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5 - Controversies in the Classification and Diagnosis of Personality Disorders

from Part II - Models

Published online by Cambridge University Press:  24 February 2020

By
Joel Paris
Edited by
Carl W. Lejuez  and
Kim L. Gratz
Carl W. Lejuez
Affiliation:
University of Kansas
Kim L. Gratz
Affiliation:
University of Toledo, Ohio
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Summary

Psychiatry faces the problem of multiple systems of classifying personality disorders, reflecting longstanding controversies as to whether dimensions or categories are the best way of understanding these conditions. The current options are a continuation of the use of categories, a purely dimensional system, or a hybrid model. Most PD research has focused on either borderline personality or antisocial personality. These categories describe severe psychopathology, and do not readily fit into a dimensional model. As it stands, research has focused on the diagnoses with those that are most associated with psychopathology and dysfunction. The choice among current alternatives is unclear. While the DSM-5 Section III alternative system attempts to draw on the best aspects of all models, it may be too complex for clinical use. Some are concerned that a more “scientific” but less user-friendly system could interfere with access to evidence-based treatments for BPD.

Keywords

personality disorderborderline personality disorderdiagnostic classifications in psychiatrypersonality trait dimensionspersonality disorder categories
Type
Chapter
Information
The Cambridge Handbook of Personality Disorders , pp. 103 - 110
Publisher: Cambridge University Press
Print publication year: 2020

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