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Open AccessJournal ArticleDOI

Assessment and Diagnosis of Personality Disorder: Perennial Issues and an Emerging Reconceptualization

Lee Anna Clark
- 01 Jan 2007 - 
- Vol. 58, Iss: 1, pp 227-257
TLDR
This chapter reviews recent personality disorder research, focusing on three major domains: assessment, comorbidity, and stability, and finds a new model for assessing PD-and perhaps all psychopathology-emerges from integrating these interrelated reconceptualizations.
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 ...

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Citations
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Journal ArticleDOI

Examining the DSM-5 section III criteria for obsessive-compulsive personality disorder in a community sample

TL;DR: Results indicated that latent constructs representing Section II and Section III OCPD overlapped substantially, and Hierarchical latent regression models revealed that at least three of the four DSM-5 Section III facets uniquely accounted for a large proportion of variance in a latent Section II OCPD variable.
Journal ArticleDOI

The Agreement between Clients’ and their Therapists’ Ratings of Personality Disorder Traits

TL;DR: Clinicians utilized systematic measures of dimensional traits their agreement with client was higher than reported in past studies, suggesting concerns about invalid self-reports due to underreporting have been overstated.
Journal ArticleDOI

The Clinical Nature of Personality Disorders: Answering the Neo-Szaszian Critique

TL;DR: In this article, the authors describe five models that could be used to demonstrate that personality disorders are valid clinical kinds: the vulnerability model, the pathoplasticity model, spectrum model, decline in functioning model, and the defect model.
Book ChapterDOI

Assessment of Personality Disorders in Older Adults

TL;DR: The most widely recognized approach to the assessment of personality disorders, in both research and clinical practice, involves the use of interviews as discussed by the authors and self-report questionnaires, with an emphasis on somewhat arbitrary thresholds and a categorical view regarding the presence of specific personality disorders.
References
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Book

The Principles of Psychology

William James
TL;DR: For instance, the authors discusses the multiplicity of the consciousness of self in the form of the stream of thought and the perception of space in the human brain, which is the basis for our work.
Journal ArticleDOI

A Psychobiological Model of Temperament and Character

TL;DR: A psychobiological model of the structure and development of personality that accounts for dimensions of both temperament and character is described, for the first time, for three dimensions of character that mature in adulthood and influence personal and social effectiveness by insight learning about self-concepts.
Journal ArticleDOI

The Five Factor Model and impulsivity: using a structural model of personality to understand impulsivity

TL;DR: The UPPS Impulsive Behavior Scale as mentioned in this paper was developed to identify four distinct personality facets associated with impulsive-like behavior which were labeled urgency, lack of premeditation, pre-emption, and perseverance.
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