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Deriving an Empirical Structure of Personality Pathology for DSM-5
Abstract
The DSM-IV model of personality disorders is composed of trait sets arranged into 10 theoretically distinct, polythetically assessed categories, with little regard for how the traits comprising these disorders are interrelated and structured. Research since the publication of DSM-III has shown that this model is untenable. The question is not whether this model needs revision; rather, the question is how to move from the existing DSM-IV framework to a model better connected with data. Empirically-based models of personality trait variation provide a starting point for DSM-5, and ongoing research will be used to delineate further the empirical structure of personality traits in the pathological range. The ultimate goal is to frame future DSMs in a way that is maximally useful for clinicians as well as researchers. It is also critical to understand that the DSM-5 is intended to be a living document that will facilitate novel inquiry and clinical applications, as opposed to a document designed to promote and perpetuate a fixed set of constructs. Thus, we view a proposed trait system as a first step on a path to a well-validated, clinically-useful structure.
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Citations
Cites
(1999) · Cited by 7,995
An alternative "description of personality": The Big-Five factor structure.
Goldberg, L. R. (1990) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.59.6.1216 · Cited by 6,652
Watson, D., Wiese, D., Vaidya, J., & Tellegen, A. (1999) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.76.5.820 · Cited by 2,103
Self-citationBenet-Martínez, V., & John, O. P. (1998) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.75.3.729 · Cited by 1,996
The Structure of Common Mental Disorders
Krueger, R. F. (1999) · Archives of General Psychiatry · doi:10.1001/archpsyc.56.10.921 · Cited by 1,881
Self-citationKendler, K. S., Prescott, C. A., Myers, J., & Neale, M. C. (2003) · Archives of General Psychiatry · doi:10.1001/archpsyc.60.9.929 · Cited by 1,868
(1985) · Cited by 1,630
Lilienfeld, S. O., & Andrews, B. P. (1996) · Journal of Personality Assessment · doi:10.1207/s15327752jpa6603_3 · Cited by 1,432
Krueger, R. F., Hicks, B. M., Patrick, C. J., Carlson, S. R., Iacono, W. G., & McGue, M. (2002) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.111.3.411 · Cited by 1,378
Self-citationRethinking the mood and anxiety disorders: A quantitative hierarchical model for DSM-V.
Watson, D. (2005) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.114.4.522 · Cited by 1,332 · cited 2×
“With regard to points of correspondence, the FFM includes four broad domains that are closely linked with broad dimensions of pathological personality variation (i.e., neuroticism, extraversion, agreeableness, and conscientiousness; Markon, Krueger, & Watson, 2005; Livesley et al., 1998).”
BackgroundSelf-citationMillon Clinical Multiaxial Inventory manual
Millon, T. (1983) · Medical Entomology and Zoology · Cited by 1,241
Delineating the Structure of Normal and Abnormal Personality: An Integrative Hierarchical Approach.
Markon, K. E., Krueger, R. F., & Watson, D. (2005) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.88.1.139 · Cited by 1,187
Self-citationReinterpreting comorbidity: a model-based approach to understanding and classifying psychopathology
Krueger, R. F., & Markon, K. E. (2006) · Annual Review of Clinical Psychology · doi:10.1146/annurev.clinpsy.2.022305.095213 · Cited by 1,171
Self-citationSamuel, D. B., & Widiger, T. A. (2008) · Clinical Psychology Review · doi:10.1016/j.cpr.2008.07.002 · Cited by 1,018
Testing Predictions From Personality Neuroscience: Brain Structure and the Big Five
DeYoung, C. G., Hirsh, J. B., Shane, M. S., Papademetris, X., Rajeevan, N., & Gray, J. R. (2010) · Psychological Science · doi:10.1177/0956797610370159 · Cited by 995
Higher-order factors of the Big Five in a multi-informant sample.
