Borderline disorders--the validity of the diagnostic concept.

Psychiatric developments Pub Date : 1985-01-01
A A Dahl
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Abstract

Reliable concepts of borderline disorders are a prerequisite for studies of validity. Gunderson's and DSM-III's definition of Borderline personality disorder (BPD) and DSM-III's definition of Schizotypal personality disorder (SPD) fulfill these demands. The empirical evidence for descriptive, construct and predictive validity of these disorders is presented and discussed. The review concludes that BPD has descriptive validity but lacks the 2 other stronger types of validity. SPD has both descriptive and construct validity but lacks predictive validity. Various strengths and weaknesses of the empirical studies of these borderline concepts are discussed.

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边缘性障碍——诊断概念的有效性。
可靠的边缘障碍概念是有效性研究的先决条件。Gunderson和DSM-III对边缘型人格障碍(BPD)的定义和DSM-III对分裂型人格障碍(SPD)的定义满足了这些要求。这些障碍的描述,结构和预测有效性的经验证据提出并讨论。该综述得出结论,BPD具有描述性效度,但缺乏其他两种更强的效度。SPD具有描述效度和构念效度,但缺乏预测效度。讨论了这些边缘概念的实证研究的各种优势和弱点。
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