Personality disorders - alternative dsm-5 model for personality disorders

3 important questions on Personality disorders - alternative dsm-5 model for personality disorders

What are some of the limitations of the DSM-5 when it comes to personality disorder diagnosis?

  • Overlap between the 10 personality disorder types
  • variation over time of the number and severity of the symptoms
  • some pathological personalities are not found in the DSM-5
  • does not reflect the personality traits consistent across cultures

What are the 3 steps when diagnosing a personality disorder?

  1. Determining an individual's level of functioning in terms of sense of self or relationships
  2. determining whether the individual has any pathological personality trait
    1. negative affectivity, detachment, antagonism, disinhibition or psychoticism
    2. difficulties and traits must be unusal for development stage and sociocultural environment
    3. cannot be due to substance use
  3. determining whether individuals meet the criteria for any of these 6 disorders
    1. antisocial, avoidant, borderline, narcissistic, obsessive compulsive or schizotypical
    2. if they don't meet the criteria: personality disorder trait specified

Which 5 dimensions are found in the DSM-5 alternative model?

  1. Negative affectivity
  2. detachment
  3. antagonism
  4. disinhibition
  5. psychoticism

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