DeYoung, C. G. (2006) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.91.6.1138 · Cited by 933
Krueger, R. F., Markon, K. E., Patrick, C. J., Benning, S. D., & Kramer, M. D. (2007) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.116.4.645 · Cited by 861
Self-citationDimensions of personality: 16, 5 or 3?—Criteria for a taxonomic paradigm
Eysenck, H. J. (1991) · Personality and Individual Differences · doi:10.1016/0191-8869(91)90144-z · Cited by 848
Clark, L. A. (2007) · Annual Review of Psychology · doi:10.1146/annurev.psych.57.102904.190200 · Cited by 815
Self-citationTemperament as a unifying basis for personality and psychopathology.
Clark, L. A. (2005) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.114.4.505 · Cited by 796
Self-citationThe borderline diagnosis I: psychopathology, comorbidity, and personaltity structure
Skodol, A. E., Gunderson, J. G., Pfohl, B., Widiger, T. A., Livesley, W. J., & Siever, L. J. (2002) · Biological Psychiatry · doi:10.1016/s0006-3223(02)01324-0 · Cited by 769 · cited 2×
“” For example, the literature shows clearly that DSM-IV Borderline PD describes a clinical construct with substantial social costs (Skodol et al., 2002).”
BackgroundSelf-citationWidiger, T. A., & Samuel, D. B. (2005) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.114.4.494 · Cited by 752
Differentiating Normal and Abnormal Personality
Strack, S., & Lorr, M. (1994) · Cited by 734
Phenotypic and Genetic Structure of Traits Delineating Personality Disorder
Livesley, W. J., Jang, K. L., & Vernon, P. A. (1998) · Archives of General Psychiatry · doi:10.1001/archpsyc.55.10.941 · Cited by 663
Self-citationAlternative Dimensional Models of Personality Disorder: Finding a Common Ground
Widiger, T. A., & Simonsen, E. (2005) · Journal of Personality Disorders · doi:10.1521/pedi.19.2.110.62628 · Cited by 642
A Population-Based Twin Study of the Relationship Between Neuroticism and Internalizing Disorders
Hettema, J. M., Neale, M. C., Myers, J. M., Prescott, C. A., & Kendler, K. S. (2006) · American Journal of Psychiatry · doi:10.1176/ajp.2006.163.5.857 · Cited by 635
Categorical and Dimensional Models of Personality Disorder
Trull, T. J., & Durrett, C. A. (2005) · Annual Review of Clinical Psychology · doi:10.1146/annurev.clinpsy.1.102803.144009 · Cited by 617
Conceptions of personality disorders and dimensions of personality.
Wiggins, J. S., & Pincus, A. L. (1989) · Psychological Assessment · doi:10.1037//1040-3590.1.4.305 · Cited by 486
Neuroticism as a common dimension in the internalizing disorders
Griffith, J. W., Zinbarg, R. E., Craske, M. G., Mineka, S., Rose, R. D., Waters, A. M., & Sutton, J. M. (2010) · Psychological Medicine · doi:10.1017/s0033291709991449 · Cited by 440
Krueger, R. F., Caspi, A., Moffitt, T. E., Silva, P. A., & McGee, R. (1996) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.105.3.299 · Cited by 423
Self-citationPersonality disorders and the five-factor model of personality (2nd ed.).
(2002) · American Psychological Association eBooks · doi:10.1037/10423-000 · Cited by 410
A Practical Way to Diagnosis Personality Disorder: A Proposal
Cloninger, C. R. (2000) · Journal of Personality Disorders · doi:10.1521/pedi.2000.14.2.99 · Cited by 339
The Personality Psychopathology Five (PSY-5): Constructs and MMPI-2 scales.
