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Axis II personality disorders: diagnostic and treatment issues
Hospital & Community Psychiatry
|June 1, 1985
Summary
This review examines personality disorders, discussing diagnostic challenges and treatments. It suggests improving diagnostic criteria for better clinical utility and understanding personality
Area of Science:
- Psychiatry
- Clinical Psychology
Background:
- The Diagnostic and Statistical Manual of Mental Disorders, third edition (DSM-III) introduced a separate axis for personality disorders.
- This placement aimed to increase focus on diagnosis and treatment of personality disorders.
- It also encouraged consideration of personality's impact on other clinical syndromes.
Purpose of the Study:
- To review axis II personality disorders.
- To discuss methodological issues in diagnosing personality disorders.
- To present current issues and controversies in the field.
Main Methods:
- Literature review of diagnostic methodologies.
- Examination of treatment modalities for personality disorders.
- Analysis of current controversies and issues.
Main Results:
- Methodological challenges in personality disorder diagnosis were identified.
- Various treatment approaches were reviewed.
- Key controversies surrounding specific personality disorders were presented.
Conclusions:
- Revisions to diagnostic criteria are needed for improved reliability and clinical relevance.
- A shift towards a multidimensional classification system may be beneficial.
- Enhanced diagnostic systems are crucial for effective clinical practice.