Assessment and Diagnosis of Personality Disorder: Perennial Issues and an Emerging Reconceptualization
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 ...read more
Citations
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Linking "big" personality traits to anxiety, depressive, and substance use disorders: a meta-analysis.
TL;DR: It is found that common mental disorders are strongly linked to personality and have similar trait profiles, and greater attention to these constructs can significantly benefit psychopathology research and clinical practice.
Journal ArticleDOI
Initial construction of a maladaptive personality trait model and inventory for DSM-5.
TL;DR: A maladaptive personality trait model and corresponding instrument are developed as a step on the path toward helping users of DSM-5 assess traits that may or may not constitute a formal personality disorder.
Journal ArticleDOI
Psychopathy as a clinical and empirical construct.
Robert D. Hare,Craig S. Neumann +1 more
TL;DR: In this paper, the authors focus on two major influences on current conceptualizations of psychopathy: one clinical, with its origins largely in the early case studies of Cleckley, and the other empirical, the result of widespread use of the Hare Psychopathy Checklist-Revised (PCL-R) for assessment purposes.
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A meta-analytic review of the relationships between the five-factor model and DSM-IV-TR personality disorders: A facet level analysis
TL;DR: The empirical FFM profiles generated for each personality disorder were generally congruent at the facet level with hypothesized FFM translations of the DSM-IV-TR personality disorders, but notable exceptions to the hypotheses did occur and even some findings that were consistent with FFM theory could be said to be instrument specific.
Journal ArticleDOI
Plate tectonics in the classification of personality disorder: shifting to a dimensional model.
TL;DR: It may be time to consider a shift to a dimensional classification of personality disorder that would help address the failures of the existing diagnostic categories as well as contribute to an integration of the psychiatric diagnostic manual with psychology's research on general personality structure.
References
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Relationships between major depressive disorder and comorbid anxiety and personality disorders
Amy Farabaugh,Maurizio Fava,David Mischoulon,Katie Sklarsky,Timothy Petersen,Jonathan E. Alpert +5 more
TL;DR: Anxious depression may place patients at greater risk of having a PD diagnosis, especially one from Cluster A or C, and patients who initially met criteria for anxious depression may be more likely to maintain a Cluster C PD diagnosis compared with patients initially diagnosed with MDD alone.