Cited by 305Personality Disorders and PsychopathologyPersonality Traits and PsychologyPsychopathy, Forensic Psychiatry, Sexual Offending

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Proposed changes in personality and personality disorder assessment and diagnosis for DSM-5 Part I: Description and rationale.

Skodol, Andrew E., Clark, Lee Anna, Bender, Donna S., Krueger, Robert F., Morey, Leslie C., Verheul, Roel, Alarcon, Renato D., Bell, Carl C., Siever, Larry J., Oldham, John M.·2011·Personality Disorders: Theory, Research, and Treatment

DOI 10.1037/a0021891

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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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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)
ORCID: Clark, Lee Anna
Bender, Donna S.
Krueger, Robert F.
Morey, Leslie C.
Oldham, John M.
Venue: Personality Disorders: Theory, Research, and Treatment
Publisher: American Psychological Association (APA)
Published: 2011
Volume: 2
Issue: 1
Pages: 4-22
ISSN: 1949-2715 (ISSN-L)
1949-2723
DOI: 10.1037/a0021891
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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Proposed changes in personality and personality disorder assessment and diagnosis for DSM-5 Part I: Description and rationale.

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