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The Development of the ICD-11 Classification of Personality Disorders: An Amalgam of Science, Pragmatism, and Politics.
Annual Review of Clinical Psychology ( IF 18.4 ) Pub Date : 2019-05-08 , DOI: 10.1146/annurev-clinpsy-050718-095736
Peter Tyrer 1 , Roger Mulder 2 , Youl-Ri Kim 3 , Mike J Crawford 1
Affiliation  

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.

中文翻译:

ICD-11人格障碍分类的发展:科学,实用主义和政治的混合物。

《国际疾病和相关健康问题分类》第11版中的人格障碍的命名法代表了人格障碍分类历史中最根本的变化。尺寸结构现在取代了类别描述。工作组认为,只有一个尺寸系统与经验证据相一致,并且从临床实用性的角度出发,新系统是基于两个步骤的。第一步是分配五个严重性级别之一,第二步是分配多达五个显着的领域特征。那些认为应该保留分类诊断,尤其是边缘性人格障碍的诊断的人对此结构存在抵触。经过冗长的讨论(在此详细介绍),
更新日期:2020-04-21
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