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Personality disorders at the crossroads.

Norman S Endler1, Nancy L Kocovski

  • 1Department of Psychology, York University, 4700 Keele St., Toronto, ON, M3J1P3. nendler@yorku.ca

Journal of Personality Disorders
|March 6, 2003
PubMed
Summary

Personality disorder research is at a crossroads, favoring a blend of categorical and dimensional systems. This review explores continuity versus discontinuity in personality assessment and treatment, highlighting challenges in integrating these approaches.

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Personality Science

Background:

  • Personality disorders face theoretical and conceptual challenges.
  • The field requires a review of current issues and future directions.
  • Historical conceptions of personality disorders have evolved significantly.

Purpose of the Study:

  • To review current issues in the field of personality disorders.
  • To examine the continuity versus discontinuity debate in personality assessment.
  • To explore treatment approaches and future research directions.

Main Methods:

  • Literature review of personality disorder research from 1952-2002.
  • Analysis of conceptual changes and methodological approaches.
  • Discussion of interactionism, treatments, and unresolved issues.

Main Results:

  • Evidence supports a rapprochement between categorical and dimensional classification systems.
  • The continuity versus discontinuity debate is central to personality assessment.
  • Significant challenges exist in integrating categorical and dimensional approaches.

Conclusions:

  • A hybrid classification system for personality disorders is recommended.
  • Further research is needed to overcome integration difficulties.
  • The field is moving towards a more nuanced understanding of personality disorders.

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