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DSM-IV and ICD-10 both diagnose personality disorders categorically, yet studies indicate that many patients meet criteria for an excessive number of diagnoses, raising the question of whether personality disorders are discrete conditions or rather distinctions along dimensions of general personality functioning. This collection of papers renews long-standing proposals for a dimensional model of personality disorder, describing alternative models, addressing questions about their clinical application and utility, and suggesting that future research seek to integrate such models within a common hierarchical structure. With contributions by preeminent researchers in the field, Dimensional Models of Personality Disorders is drawn from a conference series convened by APA, WHO, and NIH in order to plan for the fifth edition of the DSM. The Nomenclature Work Group concluded that consideration should be given to basing part or all of DSM-V on dimensions rather than categories, and recommended that a dimensional model for personality disorders should serve as a basis for exploring dimensional approaches in other areas. Accordingly, the volume opens with a presentation of 18 proposals for dimensional models and proceeds with provocative contributions on a number of related issues ranging from hard science to clinical practice. Among the topics addressed are Behavioral and molecular genetic research supporting an etiologically informed dimensional classification of personality disorders The as-yet tenuous associations between dimensional trait measures of personality as contained in the models of Cloninger, Depue, and Siever-Davis, and specific neurobiological measures, as examined in neurotransmitter research Potential links between childhood and adolescent temperament and personality dimensions and adult personality psychopathology Studies examining the covariation of personality dimensions across cultures The continuity of Axis I and Axis II disorders and a proposed hierarchical structure of mental disorders that integrates the psychopathology of Axis I disorders with specific personality traits The dual challenges of coverage and cutoffs that must be addressed if dimensional models are to be considered viable alternatives to the existing categorical diagnostic system Although the editors acknowledge that concerns are certain to be raised regarding conversion to a dimensional classification -- such as the disruption to clinical practice by a radical shift in diagnosing personality disorder -- 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. Together, they offer stimulating insight into how we approach personality disorders, with the hope of encouraging a new model of diagnosis for DSM-V.
Since the second edition of this authoritative text was published in 2002, the research base supporting the Five-Factor Model (FFM) of personality disorder has more than quadrupled. As a result, the vast majority of this volume is new.
Traditionally, personality and psychopathology have been distinct areas of inquiry. This important volume reviews influential research programs that increasingly bridge the gap between the two areas. Presented are compelling perspectives on whether certain personality traits or structures confer risks for mental illness, how temperament interacts with other influences on psychological adaptation, links between personality disorders and mood and anxiety disorders, implications for effective intervention, and more.
The DSM-5 Alternative Model for Personality Disorders reviews and advances this innovative and increasingly popular scheme for diagnosing and evaluating personality disorders. The authors identify the multiple clinical, theoretical, and research paradigms that co-exist in the Alternative Model for Personality Disorders (AMPD) and show how the model can aid the practicing mental health professional in evaluating and treating patients as well as its importance in stimulating research and theoretical understanding of this domain. This work explores and summarizes methods of personality assessment and psychiatric evaluation, research findings, and clinical applications of the AMPD, highlighting its usefulness to clinical teaching and supervision, forensic application, and current research. It is a go-to reference for experienced professionals and researchers, those who wish to learn this new diagnostic system, and for clinicians in training.
This text provides a summary of what is currently known about the diagnosis, assessment, construct validity, etiology, pathology, and treatment of personality disorders. It also provides extensive coverage of the many controversial changes for the DSM-5, including chapters by proponents and opponents to these changes.
The Five Factor Model, which measures individual differences on extraversion, agreeableness, conscientiousness, emotional stability, and openness to experience, is arguably the most prominent dimensional model of general personality structure. In fact, there is now a considerable body of research supporting its construct validity and practical application in clinical, health, and organizational settings. Taking this research to the forefront, The Oxford Handbook of the Five Factor Model showcases the work of expert researchers in the field as they each offer important insight and perspective on all that is known about the Five Factor Model to date. By establishing the origins, foundation, and predominance of the Five Factor Model, this Handbook will focus on such areas as construct validity, diagnosis and assessment, personality neuroscience, and how the Five Factor Model operates in business and industry, animal personality, childhood temperament, and clinical utility.
This Handbook provides both breadth and depth regarding current approaches to the understanding, assessment, and treatment of personality disorders. The five parts of the book address etiology; models; individual disorders and clusters; assessment; and treatment. A comprehensive picture of personality pathology is supplied that acknowledges the contributions and missteps of the past, identifies the crucial questions of the present, and sets a course for the future. It also follows the changes the Diagnostic and Statistical Manual of Mental Disorders (DSM–5) has triggered in the field of personality disorders. The editors take a unique approach where all chapters include two commentaries by experts in the field, as well as an author rejoinder. This approach engages multiple perspectives and an exchange of ideas. It is the ideal resource for researchers and treatment providers at all career stages.
"This volume presents the latest theory and research on the diagnosis and treatment of personality disorders"--
This new edition of The American Psychiatric Publishing Textbook of Personality Disorders has been thoroughly reorganized and updated to reflect new findings, expanded treatment options and considerations, and future directions, such as translational research, enhancing the text's utility while maintaining its reputation as the foremost reference and clinical guide on the subject. In four exhaustive and enlightening sections, the book covers basic concepts of personality disorders, etiology, clinical assessment, diagnosis, and treatment, and it addresses special issues that may arise with specific populations or settings. In addition, the text offers many features and benefits: Several chapters describe the intense efforts to identify the scientifically strongest -- and clinically relevant -- approaches to conceptualizing and enumerating personality traits and pathology. The book does not sidestep ongoing controversies over classification but addresses them head-on by including chapters by experts with competing perspectives. The hybrid dimensional/categorical alternative model of classification for personality disorders included in the DSM-5 is included in an appendix and thoroughly referenced throughout the volume and discussed in detail in several chapters. Coverage of current research is up-to-date and extensive. Longitudinal naturalistic studies, which have shown surprising patterns of improvement in patients with selected personality disorders, as well as new and more rigorous treatment studies, have yielded critical findings in recent years, all of which are thoroughly addressed. Dozens of vivid and detailed case examples are included to illustrate diagnostic and treatment concepts. The editors have selected a roster of contributors second to none, and the text has been scrupulously edited for consistency of language, tone, and coverage. As clinical populations become better defined, new and more rigorous treatment studies are being conducted with increasingly promising results. The American Psychiatric Publishing Textbook of Personality Disorders offers clinicians, residents, and trainees in all disciplines a front row seat for the latest findings and clinical innovations in this burgeoning field.
A comprehensive, up-to-date resource providing information about genetic influences on disorders of behavior.