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Relationship between DSM-III avoidant and dependent personality disorders.

J Reich1

  • 1Harvard Medical School, (Massachusetts Mental Health Center), Brookline.

Psychiatry Research
|December 1, 1990
PubMed
Summary
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Avoidant and dependent personality disorders show significant overlap, suggesting they should be merged. A proposed enlarged dependent personality disorder category would include avoidant, dependent, and mixed subtypes.

Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Personality Disorders

Background:

  • Avoidant personality disorder was introduced in DSM-III without empirical validation.
  • Previous research has struggled to empirically differentiate avoidant from dependent personality disorders.

Purpose of the Study:

  • To review previous attempts to validate empirical personality disorders.
  • To present new data on the differentiation of avoidant and dependent personality disorders.
  • To propose a revised classification for these disorders.

Main Methods:

  • Review of four previous attempts to validate empirical personality disorders.
  • Replication of studies examining the overlap between avoidant and dependent personality disorders.
  • Analysis of demographic and trait differences between avoidant and dependent personality disorder groups.

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Main Results:

  • No empirical study, including the current one, has successfully differentiated avoidant from dependent personality disorders.
  • Minor differences observed: dependent personality disorder had more females; avoidant personality disorder had more self-defeating traits.
  • Significant overlap confirmed between avoidant and dependent personality disorders.

Conclusions:

  • Avoidant and dependent personality disorders lack sufficient empirical distinction.
  • A merger into an enlarged dependent personality disorder category is recommended.
  • This enlarged category could encompass three subtypes: avoidant, dependent, and mixed.