精神医学54巻1号

2012年01月発行

展望

DSM-5作成　その後の動向―パーソナリティ障害に関して

著者： 松本ちひろ¹² 丸田敏雅¹ 飯森眞喜雄¹

所属機関： ¹東京医科大学精神医学講座 ²上智大学総合人間科学研究科心理学部

ページ範囲：P.7 - P.19

文献概要

序論

　DSM-5改訂作業が始まって数年が経過しており，2010年2月9日に草案が公開された。これ以降，パブリックコメントの受け付けやフィールドトライアル，会議での検討が重ねられ，現在では公開当初と比較し，かなり改変された改訂案となっている。この最初の草稿の概要は日本でもすでに報告されており²⁰⁾，本稿では特に議論の多いパーソナリティ障害(PD)について，その後の動向を報告する。

参考文献

1) Ahn W, Flanagan EH, Marsh JK, et al：Beliefs about essences and the reality of mental disorders. Psychological Science 17：759-766, 2006

2) Allport GW, Odbert HS：Trait-names. A psycho-lexical study. Psychol Monogr 47：211, 1936

3) Bastiaansen L, Rossi G, Schotte C, et al：The structure of personality disorders：comparing the DSM-Ⅳ-TR Axis Ⅱ Classification with the Five-Factor Model framework using structural equation modeling. J Personal Disord 25：378-396, 2011

4) Blashfield RK, Intoccia V：Growth of the literature on the topic of personality disorders. Am J Psychiatry 157：472-473, 2000

5) Bornstein RF：The rocky road from Axis Ⅰ to Axis Ⅱ：Extending the network model of diagnostic comorbidity to personality pathology. Behav Brain Sci 33：151-152, 2010

6) Bornstein RF：A process dissociation approach to objective-projective test score interrelationships. J Pers Assess 78：47-68, 2002

7) Bornstein RF, Huprich SK：Beyond dysfunction and threshold-based classification：A multidimensional model of personality disorder diagnosis. J Personal Disord 25：331-337, 2011

8) Clarkin JF, Huprich SK：Do DSM-5 personality disorder proposals meet criteria for clinical utility? J Personal Disord 25：192-205, 2011

9) Costa PT, McCrae RR：Revised NEO personality inventory(NEO-PI-R)and NEO five-factor inventory(NEO-FFI)professional manual. Assessment resources, Odessa, 1992

10) Ganellen RJ：Assessing normal and abnormal personality functioning：Strengths and weakness of self-report, observer, performance-based methods. J Pers Assess 89：30-40, 2007

11) Gunderson JG：Revising the borderline diagnosis for DSM-Ⅴ：An alternative proposal. J Personal Disord 24：694-708, 2010

12) Hopwood CJ, Malone JC, Ansell EB, et al：Personality assessment in DSM-5：Empirical support for rating severity, style, and traits. J Personal Disord 25：305-320, 2011

13) Huprich SK, Bornstein RF：An overview of issues related to categorical and dimensional models of personality disorder assessment. J Pers Assess 89：3-15, 2007

14) Krueger RF, Eaton NR, Clark LA, et al：Deriving an empirical structure of personality pathology for DSM-5. J Personal Disord 25：170-191, 2011

15) Krueger RF, Skodol AE, Livesley WJ, et al：Synthesizing dimensional and categorical approaches to personality disorders：Refining the research agenda for DSM-V Axis II. Int J Methods Psychiatr Res 16 Suppl1：S65-S73, 2007

16) Links PS：Personality and psychopathology：the dangers of premature closure. World Psychiatry 10：109-110, 2011

17) Livesley WJ：The current state of personality disorder classification：Introduction to the special feature on the classification. J Personal Disord 25：269-278, 2011

18) Livesley WJ, Jackson DN, Schroeder ML：Factorial structure of traits delineating personality disorders in clinical and general population samples. J Abnorm Psychol 101：432-440, 1992

19) Livesley WJ, Jang KL：Differentiating normal, abnormal, and disordered personality. Europ J Pers 19：257-268, 2005

20) 松本ちひろ，丸田敏雅，飯森眞喜雄：DSM-5の動向．精神医学 52：634-645, 2010

21) McCrae RR, Costa PT：Validation of the five-factor model of personality across instruments and observers. J Pers Soc Psychol 52：81-90, 1987

22) McCrae RR, John OP：An introduction to the five-factor model and its applications. J Pers 60：175-215, 1992

23) McCrae RR, Löckenhoff CE, Costa J, et al：A step toward DSM-Ⅴ：Cataloguing personality-related problems in living. Europ J Pers 19：269-286, 2005

24) Mulder RT, Newton-Howes G, Crawford MJ, et al：The central domains of personality pathology in psychiatric patients. J Personal Disord 25：364-377, 2011

25) O' Connor BP：A search for consensus on the dimensional structure of personality disorders. J Clin Psychol 61：323-345, 2005

26) O' Connor BP：A quantitative review of the comprehensiveness of the five-factor model in relation to popular personality inventories. Assessment 9：188-203, 2002

27) Ronningstam E：Narcissistic personality disorder in DSM-Ⅴ-In support of retaining a significant diagnosis. J Pers Disord 25：248-259, 2011

28) Rottman BM, Ahn WK, Sanislow CA, et al：Can clinicians recognize DSM-Ⅳ personality disorders from five-factor model descriptions of patient cases? Am J Psychiatry 166：427-433, 2009

29) Samuel DB, Widiger TA：Clinicians' personality descriptions of prototypic personality disorders. J Personal Disord 18：286-308, 2004

30) Shedler J, Westen D：Refining personality disorder diagnosis：Integrating science and practice. Am J Psychiatry 161：1350-1365, 2004

31) Skodol AE, Bender DS, Morey LC, et al：Personality disorder types proposed for DSM-5. J Personal Disord 25：136-169, 2011

32) Spitzer RL, First MB, Shedler J, et al：Clinical utility of five dimensional systems for personality diagnosis：a "consumer preference" study. J Nerv Ment Dis 196：356-374, 2008

33) Trull JT：Challenges in the study of personality and psychopathology. World Psychiatry 10：113-115, 2011

34) Tyrer P, Merson S, Onyett S, et al：The effect of personality disorder on clinical outcome, social networks and adjustment：A controlled clinical trial of psychiatric emergencies. Psychol Med 24：731-740, 1994

35) Widiger TA：Integrating normal and abnormal personality structure：A proposal for DSM-Ⅴ. J Personal Disord 25：338-363, 2011

36) Widiger TA, Costa PT, McCrae RR：A proposal for Axis Ⅱ：Diagnosing personality disorders using the five-factor model. 431-456, 2002

37) Widiger TA, Samuel DB：Evidence-based assessment of personality disorders. Psychol Assess 17：278-287, 2005

38) Widiger TA：The DSM-5 dimensional model of personality disorder：rationale and empirical support. J Pers Disord 25：222-234, 2011

39) Zimmerman M：A critique of the proposed prototype rating system for personality disorders in DSM-5. J Pers Disord 25：206-221, 2011