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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
The challenge of transforming the diagnostic system of personality disorders
Journal of Personality Disorders, Volume 31, No. 5, Year 2017
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Description
While the DSM-5 alternative model of personality disorder (PD) diagnosis allows the field to systematically compare categorical and dimensional classifications, the ICD-11 proposal suggests a radical change by restricting the classification of PDs to one category, deleting all specific types, basing clinical service provision exclusively upon a severity dimension, and restricting trait domains to secondary qualifiers without defining cutoff points. This article reflects broad international agreement about the state of PD diagnosis. It is argued that diagnosis according to the ICD-11 proposal is based on broad, potentially stigmatizing descriptions of impaired functioning and ignores much of the impressive body of research and treatment guidelines that have advanced the care of adults and adolescents with borderline and other PDs. Before radically changing classification, which highly impacts the provision of health care, head-to-head field trials coupled with the views of patients as well as thorough debate among scientists are urgently needed. © 2017 The Guilford Press.
Authors & Co-Authors
Herpertz, Sabine Christiane
Germany, Heidelberg
Universität Heidelberg
Bohus, Martin J.
Germany, Mannheim
Zentralinstitut Für Seelische Gesundheit
Newton-Howes, Giles M.
New Zealand, Dunedin
University of Otago
Sharp, Carla
United States, Houston
University of Houston
Statistics
Citations: 93
Authors: 4
Affiliations: 9
Identifiers
Doi:
10.1521/pedi_2017_31_338
ISSN:
0885579X
Research Areas
Mental Health