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Personality disorders in DSM-5.

Andrew E Skodol¹

¹Department of Psychiatry, University of Arizona College of Medicine, Tucson, Arizona 85724, USA. askodol@gmail.com

Annual Review of Clinical Psychology

|March 31, 2012

Summary

This summary is machine-generated.

The Diagnostic and Statistical Manual of Mental Disorders (DSM-5) is undergoing significant revisions, particularly for personality disorders (PDs). This review examines proposed changes, their scientific basis, and critiques, aiming for a more valid and clinically useful classification.

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Area of Science:

Psychiatry
Psychopathology
Mental Health Classification

Background:

The Diagnostic and Statistical Manual of Mental Disorders (DSM) has not seen a major revision since 1994.
The upcoming fifth edition (DSM-5) is expected to introduce substantial changes to mental disorder classification.
Recent proposals from DSM-5 Work Groups necessitate a timely review of personality disorder (PD) revisions.

Purpose of the Study:

To review the scientific principles influencing proposed DSM-5 changes for personality psychopathology assessment and diagnosis.
To present the proposed DSM-5 model for personality disorders as of summer 2011.
To summarize the rationales behind these proposed changes and discuss critiques.

Main Methods:

Review of scientific principles guiding DSM-5 development.
Presentation of the proposed DSM-5 personality disorder model (as of summer 2011).
Analysis of rationales and critiques of the proposed model.

Main Results:

Scientific principles for DSM-5 were established over a decade ago but have been challenging to apply.
DSM-5 Work Groups are actively refining the approach to personality and PDs.
The proposed model aims for increased diagnostic validity and clinical utility.

Conclusions:

The DSM-5 revision process for personality disorders is complex and ongoing.
Efforts are focused on enhancing the scientific validity and clinical usefulness of PD classification.
The current proposed model represents a significant, though still evolving, step forward.