Personality Disorders in the ICD-11: Opportunities and Challenges for Advancing the Diagnosis of Personality Pathology

Current Psychiatry Reports
Steven K Huprich

Abstract

The International Classification of Diseases-11th edition (ICD-11) is poised to make a dramatic change in the diagnosis of personality disorders by introducing a fully dimensionalized framework. In this paper, the history of this process is reviewed, along with international efforts taken to address some underlying concerns with this transition. Recent studies of this framework are also reviewed. Studies have concluded that the ICD-11 proposal is supported; however, there are a number of methodological limitations to these studies, including the utilization of measures that are not directly derived from the ICD-11 description of levels of personality severity and trait domains. There is a clear need for additional studies with measures that directly reflect the ICD-11 description of personality disorders. While there are some potentially positive effects of moving toward the dimensional model, there are a number of concerns remaining about the clinical utility of moving in this way.

References

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May 2, 2007·The British Journal of Psychiatry. Supplement·Peter TyrerRaana Din
Apr 7, 2011·Journal of Personality Disorders·John F Clarkin, Steven K Huprich
Sep 10, 2014·Personality and Mental Health·Peter TyrerScott Weich
Jul 28, 2015·Journal of Personality Assessment·Steven K Huprich, Sharon M Nelson
Mar 31, 2016·Journal of Personality Disorders·Otto F Kernberg
Apr 28, 2016·Personality and Mental Health·Roger T MulderPeter R Joyce
Feb 24, 2017·Psychological Assessment·Joshua R Oltmanns, Thomas A Widiger
Apr 21, 2017·Personality and Mental Health·Nikolaus KleindienstMartin Bohus
Sep 15, 2017·Journal of Personality Disorders·Sabine C HerpertzCarla Sharp
Jan 13, 2018·Journal of Clinical Psychology in Medical Settings·Steven K Huprich
Apr 10, 2018·Journal of Personality Assessment·Thomas A SchmittWilliam Thompson
May 11, 2018·Journal of Personality Assessment·Thomas A WidigerKatherine M Thomas
Aug 15, 2018·The British Journal of Psychiatry : the Journal of Mental Science·Steven K Huprich

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Citations

Apr 3, 2021·Frontiers in Psychiatry·Julija Gecaite-StoncieneDan J Stein
May 4, 2021·Frontiers in Psychiatry·Victor Blüml, Stephan Doering
Jun 20, 2021·The Australian and New Zealand Journal of Psychiatry·Mikaela TracyBo Bach

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