Personality disorder in DSM-5: an oral history
As the revision process leading to DSM-5 began, the domain of personality disorder embodied the highest aspirations for major change. After an initial prototype-based proposal failed to gain acceptance, the Personality and Personality Disorders Work Group (P&PDWG) developed a hybrid model contai...
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| Veröffentlicht in: | Psychological medicine 2016-01, Vol.46 (1), p.1-10 |
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| creator | Zachar, P. Krueger, R. F. Kendler, K. S. |
| description | As the revision process leading to DSM-5 began, the domain of personality disorder embodied the highest aspirations for major change. After an initial prototype-based proposal failed to gain acceptance, the Personality and Personality Disorders Work Group (P&PDWG) developed a hybrid model containing categorical and dimensional components. A clash of perspectives both within the P&PDWG and between the P&PDWG and DSM-5 oversight committees led to the rejection of this proposal from the main body of DSM-5. Major issues included conflicting ways of conceptualizing validation, differences of opinion from personality disorder experts outside the P&PDWG, divergent concepts of the magnitude of evidence needed to support substantial changes, and the disagreements about clinical utility of the hybrid model. Despite these setbacks, the ‘Alternative DSM-5 Model of Personality Disorder’ is presented in Section III of the DSM-5. Further research should clarify its performance relative to the DSM-IV criteria reprinted in the main DSM-5 text. |
| doi_str_mv | 10.1017/S0033291715001543 |
| format | Article |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Cambridge Journals |
| subjects | Diagnostic and Statistical Manual of Mental Disorders Experts History, 21st Century Humans Oral history Personality Personality disorders Personality Disorders - classification Personality Disorders - history Psychological tests Rejection Setbacks Validity |
| title | Personality disorder in DSM-5: an oral history |
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