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ICD-11 Personality Disorders: A Psychodynamic Perspective on Personality Functioning.

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|May 3, 2021
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Summary

The ICD-11 introduces a dimensional personality disorder classification focusing on self and interpersonal functioning. This approach aligns with psychodynamic theories, offering a unified framework for clinical practice and research.

Keywords:
ICD-11OPDobject relations theorypersonality disorder classificationpersonality functioningpsychoanalysispsychodynamicself and interpersonal functioning

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Area of Science:

  • Psychiatry
  • Psychology
  • Clinical Diagnosis

Background:

  • The International Classification of Diseases, 11th Revision (ICD-11) presents a novel dimensional classification for personality disorders.
  • This represents a significant shift from previous categorical diagnostic systems.
  • The new system emphasizes the evaluation of personality functioning severity.

Purpose of the Study:

  • To critically analyze the ICD-11's dimensional approach to personality disorders.
  • To compare and contrast the ICD-11 with major psychodynamic conceptualizations, including Kernberg's object relations theory and Operationalized Psychodynamic Diagnosis (OPD).
  • To explore the convergence between personality functioning assessment and psychodynamic theories of personality pathology.

Main Methods:

  • Conceptual analysis of the ICD-11 personality disorder classification.
  • Review of existing empirical data on personality functioning.
  • Comparative analysis of ICD-11 with prominent psychodynamic models (Kernberg et al., OPD).

Main Results:

  • The ICD-11's focus on personality functioning represents a fundamental change in diagnosis.
  • There are points of convergence between the ICD-11 and psychodynamic theories regarding personality pathology.
  • Notable differences exist between the ICD-11 and specific psychodynamic models like Kernberg's and OPD.

Conclusions:

  • The ICD-11's dimensional framework for personality disorders offers a common ground for assessment.
  • This approach enhances the clinical meaningfulness and research suitability of personality disorder diagnosis.
  • The convergence with psychodynamic conceptualizations strengthens the foundation of personality functioning assessment.