Diagnosis and classification of personality disorders: novel approaches

Current Opinion in Psychiatry
Roger Mulder, Peter Tyrer

Abstract

To provide an update of the recent studies, which have evaluated the radical changes in personality disorder classification in DSM-5 and ICD-11. Although the DSM-5 Committee rejected the personality disorders Work Group proposal for personality disorder classification, the model was published in DSM-5 Section III. This Alternative Model of Personality Disorders (AMPD) has been widely adopted by the research community resulting in multiple studies evaluating its reliability and clinical utility. The ICD-11 Personality Classification has recently been accepted by the WHO and is also receiving increasing study. Both models emphasize personality disorder severity, which most studies report is consistently linked to impairment and outcome. Both models propose five descriptive domains, which appear to capture most of the current personality disorder diagnoses, and can also be linked to disease extremes of normal personality such as the Five Factor Model. The changes in DSM-5 AMPD and ICD-11 represent a significant paradigm shift in the diagnosis of personality disorders. Early research suggests that the changes may be beneficial for clinicians and researchers. The models more closely align with the large body of literature supporting...Continue Reading

References

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Jun 28, 2011·Journal of Personality Disorders·Roger T MulderPeter J Tyrer
Mar 3, 2015·Journal of Abnormal Psychology·Carla SharpLee Anna Clark
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Apr 28, 2016·Personality and Mental Health·Roger T MulderPeter R Joyce
Apr 28, 2016·Personality and Mental Health·Thomas A Widiger, Joshua R Oltmanns
Jul 23, 2016·The British Journal of Psychiatry : the Journal of Mental Science·Rahil SanatiniaBarbara Barrett
Feb 24, 2017·Psychological Assessment·Joshua R Oltmanns, Thomas A Widiger
Aug 25, 2017·The Australian and New Zealand Journal of Psychiatry·Bo BachErik Simonsen
Sep 7, 2017·The Australian and New Zealand Journal of Psychiatry·Peter Tyrer
Dec 12, 2017·Personality and Mental Health·Christopher J HopwoodJohannes Zimmermann
Feb 20, 2018·Personality and Mental Health·Michael BerkGin S Malhi
Jun 2, 2018·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·Geoffrey M Reed
Jun 8, 2018·Personality and Mental Health·Peter Tyrer, Roger Mulder

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Citations

Jan 10, 2020·Journal of Personality Assessment·Susanne Hörz-SagstetterJohannes Zimmermann
Aug 15, 2019·Current Psychiatry Reports·Johannes ZimmermannRobert F Krueger
Jan 13, 2021·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·Michael B FirstGeoffrey M Reed
May 4, 2021·Frontiers in Psychiatry·Victor Blüml, Stephan Doering
May 19, 2021·Personality and Mental Health·Bo BachMartin Sellbom
May 28, 2021·Frontiers in Psychiatry·Roger T Mulder

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