Harkness, A. R., McNulty, J. L., & Ben‐Porath, Y. S. (1995) · Psychological Assessment · doi:10.1037//1040-3590.7.1.104 · Cited by 318
Modeling psychopathology structure: a symptom-level analysis of Axis I and II disorders
Markon, K. E. (2010) · Psychological Medicine · doi:10.1017/s0033291709990183 · Cited by 311
Self-citationEndophenotypes: Bridging Genomic Complexity and Disorder Heterogeneity
Insel, T. R., & Cuthbert, B. N. (2009) · Biological Psychiatry · doi:10.1016/j.biopsych.2009.10.008 · Cited by 271
Five-Factor Model of Personality Disorder: A Proposal for DSM-V
Widiger, T. A., & Mullins-Sweatt, S. N. (2009) · Annual Review of Clinical Psychology · doi:10.1146/annurev.clinpsy.032408.153542 · Cited by 253
De Clercq, B., De Fruyt, F., Van Leeuwen, K., & Mervielde, I. (2006) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.115.4.639 · Cited by 247
Krueger, R. F., & Eaton, N. R. (2010) · Personality Disorders: Theory, Research, and Treatment · doi:10.1037/a0018990 · Cited by 244
Self-citationSuggestions for a Framework for an Empirically Based Classification of Personality Disorder
Livesley, W. J. (1998) · The Canadian Journal of Psychiatry · doi:10.1177/070674379804300202 · Cited by 241
Self-citationA search for consensus on the dimensional structure of personality disorders
O'Connor, B. P. (2005) · Journal of Clinical Psychology · doi:10.1002/jclp.20017 · Cited by 239
Watson, D., Clark, L. A., & Chmielewski, M. (2008) · Journal of Personality · doi:10.1111/j.1467-6494.2008.00531.x · Cited by 234 · cited 2×
“…scale related to this area; this limited coverage, in turn, explains why a separate domain of psychotic experiences does not emerge in these instruments (see Tackett, Silberschmidt, Krueger, & Sponheim, 2008, for an illustration of this phenomenon using the DAPP; see also Watson et al., 2008).”
BackgroundMethodSelf-citationSchizotypy and Schizophrenia: The View from Experimental Psychopathology
Lenzenweger, M. F. (2010) · Cited by 232
A Framework for Integrating Dimensional and Categorical Classifications of Personality Disorder
Livesley, W. J. (2007) · Journal of Personality Disorders · doi:10.1521/pedi.2007.21.2.199 · Cited by 224
Self-citationAn integrative dimensional classification of personality disorder.
Widiger, T. A., Livesley, W. J., & Clark, L. A. (2009) · Psychological Assessment · doi:10.1037/a0016606 · Cited by 211
Self-citationIndividual differences science for treatment planning: Personality traits.
Harkness, A. R., & Lilienfeld, S. O. (1997) · Psychological Assessment · doi:10.1037//1040-3590.9.4.349 · Cited by 207
Tackett, J. L., Balsis, S., Oltmanns, T. F., & Krueger, R. F. (2009) · Development and Psychopathology · doi:10.1017/s095457940900039x · Cited by 201
Self-citationTemperament: An organizing paradigm for trait psychology
Clark, L. A., & Watson, D. (2008) · Cited by 200
Self-citationSchroeder, M. L., Wormworth, J. A., & Livesley, W. J. (1992) · Psychological Assessment · doi:10.1037//1040-3590.4.1.47 · Cited by 192
Self-citationConstruction of the Hierarchical Personality Inventory for Children (HiPIC)
Mervielde, I., & Fruyt, F. D. (1999) · Ghent University Academic Bibliography (Ghent University) · Cited by 176
Krueger, R. F., Skodol, A. E., Livesley, W. J., Shrout, P. E., & Huang, Y. (2007) · International Journal of Methods in Psychiatric Research · doi:10.1002/mpr.212 · Cited by 174
Self-citationPerson Perception and Personality Pathology
Oltmanns, T. F., & Turkheimer, E. (2009) · Current Directions in Psychological Science · doi:10.1111/j.1467-8721.2009.01601.x · Cited by 170
Toward a Theory of the Big Five
DeYoung, C. G. (2010) · Psychological Inquiry · doi:10.1080/10478401003648674 · Cited by 162
Bernstein, D. P., Iscan, C., & Maser, J. (2007) · Journal of Personality Disorders · doi:10.1521/pedi.2007.21.5.536 · Cited by 159
Harkness, A. R., & McNulty, J. L. (1994) · Cited by 149
Westen, D., & Shedler, J. (2007) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.116.4.810 · Cited by 141
Temperament and the structure of personality disorder symptoms
MULDER, R. T., & JOYCE, P. R. (1997) · Psychological Medicine · doi:10.1017/s0033291796004114 · Cited by 138
Classification for clinical practice: How to make ICD and DSM better able to serve clinicians
First, M. B., & Westen, D. (2007) · International Review of Psychiatry · doi:10.1080/09540260701563429 · Cited by 124
An item response theory integration of normal and abnormal personality scales.
