Assessment and diagnosis of personality disorder: perennial issues and an emerging reconceptualization
- PMID: 16903806
- DOI: 10.1146/annurev.psych.57.102904.190200
Assessment and diagnosis of personality disorder: perennial issues and an emerging reconceptualization
Abstract
This chapter reviews recent (2000-2005) personality disorder (PD) research, focusing on three major domains: assessment, comorbidity, and stability. (a) Substantial evidence has accrued favoring dimensional over categorical conceptualization of PD, and the five-factor model of personality is prominent as an integrating framework. Future directions include assessing dysfunction separately from traits and learning to utilize collateral information. (b) To address the pervasiveness and extent of comorbidity, researchers have begun to move beyond studying overlapping pairs or small sets of disorders and are developing broader, more integrated common-factor models that cross the Axis I-Axis II boundary. (c) Studies of PD stability have converged on the finding that PD features include both more acute, dysfunctional behaviors that resolve in relatively short periods, and maladaptive temperamental traits that are relatively more stable-similar to normal-range personality traits-with increasing stability until after 50 years of age. A new model for assessing PD-and perhaps all psychopathology-emerges from integrating these interrelated reconceptualizations.
Similar articles
-
Gender differences in axis I and axis II comorbidity in patients with borderline personality disorder.Psychopathology. 2009;42(4):257-63. doi: 10.1159/000224149. Epub 2009 Jun 12. Psychopathology. 2009. PMID: 19521142
-
Reliability and validity of the Coolidge Axis II Inventory: a new inventory for the assessment of personality disorders.J Pers Assess. 1992 Oct;59(2):223-38. doi: 10.1207/s15327752jpa5902_1. J Pers Assess. 1992. PMID: 1432558
-
Categorical and dimensional stability of comorbid personality disorder symptoms in DSM-IV major depressive disorder: a prospective study.J Clin Psychiatry. 2010 Mar;71(3):287-95. doi: 10.4088/JCP.08m04621blu. Epub 2010 Jan 12. J Clin Psychiatry. 2010. PMID: 20079331
-
[Personality factors in depressive disorders: contribution of the psychobiologic model developed by Cloninger].Encephale. 2002 Jul-Aug;28(4):363-73. Encephale. 2002. PMID: 12232546 Review. French.
-
Toward a multidimensional model of personality disorder diagnosis: implications for DSM-5.J Pers Assess. 2011 Jul;93(4):362-9. doi: 10.1080/00223891.2011.577474. J Pers Assess. 2011. PMID: 22804675 Review.
Cited by
-
Supported employment coaches' difficulties and facilitators with clients diagnosed with personality versus other disorders: A qualitative study.Heliyon. 2024 Jun 13;10(12):e32955. doi: 10.1016/j.heliyon.2024.e32955. eCollection 2024 Jun 30. Heliyon. 2024. PMID: 38975130 Free PMC article.
-
Identity and Personality Pathology in Adult Forensic Psychiatric Patients and Healthy Controls.Int J Offender Ther Comp Criminol. 2024 Nov;68(15):1558-1578. doi: 10.1177/0306624X241248364. Epub 2024 Apr 23. Int J Offender Ther Comp Criminol. 2024. PMID: 38651623 Free PMC article.
-
Preliminary Development and Psychometric Evaluation of the Metacognition Brief Rating Scale: An Informant form of the Metacognition Self-Assessment Scale.Clin Neuropsychiatry. 2023 Dec;20(6):511-522. doi: 10.36131/cnfioritieditore20230606. Clin Neuropsychiatry. 2023. PMID: 38344460 Free PMC article.
-
Temperaments and characters: incompatible or complementary components for criterion B of the alternative model in predicting DSM-5 section II personality disorders?Curr Issues Personal Psychol. 2021 Mar 1;9(1):1-13. doi: 10.5114/cipp.2021.103897. eCollection 2021. Curr Issues Personal Psychol. 2021. PMID: 38013693 Free PMC article.
-
Neural correlates of aggression in personality disorders from the perspective of DSM-5 maladaptive traits: a systematic review.Transl Psychiatry. 2023 Oct 26;13(1):330. doi: 10.1038/s41398-023-02612-1. Transl Psychiatry. 2023. PMID: 37884552 Free PMC article.
MeSH terms
LinkOut - more resources
Full Text Sources
Medical