Personality disorder classification: stuck in neutral, how to move forward?

Abstract:

:An "Alternative DSM-5 Model for Personality Disorders" was published in Sect. III of DSM-5, while the identical categories and criteria from DSM-IV for the personality disorders (PDs) are in Sect. II. Given strong shifts from categorical diagnoses toward dimensional representations in psychiatry, how did the PDs end up "stuck in neutral," with the flawed DSM-IV model perpetuated? This article reviews factors that influenced the development of the new model and data to encourage and facilitate its use by clinicians. These include recognizing 1) a dimensional structure for psychopathology for which personality may be foundational; 2) a consensus on the structure of normal and abnormal personality; 3) the clinical significance of personality; 4) PD-specific severity required to establish disorder; 5) disruption, discontinuity, and perceived clinical utility of the Alternative Model may not be problems; and 6) a way forward involving collaborative research on neurobiological and psychosocial processes, treatment planning, and outcomes.

journal_name

Curr Psychiatry Rep

authors

Skodol AE

doi

10.1007/s11920-014-0480-x

subject

Has Abstract

pub_date

2014-10-01 00:00:00

pages

480

issue

10

eissn

1523-3812

issn

1535-1645

journal_volume

16

pub_type

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