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DSM-5 Level of Personality Functioning: Refocusing Personality Disorder on What It Means to Be Human
Annual Review of Clinical Psychology ( IF 17.8 ) Pub Date : 2021-05-07 , DOI: 10.1146/annurev-clinpsy-081219-105402
Carla Sharp 1 , Kiana Wall 1
Affiliation  

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.

中文翻译:


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 (LPF) 代表《精神疾病诊断和统计手册》第五版中人格障碍替代模型 (AMPD) 的入门标准(标准 A)(DSM-5)。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,它代表适应不良的自我(身份和自我导向)和人际交往(共情和亲密)功能。我们回顾了 LPF 的历史、测量和意义。我们表明,如果 LPF 被定义为完成成人生活任务所需的主观内心系统的普遍适应性失败,那么将 LPF 包含在 AMPD 中是有充分理由的。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,并捕捉人类作为代理作者对自我的解释和管理所做的贡献。虽然标准 B 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,

更新日期:2021-05-08
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