PMID: 9533966Apr 16, 1998Paper

Suggestions for a framework for an empirically based classification of personality disorder

Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie
W J Livesley

Abstract

The classification of personality disorder is one of the least satisfactory sections of contemporary psychiatric classification. Fundamental problems with current classifications include extensive diagnostic overlap, limited evidence of validity, and poor empirical support. Conceptual analysis and the results of empirical studies are used to propose a framework for organizing an empirically based classification. First, personality disorder is a form of mental disorder and, therefore, should be classified as a single diagnostic entity on Axis I along with other mental disorders. A preliminary definition of personality disorder as a tripartite failure involving the self system, kinship relationships, and societal relationships is proposed. The evidence suggests that this definition can be translated into a reliable set of items. Second, the diagnosis of personality disorder should be separated from the assessment of clinically relevant personality traits. Given the consistent evidential support for a dimensional model of personality disorder, it is suggested that personality be coded on a set of trait dimensions selected to provide a systematic representation of the domain of behaviours represented by current diagnostic concepts....Continue Reading

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Citations

Feb 7, 2001·Annual Review of Psychology·T A Widiger, L M Sankis
May 11, 2001·Journal of Personality Disorders·J S OgrodniczukM McCallum
Mar 6, 2003·Journal of Personality Disorders·Jennifer Q MorseMarci Gittes-Fox
Mar 6, 2003·Journal of Personality Disorders·Norman S Endler, Nancy L Kocovski
Jan 2, 2003·The British Journal of Psychiatry. Supplement·Conor DugganAlan Lee
Jul 4, 2003·Journal of Personality Disorders·Peter TyrerMaja Ranger
Sep 6, 2003·Acta Psychiatrica Scandinavica. Supplementum·H Sass, K Jünemann
Jun 3, 2015·Personality and Mental Health·Michael P HengartnerLisa J Cohen
Dec 21, 2000·Current Psychiatry Reports·R M Bagby, A G Ryder
Apr 4, 2000·Journal of Personality Disorders·T A Widiger
Dec 20, 2002·Journal of Personality Disorders·Linda Anne CokerThomas A Widiger
Mar 28, 2003·Journal of Personality Disorders·Courtney L Bagge, Timothy J Trull
Nov 6, 2001·Journal of Personality Assessment·E D Haigler, T A Widiger
Apr 4, 2003·Psychological Reports·I Alex RubinoAlberto Siracusano
Nov 27, 2009·Substance Use & Misuse·Lauren C GudonisPeter R Giancola
Aug 2, 2007·Bulletin of the Menninger Clinic·Carla Sharp, Catherine Romero
Feb 12, 2011·Journal of Personality Disorders·Steve BalsisJared F Benge
Jun 28, 2011·Journal of Personality Disorders·W John Livesley
Mar 31, 2012·Annual Review of Clinical Psychology·Andrew E Skodol
Dec 18, 2013·Personality and Mental Health·Annett G Hentschel, W John Livesley
Oct 29, 2015·European Child & Adolescent Psychiatry·Kirsten Barnicot, Paul Ramchandani
Jul 22, 2014·Personality and Mental Health·Nick HubandGillian Rathbone
Sep 15, 2017·Journal of Personality Disorders·Daniel LeisingJohannes Zimmermann
Sep 8, 2018·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·Mark ZimmermanKasey Stanton
Apr 28, 2020·Personality and Mental Health·W John Livesley
Apr 11, 2003·Current Psychiatry Reports·Thomas A Widiger, Kaylynn Chaynes
Sep 17, 2004·Harvard Review of Psychiatry·Daniel J SmithDouglas H R Blackwood
Sep 24, 2005·Journal of Personality Disorders·Timothy J Trull
Sep 1, 2005·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·W John Livesley
May 16, 2002·The Journal of Nervous and Mental Disease·Peter BriegerAndreas Marneros
Sep 28, 2004·Der Nervenarzt·S BarnowH-J Freyberger
Apr 7, 2011·Journal of Personality Disorders·Andrew E SkodolLarry J Siever
Apr 15, 2014·The Journal of Nervous and Mental Disease·Annett G Hentschel, Ralf Pukrop

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