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Personality disorders: issues in assessment.

D B Marin, T A Widiger, A J Frances

    Psychopharmacology Bulletin
    |January 1, 1989
    PubMed
    Summary
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    This paper reviews personality disorder assessment, comparing categorical and dimensional approaches and examining Axis I and II diagnostic relationships. It discusses controversies and evaluates various assessment instruments for personality disorders.

    Area of Science:

    • Psychiatry
    • Psychological Assessment
    • Personality Disorders

    Background:

    • The Diagnostic and Statistical Manual of Mental Disorders, 3rd Edition (DSM-III) introduced a multiaxial system, stimulating research into personality disorder assessment.
    • Current research addresses ongoing debates and challenges in accurately assessing personality traits and disorders.

    Purpose of the Study:

    • To critically review and compare categorical versus dimensional models for personality classification.
    • To explore differing perspectives on conceptualizing Axis II diagnoses and their interplay with Axis I conditions.
    • To provide an overview of diverse assessment instruments used for personality disorders.

    Main Methods:

    • Literature review and comparative analysis of personality classification systems.

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  • Discussion of theoretical viewpoints on diagnostic conceptualization.
  • Survey of existing psychometric tools for personality assessment.

    • Main Results:

    • The paper highlights the ongoing debate between categorical and dimensional approaches in personality disorder assessment.
    • It examines the complex relationship between Axis I and Axis II diagnoses.
    • Various assessment instruments are reviewed, indicating a range of available tools.

    Conclusions:

    • The assessment of personality disorders is complex, with ongoing debate regarding classification systems.
    • Understanding the relationship between Axis I and Axis II is crucial for comprehensive diagnosis.
    • A variety of assessment tools exist, each with strengths and limitations for clinical use.