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5c - Final Thoughts: Author Rejoinder to Commentaries on 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

This rejoinder points out that the psychometric properties of trait domains have, at least at present, limited clinical relevance to treatment choice for the most severe personality disorders. Since patients with PDs are often misunderstood and mistreated, it is important to retain classifications that usefully guide treatment methods. The author also points out that the ICD-11 system for classifying personality disorders remains provisional, and does not have enough research behind it to solve the complex problems of PD classification. Since borderline personality disorder as a category can guide the choice of effective therapy, it is fortunate that it has been retained in ICD-11.

Keywords

personality disorderborderline personality disorderdiagnostic classifications in psychiatrypersonality trait dimensionspersonality disorder categories
Type
Chapter
Information
The Cambridge Handbook of Personality Disorders , pp. 118 - 119
Publisher: Cambridge University Press
Print publication year: 2020

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References

American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.Google Scholar
Cuthbert, B. N., & Insel, T. R. (2013). Toward the future of psychiatric diagnosis: The seven pillars of RDoC. BMC Medicine, 11, 126.Google Scholar
Herpertz, S. C., Huprich, S. K., Bohus, M., Chanen, A., Goodman, M., Mehlum, L., … Sharp, C. (2017). The challenge of transforming the diagnostic system of personality disorders. Journal of Personality Disorders, 31, 577–589.Google Scholar
Paris, J. (2012). The Bipolar Spectrum: Diagnosis or Fad? New York: Routledge.CrossRefGoogle Scholar
Regier, D. A., Narrow, W. E., Clarke, D., Kraemer, H. C., Kuramoto, S. J., Kuhl, E. A., & Kupfer, D. J. (2013). DSM-5 field trials in the United States and Canada, Part II: Test-retest reliability of selected categorical diagnoses. American Journal of Psychiatry, 170, 159–170.Google Scholar

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