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An Object Relations Model Perspective on the Alternative Model for Personality Disorders (DSM-5)
John F Clarkin1, Eve Caligor2,3, Julia F Sowislo2
1Personality Disorders Institute and Department of Psychiatry, Weill Medical College of Cornell University, New York, New York, USA, jclarkin@med.cornell.edu.
The Alternative Model of DSM-5 integrates dimensional and categorical approaches. The object relations model offers a theoretical framework, enhancing personality pathology assessment and treatment planning.
Area of Science:
- Psychiatry
- Clinical Psychology
- Psychoanalysis
Background:
- The Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) Alternative Model for personality disorders.
- The historical significance and theoretical underpinnings of the object relations model.
- The integration of object relations concepts within contemporary personality disorder classification.
Purpose of the Study:
- To explore the theoretical contributions of the object relations model to the DSM-5 Alternative Model.
- To examine how object relations theory can enhance the assessment of personality pathology.
- To elucidate the role of object relations in informing treatment planning for personality disorders.
Main Methods:
- Conceptual analysis of the DSM-5 Alternative Model and object relations theory.
- Review of existing literature on personality pathology assessment and treatment.
- Integration of theoretical frameworks to highlight clinical utility.
Main Results:
- The DSM-5 Alternative Model combines dimensional and categorical classifications.
- The object relations model, predating the Alternative Model, offers a rich theoretical foundation.
- Object relations theory provides a framework often lacking in the Alternative Model, improving clinical assessment and treatment planning.
Conclusions:
- The object relations model significantly enhances the theoretical depth of the DSM-5 Alternative Model.
- Incorporating object relations principles improves the clinical assessment of personality pathology.
- This integration facilitates more effective treatment planning for individuals with personality disorders.
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