Personality disorders are the vanguard of the post-DSM-5.0 era.

Krueger, Robert F.

doi:10.1037/per0000028

Cited by 124Personality Disorders and PsychopathologyMental Health and PsychiatryPersonality Traits and Psychology

Personality disorders are the vanguard of the post-DSM-5.0 era.

Krueger, Robert F.·2013·Personality Disorders: Theory, Research, and Treatment

DOI 10.1037/per0000028

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Abstract

The process of constructing the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5; American Psychiatric Association, 2013) has concluded, with the manual published in May 2013. In this article, I review the evolution of personality disorders (PDs) in DSM-5 from my perspective as a participating workgroup member, and as an observer of the DSM-5 construction process. I emphasize well-documented shortcomings of the fourth edition of the DSM (DSM-IV; American Psychiatric Association, 1994), the diversity of potential changes to PD conceptualization and diagnosis that were proposed during the construction of DSM-5, and the final outcome, which consists of reproducing DSM-IV PD criteria in Section II of DSM-5 (diagnostic criteria and codes), while also printing a complete parallel PD system in Section III (emerging measures and models), with the idea of moving elements of the Section III material to Section II as DSM evolves (e.g., in DSM-5.1). Perhaps the PD field is too fractious to arrive at a consensus approach at this juncture, but, in addition, the current situation shows how the PD field is arguably the most forward-thinking area in contemporary psychopathology. This is because many PD scholars do not accept the inadequate polythetic-categorical approach to psychopathology classification of DSM-IV (which, owing to conservative political forces, also frames Section II of DSM-5). PD research is therefore at the vanguard in conceptualizing, studying, and treating psychopathology because it is not slavishly tethered to the DSM, and its approach to defining mental disorder through political processes.

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These decisions were widely criticized by some members of the workgroup and researchers in the field.
“these decisions were widely criticized by some members of the workgroup (Livesley 2013, Krueger 2013) and researchers in the field (Blashfield & Reynolds 2012, Miller et al. 2010b, Widiger 2011).”
From Controversies in Narcissism (2017) · cites this paper as Krueger 2013

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Authors: Krueger, R. F.
Affiliations: University of Minnesota (US)
Corresponding author: Krueger, Robert F.
ORCID: Krueger, Robert F.
Venue: Personality Disorders: Theory, Research, and Treatment
Publisher: American Psychological Association (APA)
Published: 2013
Volume: 4
Issue: 4
Pages: 355-362
ISSN: 1949-2715 (ISSN-L)
1949-2723
DOI: 10.1037/per0000028
OpenAlex: W2314573223
Cited by: 124
References: 0
Citations by year: 2026: 2 · 2025: 9 · 2024: 3 · 2023: 2 · 2022: 3 · 2021: 14 · 2020: 16 · 2019: 10 · 2018: 10 · 2017: 13 · 2016: 15 · 2015: 16 · 2014: 6 · 2013: 5
FWCI: 15.55
Type: journal article
Language: en
Open access: closed
Locations: Personality Disorders Theory Research and Treatment (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
Keywords: personality disorders, DSM-5, DSM-IV, psychiatric classification, diagnostic criteria, psychopathology classification
MeSH terms: Humans, Models, Psychological, Personality Disorders, Personality Inventory, Psychiatry, Psychopathology, Societies, Medical, Advisory Committees, Consensus, Dissent and Disputes, Diagnostic and Statistical Manual of Mental Disorders

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Personality disorders are the vanguard of the post-DSM-5.0 era.

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