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Study supports alternative model for personality disorders in upcoming DSM-5
Date:5/10/2013

Philadelphia, Pa. (May 10, 2013) A new "alternative model" included in the upcoming Fifth Edition of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM -5) lines up well with the current approach to diagnosis of personality disorder, according to a study in the May Journal of Psychiatric Practice. The journal is published by Lippincott Williams & Wilkins, a part of Wolters Kluwer Health.

The findings lend support to the new "hybrid" model, which combines the "core" dimensions of personality disorder with various maladaptive personality traits found in individual patients, according to the report by Leslie C. Morey, PhD, of Texas A & M University and Andrew E. Skodol, MD, of the University of Arizona College of Medicine and Columbia University College of Physicians and Surgeons.

Hybrid Model Compares Well with DSM-IV Diagnosis of Personality Disorders

Experts working on the long-awaited DSM-5to be published later this monthrecommended substantial revisions to the section on personality disorders. Specifically, they proposed a "hybrid categorical-dimensional model" including not only "core impairments in personality functioning" but also various combinations of "pathological personality traits" associated with these conditions. Goals of the proposal included:

  • Reducing overlap among personality disorder diagnoses
  • Reducing heterogeneity among patients receiving the same diagnosis
  • Eliminating arbitrary diagnostic thresholds with little or no research basis
  • Addressing the widespread use of the vague "personality disorder not otherwise specified" diagnosis
  • Providing diagnostic thresholds
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Contact: Connie Hughes
connie.hughes@wolterskluwer.com
646-674-6348
Wolters Kluwer Health
Source:Eurekalert

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