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Journal ArticleDOI

Plate tectonics in the classification of personality disorder: shifting to a dimensional model.

TLDR
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.
Abstract
The diagnostic categories of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders were developed in the spirit of a traditional medical model that considers mental disorders to be qualitatively distinct conditions (see, e.g., American Psychiatric Association, 2000). Work is now beginning on the fifth edition of this influential diagnostic manual. It is perhaps time to consider a fundamental shift in how psychopathology is conceptualized and diagnosed. More specifically, 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.

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Citations
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Journal ArticleDOI

Dimensional models of personality disorder: Diagnostic and Statistical Manual of Mental Disorders Fifth Edition and beyond.

TL;DR: Although there may be some initial resistance to the incorporation of the dimensional models in the future diagnostic manuals, researchers and clinicians are expected to benefit from the more reliable and valid portrayal of personality pathology.
Journal ArticleDOI

Striking the (Im)Proper Balance between Scientific Advances and Clinical Utility: Commentary on the DSM-5 Proposal for Personality Disorders

TL;DR: Greater emphasis on decision-making regarding the presence and severity of any personality disorder and greater flexibility in identifying the variants of personality disorders are suggested in order to accommodate both traits and types more inclusively during this transition toward dimensional approaches to assessment.
Journal ArticleDOI

Retention oR Deletion of PeRsonality DisoRDeR Diagnoses foR DsM-5: an exPeRt Consensus aPPRoaCh

TL;DR: Surveyed members of two personality disorder associations with respect to the utility, validity, and status of each DSM-IV-TR personality disorder diagnosis indicated that the proposal to delete five of the personality disorders lacks consensus support within the personality disorder community.
Journal ArticleDOI

Convergence between DSM-IV-TR and DSM-5 diagnostic models for personality disorder: evaluation of strategies for establishing diagnostic thresholds.

TL;DR: Results demonstrate that diagnostic rules could be derived that yielded appreciable correspondence between DSM-IV-TR and proposed DSM-5 PD diagnoses and represents the most comprehensive attempt to date to provide conceptual and empirical justification for diagnostic thresholds utilized within the DSM PDs.
References
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Journal ArticleDOI

Construct validity in psychological tests.

TL;DR: The present interpretation of construct validity is not "official" and deals with some areas where the Committee would probably not be unanimous, but the present writers are solely responsible for this attempt to explain the concept and elaborate its implications.
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