Cited by 360Personality Disorders and PsychopathologyPersonality Traits and PsychologyMental Health and Psychiatry

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Personality Disorders in DSM-5

Skodol, Andrew E.·2012·Annual Review of Clinical Psychology

DOI 10.1146/annurev-clinpsy-032511-143131

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Abstract

A substantive revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM) last occurred in 1994; therefore, the mental health field should anticipate significant changes to the classification of mental disorders in the fifth edition. Since DSM-5 Work Groups have recently proposed revisions for the major diagnostic classes of mental disorders, an article on the current status of the personality disorders (PDs) is timely. This article reviews scientific principles that have influenced the development of proposed changes for the assessment and diagnosis of personality psychopathology in DSM-5, presents the proposed model as of the summer of 2011, summarizes rationales for the changes, and discusses critiques of the model. Scientific principles were articulated for DSM-5 more than a decade ago; their application to the process has not been straightforward, however. Work Group members have labored to improve the DSM-5 approach to personality and PDs to make the classification more valid and more clinically useful. The current model continues to be a work in progress.

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Influential
Interrater Reliability of the Structured Clinical Interview for the DSM–5 Alternative Model of Personality Disorders Module i: Level of Personality Functioning Scale
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“…thresholds (Widiger, 2001), heterogeneity within diagnostic categories (Verheul, Bartak, & Widiger, 2007; Westen & Arkowitz-Westen, 1998), and poor operationalization of the general criteria (Bornstein, Bianucci, Fishman, & Biars, 2014; Morey, Benson, Busch, & Skodol, 2015; Skodol, 2012).”
Self-citation
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Alternative Model of Personality Disorders (DSM-5) Predicts Dropout in Inpatient Psychotherapy for Patients With Personality Disorder
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“The LPFS determines a PD diagnosis in the case of a “moderate or greater impairment in personality (self/interpersonal) functioning” (Bender et al., 2011; Skodol, 2012; American Psychiatric Association, 2013, p. 775).”
Background
It's not that Difficult: An Interrater Reliability Study of the DSM–5 Section III Alternative Model for Personality Disorders
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“© 2018 UT-Battelle, LLC. Inventory for DSM–5 (PID–5; Krueger, Derringer, Markon, Watson, & Skodol, 2012).”
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The Role of Metaperception in Personality Disorders: Do People with Personality Problems Know How Others Experience Their Personality?
Carlson, E. N., & Oltmanns, T. F. (2015) · Journal of Personality Disorders · doi:10.1521/pedi.2015.29.4.449 · Cited by 46
The Essential Features of Personality Disorder in DSM-5
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At the nexus of science and practice: Answering basic clinical questions in personality disorder assessment and diagnosis with quantitative modeling techniques.
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Incremental validity of the PID-5 in relation to the five factor model and traditional polythetic personality criteria of the DSM-5
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Personality Inventory for DSM-5 –Short Form (PID-5-SF): Reliability, Factorial Structure, and Relationship With Functional Impairment in Dual Diagnosis Patients
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Personality Assessment in the Diagnostic Manuals: On Mindfulness, Multiple Methods, and Test Score Discontinuities
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DSM-5 Pathological Personality Traits and Intimate Partner Violence Among Male and Female College Students
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The convergent, discriminant, and structural relationship of the DAPP-BQ and SNAP with the ICD-11, DSM–5, and FFM trait models.
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Anankastia or Psychoticism? Which One Is Better Suited for the Fifth Trait in the Pathological Big Five: Insight From the Circumplex of Personality Metatraits Perspective
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“Anankastia was omitted by DSM-5, although the closely related Compulsivity domain was included within the original DSM-5 proposal (14).”
Method
Five Factor Model and Personality Disorder
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The self- and informant-personality inventories for ICD-11: Agreement, structure, and relations with health, social, and satisfaction variables in older adults.
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Authors: Skodol, A. E.
Affiliations: University of Arizona (US)
Corresponding author: Skodol, Andrew E.
Venue: Annual Review of Clinical Psychology
Publisher: Annual Reviews
Published: 2012-04-27
Volume: 8
Issue: 1
Pages: 317-344
ISSN: 1548-5943 (ISSN-L)
1548-5951
DOI: 10.1146/annurev-clinpsy-032511-143131
OpenAlex: W2124226322
Cited by: 360
References: 118
Citations by year: 2026: 7 · 2025: 19 · 2024: 14 · 2023: 19 · 2022: 14 · 2021: 18 · 2020: 63 · 2019: 25 · 2018: 28 · 2017: 18 · 2016: 17 · 2015: 33 · 2014: 27 · 2013: 38 · 2012: 12
FWCI: 5.12
Type: journal article
Language: en
Open access: closed
Locations: Annual Review of Clinical Psychology (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
Keywords: personality disorders, DSM-5, diagnostic classification, personality pathology, diagnostic criteria, classification validity, psychiatric diagnosis, personality disorder assessment
MeSH terms: Humans, Models, Psychological, Personality Disorders, Diagnostic and Statistical Manual of Mental Disorders

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