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Personality Disorders in DSM-5
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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“The chair of the work group said that it was reinstated due, in part, to the comments posted on the official website “bemoaning its deletion as a specific PD” (Skodol 2012, p. 331).”
From Controversies in Narcissism (2017) · cites this paper as Skodol 2012
In the citing paper
“Both the DSM-5 (Section III) (1) and the ICD-11 (13) recommend using a hybrid model of diagnosis, which combines the categorical and dimensional models, because this combination has the strongest predictive validity (9, 14).”
From Narcissistic Personality Disorder: Progress in Understanding and Treatment (2022) · cites this paper as [14]
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Rottman, B. M., Kim, N. S., Ahn, W., & Sanislow, C. A. (2010) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.09m05534gre · Cited by 17
First, M. B. (2010) · Personality Disorders Theory Research and Treatment · doi:10.1037/a0019975 · Cited by 17
Livesley, W. J. (2011) · Journal of Personality Disorders · doi:10.1521/pedi.2011.25.3.269 · Cited by 15
Geology 102: More Thoughts on a Shift to a Dimensional Model of Personality Disorders
Trull, T. J., & Widiger, T. A. (2008) · Social and Personality Psychology Compass · doi:10.1111/j.1751-9004.2007.00074.x · Cited by 13
Hallquist, M. N., & Pilkonis, P. A. (2010) · Personality Disorders Theory Research and Treatment · doi:10.1037/a0020201 · Cited by 7
Psychopathology Across the Life Span
Skodol, A. E., & Bender, D. S. (2008) · doi:10.1002/9780470515167.ch29 · Cited by 5
Self-citation
Research works printed but not linked: 7
- Costa PT, 1992, Revised NEO Personality Inventory (NEO-PI-R) and NEO Five-Factor Inventory (NEO-FFI) Professional Manual
- First MB, 1997, Structured Clinical Interview for DSM-IV Personality Disorders (SCID-II)
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Sorted by citations
Toward the future of psychiatric diagnosis: the seven pillars of RDoC
Cuthbert, B. N., & Insel, T. R. (2013) · BMC Medicine · doi:10.1186/1741-7015-11-126 · Cited by 3,053
DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS, FIFTH EDITION
Abbas, A., & Aminoroaia, M. (2013) · Cited by 1,478
Miller, J. D., Lynam, D. R., Hyatt, C. S., & Campbell, W. K. (2017) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-032816-045244 · Cited by 572
“The chair of the work group said that it was reinstated due, in part, to the comments posted on the official website “bemoaning its deletion as a specific PD” (Skodol 2012, p. 331).”
BackgroundPersonality Assessment in DSM-5: Empirical Support for Rating Severity, Style, and Traits
Hopwood, C. J., Malone, J. C., Ansell, E. B., Sanislow, C. A., Grilo, C. M., McGlashan, T. H., Pinto, A., Markowitz, J. C., Shea, M. T., Skodol, A. E., et al. (2011) · Journal of Personality Disorders · doi:10.1521/pedi.2011.25.3.305 · Cited by 377
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Metadata
- 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
- 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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