Personality disorders in DSM-5.

@article{Skodol2012PersonalityDI,
  title={Personality disorders in DSM-5.},
  author={Andrew E. Skodol},
  journal={Annual review of clinical psychology},
  year={2012},
  volume={8},
  pages={
          317-44
        }
}
  • A. Skodol
  • Published 29 March 2012
  • Psychology
  • Annual review of clinical psychology
A substantive revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM) last occurred in 1994; therefore, the mental health field should anticipate significant changes to the classification of mental disorders in the fifth edition. Since DSM-5 Work Groups have recently proposed revisions for the major diagnostic classes of mental disorders, an article on the current status of the personality disorders (PDs) is timely. This article reviews scientific principles that have… 

Personality Disorder Classification: Stuck in Neutral, How to Move Forward?

  • A. Skodol
  • Psychology
    Current Psychiatry Reports
  • 2014
This article reviews factors that influenced the development of the new model and data to encourage and facilitate its use by clinicians and a way forward involving collaborative research on neurobiological and psychosocial processes, treatment planning, and outcomes.

The DSM-5 Personality Disorder Proposal and Future Directions in the Diagnostic Classification of Personality Disorder

It is proposed that greater emphasis be placed on developing a classification that provides the diagnostic information clinicians need to treat personality disorder and that future classifications should be constructed through an explicit process that is open to public scrutiny.

The DSM’s Reconnection to Psychoanalytic Theory through the Alternative Model for Personality Disorders

  • A. Natoli
  • Psychology
    Journal of the American Psychoanalytic Association
  • 2019
Three current systems for diagnosing personality pathology—the DSM-5’s categorical model (2013), the Alternative Model for Personality Disorders (AMPD), and the Psychodynamic Diagnostic Manual (2nd ed.; Alliance of Psychoanalytic Organizations 2017) are compared are compared.

[DSM-5 and old age psychiatry].

An overview of the changes in the DSM-5 in the field of old age psychiatry is provided and the key points for clinical practice and elderly psychiatric care are identified.

The DSM-5 section III personality disorder criterion a in relation to both pathological and general personality traits.

The findings suggest that general and pathological traits functioned in nearly identical ways, as evidenced by the similar relations that they evinced with traditional DSM-5 personality disorder constructs.

An evaluation of DSM-5 Section III personality disorder Criterion A (impairment) in accounting for psychopathology.

Testing the role of Criterion A in the AMPD raised questions about whether the model may need revision moving forward, and multivariate regression analyses suggested that the traits account for substantially more unique variance in DSM-5 Section II PDs than does personality impairment.

Narcissistic personality disorder in DSM-5.

The new model was intended to be the official approach to the diagnosis of personality pathology in DSM-5, but was ultimately placed as an alternative in Section III for further study.

Do DSM-5 personality disorder proposals meet criteria for clinical utility?

It is concluded that there remain several unanswered problems with how the proposal will improve the clinical utility of personality disorders section of the DSM-5 and it is incumbent upon the Work Group and clinical researchers to attend carefully to these issues.
...

References

SHOWING 1-10 OF 118 REFERENCES

Scientific issues in the revision of personality disorders for DSM-5

DSM-5 is scheduled for publication in 2013. The revision process will be the product of over 13 years of work. DSM-5 Work Groups have recently proposed changes in each of the major diagnostic classes

Commentary on "Personality traits and the classification of mental disorders: toward a more complete integration in DSM-5 and an empirical model of psychopathology".

This article develops the larger theme that the fundamental quantitatively developed architecture of personality provides a sound base for classifying all areas of psychopathology and, more

The future of personality disorders in DSM-V?

The findings by Rottman et al. underscore the need for any proposed revision of the approach to personality psychopathology in DSM to proceed with caution and with appropriate deference to its ultimate purposes, to increase clinical utility and thereby improve patient care.

Personality traits and the classification of mental disorders: toward a more complete integration in DSM-5 and an empirical model of psychopathology.

A broad review of the ways in which personality traits have proven useful in the description and conceptualization of personality disorders and other mental disorders, as well as in the prediction of key clinical phenomena is provided.

Can personality disorder experts recognize DSM-IV personality disorders from five-factor model descriptions of patient cases?

The results suggest that personality disorder expertise and familiarity with the Five-Factor Model are insufficient to correctly diagnose personality disorders using FFM profiles, and this insufficiency may prove unlikely to be attenuated with increased clinical familiarity.

Quantitative methods in psychiatric classification: the path forward is clear but complex: commentary on Krueger and Eaton (2010).

Krueger and Eaton have provided a trenchant argument for greater use of dimensional approaches in the classification of personality disorders in future iterations of the psychiatric nomenclature, and their explication of the importance of personality constructs in models of psychopathology more generally is commendably lucid.

Opinions of personality disorder experts regarding the DSM-IV personality disorders classification system.

A clear majority of the PD experts were dissatisfied with the current diagnostic system for PDs and felt that the DSM-IV's categorical system of PD diagnosis should be replaced.

Refining personality disorder diagnosis: integrating science and practice.

Diagnostic criterion sets should be expanded to better address the multiple domains of functioning inherent in the concept of personality and should more explicitly address patients' mental life or inner experience.

DSM axis II: personality disorders or adaptation disorders?

It is put forward an argument that personality disorders are disorders of adaptation, not of personality per se, as extreme personality traits are not ipso facto dysfunctional, and this reflects the real nature of the disorder more accurately.

Bridging the gap with the five-factor model.

Comments on the original article Personality traits and the classification of mental Disorders: Toward a more complete integration in DSM-5 and an empirical model of psychopathology by Robert F.
...