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19c - Simplicity and Dynamics of the ICD-11 Trait Qualifiers in Relation to Treatment: Author Rejoinder to Commentaries on Using DSM-5 and ICD-11 Personality Traits in Clinical Treatment

from Part V - Treatment

Published online by Cambridge University Press:  24 February 2020

Carl W. Lejuez
Affiliation:
University of Kansas
Kim L. Gratz
Affiliation:
University of Toledo, Ohio
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Summary

This rejoinder proposes how the five trait domain qualifiers of the ICD-11 personality disorder classification may capture personality dynamics, while also being feasible in various clinical settings. It is highlighted that the simple coding of one to five trait qualifiers may serve as a basic step in the process that leads to a clinical management plan; for clinicians with more resources, a second step may involve taking advantage of the 25 detailed DSM-5 AMPD subfacets for a more fine-grained case-formulation and treatment planning. Moreover, the ICD-11 trait domain qualifiers seem to take personality dynamics into account, which is exemplified by how different trait domain combinations may involve different situational and motivational trait domain expressions that demand different treatment implications.

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Publisher: Cambridge University Press
Print publication year: 2020

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References

Bach, B., & Kongerslev, M. T. (2018). Personality dynamics in schema therapy and the forthcoming ICD-11 classification of personality disorder. European Journal of Personality, 32(5), 527528.Google Scholar
Bach, B., Sellbom, M., Kongerslev, M., Simonsen, E., Krueger, R. F., & Mulder, R. (2017). Deriving ICD-11 personality disorder domains from DSM-5 traits: Initial attempt to harmonize two diagnostic systems. Acta Psychiatrica Scandinavica, 136(1), 108117.Google Scholar
Reed, G. M. (2018). Progress in developing a classification of personality disorders for ICD-11. World Psychiatry, 17(2), 227228.Google Scholar
World Health Organization. (2019). ICD-11 Clinical Descriptions and Diagnostic Guidelines for Mental and Behavioural Disorders. Geneva: World Health Organization.Google Scholar

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