Personality disorders in DSM-5.

  title={Personality disorders in DSM-5.},
  author={Andrew E. Skodol},
  journal={Annual review of clinical psychology},
  • 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… 

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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.

[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.

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.

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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.

Reconceptualizing personality pathology in DSM-5: limitations in evidence for eliminating dependent personality disorder and other DSM-IV syndromes.

Limitations in the research base cited by the workgroup illuminates gaps in the personality disorder literature, and may serve as a starting point for systematic research on personality pathology so that adequate empirical data are available to decide which syndromes to retain, revise, or remove in future versions of the diagnostic manual.

Personality in a Hierarchical Model of Psychopathology

The categorical model of classification in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders is sorely problematic. A proposed solution is emerging in the form of a



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

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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

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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.

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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.

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.

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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.

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

The FFM descriptors may be more ambiguous than the criteria of the DSM-IV and the FFM may therefore be less able to convey important clinical details than theDSM-IV, which flags challenges to clinical utility for dimensional-trait systems such as the Five-Factor Model.