Samuel, D. B., Simms, L. J., Clark, L. A., Livesley, W. J., & Widiger, T. A. (2010) · Personality Disorders Theory Research and Treatment · doi:10.1037/a0018136 · Cited by 118
Self-citationAdvances in the assessment of object relations in the 1990s
Huprich, S. K., & Greenberg, R. P. (2003) · Clinical Psychology Review · doi:10.1016/s0272-7358(03)00072-2 · Cited by 116
Piedmont, R. L., Sherman, M. F., Sherman, N. C., Dy-Liacco, G. S., & Williams, J. E. G. (2009) · Journal of Personality and Social Psychology · doi:10.1037/a0015368 · Cited by 110
A dimensional model of personality disorder: Incorporating DSM Cluster A characteristics.
Tackett, J. L., Silberschmidt, A. L., Krueger, R. F., & Sponheim, S. R. (2008) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.117.2.454 · Cited by 103
Self-citationPersonality disorder: a new global perspective
TYRER, P., MULDER, R., CRAWFORD, M., NEWTON-HOWES, G., SIMONSEN, E., NDETEI, D., KOLDOBSKY, N., FOSSATI, A., MBATIA, J., & BARRETT, B. (2010) · World Psychiatry · doi:10.1002/j.2051-5545.2010.tb00270.x · Cited by 102
Toward a Neurogenetic Theory of Neuroticism
Canli, T. (2008) · Annals of the New York Academy of Sciences · doi:10.1196/annals.1417.022 · Cited by 98
Harkness, A. R. (1992) · Psychological Assessment · doi:10.1037/1040-3590.4.2.251 · Cited by 86
Roberts, B. W., Jackson, J. J., Bürger, J., & Trautwein, U. (2009) · Development and Psychopathology · doi:10.1017/s0954579409000479 · Cited by 85
Hierarchies in the Structure of Personality Traits
Markon, K. E. (2009) · Social and Personality Psychology Compass · doi:10.1111/j.1751-9004.2009.00213.x · Cited by 81
Self-citationCapturing Abnormal Personality With Normal Personality Inventories: An Item Response Theory Approach
Walton, K. E., Roberts, B. W., Krueger, R. F., Blonigen, D. M., & Hicks, B. M. (2008) · Journal of Personality · doi:10.1111/j.1467-6494.2008.00533.x · Cited by 78
Self-citationDimensional Diagnosis of Personality--Not Whether, but When and Which
FRANCES, A. J. (1993) · Psychological Inquiry · doi:10.1207/s15327965pli0402_7 · Cited by 76
Dimensional models of personality disorder.
Widiger, T. A. (2007) · Europe PMC (PubMed Central) · Cited by 73
The ‘four As’: a common framework for normal and abnormal personality?
