Proposed changes in personality and personality disorder assessment and diagnosis for DSM-5 Part I: Description and rationale.
Abstract
A major reconceptualization of personality psychopathology has been proposed for DSM-5 that identifies core impairments in personality functioning, pathological personality traits, and prominent pathological personality types. A comprehensive personality assessment consists of four components: levels of personality functioning, personality disorder types, pathological personality trait domains and facets, and general criteria for personality disorder. This four-part assessment focuses attention on identifying personality psychopathology with increasing degrees of specificity, based on a clinician's available time, information, and expertise. In Part I of this two-part article, we describe the components of the new model and present brief theoretical and empirical rationales for each. In Part II, we will illustrate the clinical application of the model with vignettes of patients with varying degrees of personality psychopathology, to show how assessments might be conducted and diagnoses reached.
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From Controversies in Narcissism (2017) · cites this paper as Skodol et al. 2011
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- Authors
- Skodol, A. E., Clark, L. A., Bender, D. S., Krueger, R. F., Morey, L. C., Verheul, R., Alarcon, R. D., Bell, C. C., Siever, L. J., & Oldham, J. M.
- Affiliations
- University of Arizona (US)
- University of Iowa (US)
- University of Minnesota (US)
- Texas A&M University (US)
- De Viersprong (NL)
- University of Illinois Chicago (US)
- Icahn School of Medicine at Mount Sinai (US)
- Baylor College of Medicine (US)
- Venue
- Personality Disorders: Theory, Research, and Treatment
- Published
- 2011
- Volume
- 2
- Issue
- 1
- Pages
- 4-22
- ISSN
- 1949-2715 (ISSN-L)
- 1949-2723
- OpenAlex
- W2052774284
- Cited by
- 305
- References
- 102
- Citations by year
- 2026: 11 · 2025: 10 · 2024: 9 · 2023: 19 · 2022: 20 · 2021: 23 · 2020: 18 · 2019: 11 · 2018: 21 · 2017: 27 · 2016: 13 · 2015: 23 · 2014: 23 · 2013: 27 · 2012: 35
- FWCI
- 33.46
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Personality Disorders Theory Research and Treatment (publishedVersion)
- PubMed (publishedVersion)
- UvA-DARE (University of Amsterdam) (publishedVersion)
- UvA-DARE (University of Amsterdam) (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
- Social Sciences › Psychology › Clinical Psychology › Psychopathy, Forensic Psychiatry, Sexual Offending
- Keywords
- personality disorders, DSM-5, personality pathology, personality functioning, pathological personality traits, personality assessment, diagnosis
- MeSH terms
- Adolescent, Adult, Humans, Interpersonal Relations, Models, Theoretical, Personality, Personality Assessment, Personality Development, Personality Disorders, Self Concept, Severity of Illness Index, Time Factors, Age of Onset, Diagnostic and Statistical Manual of Mental Disorders
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