Overview

Are personality disorders discrete conditions or rather distinctions along dimensions of general personality functioning? This collection of papers renews long-standing proposals for incorporating a dimensional model of personality disorder within the next DSM. It describes alternative models, addresses questions regarding their clinical application and utility, and suggests that future research seek to integrate such models within a common hierarchical structure.Drawn from a planning conference for DSM-V, Dimensional Models of Personality Disorders opens with a presentation of 18 proposals for dimensional approaches and proceeds with provocative contributions on a number of related issues ranging from hard science to clinical practice. The topics covered include molecular genetic research, neurobiological dimensional models of personality, and broad-spectrum developmental antecedents of adult personality disorders. In considering such a major revision to the DSM, the volume addresses not only the separation of clinical and personality disorders across Axes I and II but also the challenges of coverage and cutoffs that must be addressed if dimensional models are to be considered as viable alternatives to categorical diagnosis. Although the editors acknowledge that concerns are certain to be raised regarding a conversion to dimensional classification, these papers make a strong case for opening the field to alternative ways of enhancing clinical utility and improving the validity of basic classification concepts.

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9786610963768

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