Proposed changes in personality and personality disorder assessment and diagnosis for DSM-5 part I: Description and rationale

Andrew E. Skodol, Lee Anna Clark, Donna S. Bender, Robert F. Krueger, Leslie C. Morey, Roel Verheul, Renato D. Alarcon, Carl C. Bell, Larry J. Siever, John M. Oldham

Research output: Contribution to journalArticlepeer-review

178 Scopus citations

Abstract

A major reconceptualization of personality psychopathology has been proposed for DSM-5 that identifies core impairments in personality functioning, pathological personality traits, and prominent pathological personality types. A comprehensive personality assessment consists of four components: levels of personality functioning, personality disorder types, pathological personality trait domains and facets, and general criteria for personality disorder. This four-part assessment focuses attention on identifying personality psychopathology with increasing degrees of specificity, based on a clinician's available time, information, and expertise. In Part I of this two-part article, we describe the components of the new model and present brief theoretical and empirical rationales for each. In Part II, we will illustrate the clinical application of the model with vignettes of patients with varying degrees of personality psychopathology, to show how assessments might be conducted and diagnoses reached.

Original languageEnglish (US)
Pages (from-to)4-22
Number of pages19
JournalPersonality Disorders: Theory, Research, and Treatment
Volume2
Issue number1
DOIs
StatePublished - Jan 1 2011

Keywords

  • DSM-5
  • assessment
  • diagnosis
  • personality
  • personality disorders

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