OBJECTIVE Psychopathology research has relied on discrete diagnoses, which neglects the unique manifestations of each individual's pathology. Borderline personality disorder combines interpersonal, affective, and behavioral regulation impairments making it particularly ill-suited to a "one size fits all" diagnosis. Clinical assessment and case formulation involve understanding and developing a personalized model for each patient's contextualized dynamic processes, and research would benefit from a similar focus on the individual. METHOD We use group iterative multiple model estimation, which estimates a model for each individual and identifies general or shared features across individuals, in both a mixed-diagnosis sample (N = 78) and a subsample with a single diagnosis (n = 24). RESULTS We found that individuals vary widely in their dynamic processes in affective and interpersonal domains both within and across diagnoses. However, there was some evidence that dynamic patterns relate to transdiagnostic baseline measures. We conclude with descriptions of 2 person-specific models as an example of the heterogeneity of dynamic processes. CONCLUSIONS The idiographic models presented here join a growing literature showing that the individuals differ dramatically in the total patterning of these processes, even as key processes are shared across individuals. We argue that these processes are best estimated in the context of person-specific models, and that so doing may advance our understanding of the contextualized dynamic processes that could identify maintenance mechanisms and treatment targets. (PsycINFO Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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精神病理学的个性化模型作为情境化的动态过程：来自边缘性人格障碍个体的一个例子。


客观精神病理学研究依赖于离散诊断，忽视了每个人病理学的独特表现。边缘性人格障碍结合了人际关系、情感和行为调节障碍，使其特别不适合“一刀切”的诊断。临床评估和病例制定涉及理解和开发针对每个患者的情境动态过程的个性化模型，并且研究将受益于对个体的类似关注。方法 我们使用群体迭代多重模型估计，在混合诊断样本 (N = 78) 和具有单一诊断的子样本 (n = 24) 中估计每个个体的模型并识别个体之间的一般或共享特征。结果我们发现，在诊断内部和诊断之间，个体在情感和人际领域的动态过程存在很大差异。然而，有一些证据表明动态模式与跨诊断基线测量相关。最后，我们描述了 2 个特定于人的模型，作为动态过程异质性的例子。结论 这里提出的具体模型与越来越多的文献一起表明，即使关键过程是在个体之间共享的，个体在这些过程的总体模式上也存在显着差异。我们认为，这些过程最好在特定于人的模型的背景下进行估计，这样做可能会增进我们对可以识别维护机制和治疗目标的情境化动态过程的理解。 （PsycINFO 数据库记录 (c) 2020 APA，保留所有权利）。