Austin, E. J., & Deary, I. J. (2000) · Personality and Individual Differences · doi:10.1016/s0191-8869(99)00154-3 · Cited by 73
Shiner, R. L. (2005) · Journal of Personality Disorders · doi:10.1521/pedi.19.2.202.62630 · Cited by 66
Toward A Genetically-Informed Model of Borderline Personality Disorder
Livesley, J. (2008) · Journal of Personality Disorders · doi:10.1521/pedi.2008.22.1.42 · Cited by 65
A Comparison of Obsessive–Compulsive Personality Disorder Scales
Samuel, D. B., & Widiger, T. A. (2010) · Journal of Personality Assessment · doi:10.1080/00223891003670182 · Cited by 58
Differentiating normal and abnormal personality, 2nd ed.
Strack, S. (2006) · Cited by 51
The Meaning of Comorbidity Among Common Mental DisordersPreprint
Eaton, N. R., South, S. C., & Krueger, R. F. (2020) · PsyArXiv (OSF Preprints) · doi:10.31234/osf.io/xra9y · Cited by 50
Self-citationNestadt, G., Costa, P. T., Hsu, F., SAMUELS, J. F., Bienvenu, O. J., & Eaton, W. W. (2007) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2007.05.015 · Cited by 46
Dyce, J. A., O'Connor, B. P., Parkins, S. Y., & Janzen, H. L. (1997) · Journal of Personality Assessment · doi:10.1207/s15327752jpa6903_10 · Cited by 36
Genetic, environmental, and epigenetic factors in the development of personality disturbance
Depue, R. A. (2009) · Development and Psychopathology · doi:10.1017/s0954579409990034 · Cited by 36
Comparing factor analytic models of the DSM-IV personality disorders.
Huprich, S. K., Schmitt, T. A., Richard, D. C. S., Chelminski, I., & Zimmerman, M. A. (2010) · Personality Disorders Theory Research and Treatment · doi:10.1037/a0018245 · Cited by 33
Rossi, G. M. P., Elklit, A., & Simonsen, E. H. (2010) · Journal of Personality Disorders · doi:10.1521/pedi.2010.24.1.128 · Cited by 31
Incremental validity of positive and negative valence in predicting personality disorder.
Simms, L. J., Yufik, T., & Grös, D. F. (2010) · Personality Disorders Theory Research and Treatment · doi:10.1037/a0019752 · Cited by 17
Personality traits are essential for a complete clinical science.
Harkness, A. R. (2007) · Cited by 11
Theory and Measurement of Personality Traits
Harkness, A. R. (2012) · Oxford University Press eBooks · doi:10.1093/oxfordhb/9780195366877.013.0009 · Cited by 10
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Spain, S. M., Harms, P., & LeBreton, J. M. (2014) · Journal of Organizational Behavior · doi:10.1002/job.1894 · Cited by 521
The Five-Factor Narcissism Inventory: A Five-Factor Measure of Narcissistic Personality Traits
Glover, N., Miller, J. D., Lynam, D. R., Crego, C., & Widiger, T. A. (2012) · Journal of Personality Assessment · doi:10.1080/00223891.2012.670680 · Cited by 393
Personality Disorders in DSM-5
Skodol, A. E. (2012) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-032511-143131 · Cited by 360
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Del Giudice, M. (2014) · Psychological Inquiry · doi:10.1080/1047840x.2014.884918 · Cited by 309
Wright, A. G. C., & Simms, L. J. (2014) · Personality Disorders: Theory, Research, and Treatment · doi:10.1037/per0000037 · Cited by 309
Metadata
- Authors
- Krueger, R. F., Eaton, N. R., Clark, L. A., Watson, D., Markon, K. E., Derringer, J., Skodol, A., & Livesley, W. J.
- Venue
- Journal of Personality Disorders
- Publisher
- Guilford Publications
- Published
- 2011-04
- Volume
- 25
- Issue
- 2
- Pages
- 170-191
- ISSN
- 0885-579X (ISSN-L)
- OpenAlex
- W2105076219
- Cited by
- 294
- References
- 83
- FWCI
- 39.99
- Type
- journal article
- Language
- en
- Open access
- closed
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