别。关于人格病理的维度模型以及人格障碍本身的大部分工作都是在青年和中年成年人口上进行的。关于在早期和以后的生活中使用各种PD模型的适用性和局限性,仍然存在许多问题。在本文中,我们提供了此类尺寸模型的概述,并回顾了有关将DSM-V中的PD概念化的最新建议。接下来,我们将广泛审查现有的证据,以证明在早期和以后人生中人格病理的发展,测量和表现,重点是那些被认为与告知DSM-V最相关的问题。最后,我们提出了有关在DSM-V中将PD概念化时需要纳入发展问题的总体结论,并强调维度模型在统一整个生命周期中PD观点方面的优势。

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