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Published on: March 8, 2018
Dimensional models of personality disorder.
1Department of Psychology, University of Kentucky, 115 Kastle Hall, Lexington, KY 40506-0044, USA.
The current categorical model for personality disorder classification is failing and likely to be replaced by a dimensional approach. Future psychiatric manuals may adopt an integrative dimensional model combining the strengths of existing proposals.
Area of Science:
- Psychiatry
- Psychology
- Mental Health Classification
Background:
- The current categorical system for diagnosing personality disorders faces significant challenges and limitations.
- Established failures of the categorical model suggest its eventual obsolescence in psychiatric diagnostics.
Purpose of the Study:
- To discuss prominent alternative proposals for a dimensional classification of personality disorders.
- To explore the potential for an integrative dimensional model in future diagnostic manuals.
Main Methods:
- Review and discussion of major existing proposals for dimensional personality disorder classification.
- Analysis of the shortcomings of the current categorical diagnostic model.
Main Results:
- Several viable alternative dimensional classification systems for personality disorders exist.
- A single chosen proposal may be adopted, but an integrative model is considered ideal.
Conclusions:
- The dimensional classification of personality disorders is an inevitable future development.
- An integrative dimensional framework, synthesizing various proposals, offers the most promising path forward for personality disorder diagnosis.
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