A systematic approach to the delineation of personality disorders
Abstract
The author describes a structured approach to the definition of personality disorder diagnoses using traits or generalized behavioral dimensions as the basic unit of definition. Features of personality disorder diagnoses, identified from the clinical literature and rated by psychiatrists for the degree to which they were prototypical of each diagnosis, were classified into 79 behavioral dimensions. A sorting task used to establish whether other clinicians agreed on the classification of highly prototypical features into dimensions yielded satisfactory levels of agreement. A mail survey of a random sample of psychiatrists indicated that these dimensions possessed satisfactory content validity.
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Three or four dimensions are uniformly reported, in addition to the five-factor model.
“Three or four dimensions are uniformly reported (43)(44)(45)(46), in addition to the well-known five-factor model”
From Personality disorder: a new global perspective (2010) · cites this paper as [44]
There is surprising consistency in the number and descriptions of the main dimensions of personality disorder in studies of psychiatric patients and normal populations.
“There is surprising consistency over the number and de scriptions of the main dimensions of personality disorder in studies carried out with both psychiatric patients and nor mal populations”
From Personality disorder: a new global perspective (2010) · cites this paper as [44]
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How Personality Disorder Became an Independent Domain in Psychopathology
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- Authors
- Livesley, W. J.
- Corresponding author
- W. John Livesley
- ORCID
- W. John Livesley
- Venue
- American Journal of Psychiatry
- Published
- 1987-06-01
- Volume
- 144
- Issue
- 6
- Pages
- 772-777
- ISSN
- 0002-953X (ISSN-L)
- 1535-7228
- OpenAlex
- W2403315148
- Cited by
- 92
- References
- 16
- Citations by year
- 2025: 1 · 2023: 2 · 2021: 2 · 2018: 1 · 2015: 1 · 2014: 1 · 2012: 3
- FWCI
- 2.02
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Keywords
- personality disorders, diagnostic criteria, behavioral dimensions, personality traits, content validity, interobserver agreement, psychiatric diagnosis
- MeSH terms
- Diagnosis, Differential, Humans, Manuals as Topic, Models, Psychological, Personality Disorders, Psychiatric Status Rating Scales, Psychometrics
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