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Alternative DSM-5 Model for Personality Disorders

DOI: 10.1176/appi.books.9780890425596.156852

Sections

Excerpt

The current approach to personality disorders appears in Section II of DSM-5, and an alternative model developed for DSM-5 is presented here in Section III. The inclusion of both models in DSM-5 reflects the decision of the APA Board of Trustees to preserve continuity with current clinical practice, while also introducing a new approach that aims to address numerous shortcomings of the current approach to personality disorders. For example, the typical patient meeting criteria for a specific personality disorder frequently also meets criteria for other personality disorders. Similarly, other specified or unspecified personality disorder is often the correct (but mostly uninformative) diagnosis, in the sense that patients do not tend to present with patterns of symptoms that correspond with one and only one personality disorder.

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Table 1 Elements of personality functioning
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Table 2 Level of Personality Functioning Scale
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Table 3 Definitions of DSM-5 personality disorder trait domains and facets

References

Bender DS, Morey LC, Skodol AE: Toward a model for assessing level of personality functioning in DSM-5, part I: a review of theory and methods. J Pers Assess 93(4):332–346, 2011
[PubMed]
 
Clark LA: Trait diagnosis of personality disorder: domains or facets?Master Lecture presented at the Annual Meeting of the Society for Personality Assessment, Chicago, IL, March 2012
 
Clarkin JF, Huprich SK: Do DSM-5 personality disorder proposals meet criteria for clinical utility? J Pers Disord 25(2):192–205, 2011
[PubMed]
 
Goldberg LR: The structure of phenotypic personality traits. Am Psychol 48(1):26–34, 1993
[PubMed]
 
Hasin D, Fenton MC, Skodol A, et al: Personality disorders and the 3-year course of alcohol, drug, and nicotine use disorders. Arch Gen Psychiatry 68(11):1158–1167, 2011
[PubMed]
 
Harkness AR, Finn JA, McNulty JL, Shields SM: The Personality Psychopathology-Five (PSY-S): recent constructive replication and assessment literature review. Psychol Assess 24(2):432–443, 2012
[PubMed]
 
Hopwood CJ, Zanarini MC: Borderline personality traits and disorder: predicting prospective patient functioning. J Consult Clin Psychol 78(4):585–589, 2010
[PubMed]
 
Hopwood CJ, Malone JC, Ansell EB, et al: Personality assessment in DSM-5: empirical support for rating severity, style, and traits. J Pers Disord 25(3):305–320, 2011
[PubMed]
 
Kendell R, Jablensky A: Distinguishing between the validity and utility of psychiatric diagnoses. Am J Psychiatry 160(1):4–12, 2003
[PubMed]
 
Krueger RF, Eaton NR, Clark LA, et al: Deriving an empirical structure of personality pathology for DSM-5. J Pers Disord 25(2):170–191, 2011a
[PubMed]
 
Krueger RF, Eaton NR, Derringer J, et al: Personality in DSM-5: helping delineate personality disorder content and framing the metastructure. J Pers Assess 93(4):325–331, 2011b
[PubMed]
 
Krueger RF, Derringer J, Markon KE, Watson D, Skodol AE: Initial construction of a maladaptive personality trait model and inventory for DSM-5. Psychol Med 42(9):1879–1890, 2012
[PubMed]
 
Luyten P, Blatt SJ: Integrating theory-driven and empirically-derived models of personality development and psychopathology: a proposal for DSM V. Clin Psychol Rev 31(1):52–68, 2011
[PubMed]
 
Markon KE: The development of an Informant-Report Form of the PID-5: rationale and initial results (paper), in The DSM-5 Personality Traits: Measurement, Structure and Association (Wright AGC, Chair). Symposium presented at the Annual Meeting of the Society for Personality Assessment, Chicago, IL, 2012
 
McCrae RR, Costa PTJr: Personality trait structure as a human universal. Am Psychol 52(5):509–516, 1997
[PubMed]
 
Morey LC, Zanarini MC: Borderline personality: traits and disorder. J Abnorm Psychol 109(4):733–737, 2000
[PubMed]
 
Morey LC, Hopwood CJ, Gunderson JG, et al: Comparison of alternative models for personality disorders. Psychol Med 37(7):983–994, 2007
[PubMed]
 
Morey LC, Shea MT, Markowitz JC, et al: State effects of major depression on the assessment of personality and personality disorder. Am J Psychiatry 167(5):528–535, 2010
[PubMed]
 
Morey LC, Berghuis H, Bender DS, et al: Toward a model for assessing level of personality functioning in DSM-5, part II: empirical articulation of a core dimension of personality pathology. J Pers Assess 93(4):347–353, 2011
[PubMed]
 
Morey LC, Hopwood CJ, Markowitz JC, et al: Comparison of alternative models for personality disorders, II: 6-, 8- and 10-year follow-up. Psychol Med 42(8):1705–1713, 2012
[PubMed]
 
Morey LC, Bender DS, Skodol AE: Validating a severity indicator for personality disorder for DSM-5. Submitted for publication, September 2012
 
Pincus AL: Some comments on nomology, diagnostic process, and narcissistic personality disorder in the DSM-5 proposal for personality and personality disorders. Personal Disord 2(1):41–53, 2011
[PubMed]
 
Roberts BW, Walton KE, Viechtbauer W: Patterns of mean-level change in personality traits across the life course: a meta-analysis of longitudinal studies. Psychol Bull 132(1):1–25, 2006
[PubMed]
 
Samuel DB, Widiger TA: A meta-analytic review of the relationships between the five-factor model and DSM-IV-TR personality disorders: a facet level analysis. Clin Psychol Rev 28(8):1326–1342, 2008
[PubMed]
 
Saulsman LM, Page AC: The five-factor model and personality disorder empirical literature: a meta-analytic review. Clin Psychol Rev 23(8):1055–1085, 2004
[PubMed]
 
Skodol AE, Grilo CM, Keyes KM, et al: Relationship of personality disorders to the course of major depressive disorder in a nationally representative sample. Am J Psychiatry 168(3):257–264, 2011
[PubMed]
 
Specht J, Egloff B, Schmukle SC: Stability and change of personality across the life course: the impact of age and major life events on mean-level and rank-order stability of the Big Five. J Pers Soc Psychol 101(4):862–882, 2011
[PubMed]
 
Tang TZ, DeRubeis RJ, Hollon SD, et al: Personality change during depression treatment: a placebo-controlled trial. Arch Gen Psychiatry 66(12):1322–1330, 2009
[PubMed]
 
Widiger TA, Simonsen E: Alternative dimensional models of personality disorder: finding a common ground. J Pers Disord 19(2):110–130, 2005
[PubMed]
 
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