Assessment and diagnosis of personality disorder : Perennial issues and an emerging reconceptualization

This chapter reviews recent (2000-2005) personality disorder (PD) research, focusing on three major domains: assessment, comorbidity, and stability. (a) Substantial evidence has accrued favoring dimensional over categorical conceptualization of PD, and the five-factor model of personality is promine...

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Bibliographic Details
Published in:Annual review of psychology 2007, Vol.58 (1), p.227-257
Main Author: CLARK, Lee Anna
Format: Article
Language:English
Subjects:
Adaptation, Psychological
Adult
Adult and adolescent clinical studies
Age Factors
Alcoholism - diagnosis
Alcoholism - psychology
Anxiety Disorders - diagnosis
Anxiety Disorders - psychology
Biological and medical sciences
Character
Comorbidity
Depressive Disorder - diagnosis
Depressive Disorder - psychology
Diagnostic and Statistical Manual of Mental Disorders
Feeding and Eating Disorders - diagnosis
Feeding and Eating Disorders - psychology
Health risk assessment
Humans
Medical sciences
Middle Aged
Models, Psychological
Morbidity
Personality Assessment
Personality disorders
Personality Disorders - diagnosis
Personality Disorders - psychology
Personality Inventory
Psychology
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Social Adjustment
Substance-Related Disorders - diagnosis
Substance-Related Disorders - psychology
Temperament
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Summary:This chapter reviews recent (2000-2005) personality disorder (PD) research, focusing on three major domains: assessment, comorbidity, and stability. (a) Substantial evidence has accrued favoring dimensional over categorical conceptualization of PD, and the five-factor model of personality is prominent as an integrating framework. Future directions include assessing dysfunction separately from traits and learning to utilize collateral information. (b) To address the pervasiveness and extent of comorbidity, researchers have begun to move beyond studying overlapping pairs or small sets of disorders and are developing broader, more integrated common-factor models that cross the Axis I-Axis II boundary. (c) Studies of PD stability have converged on the finding that PD features include both more acute, dysfunctional behaviors that resolve in relatively short periods, and maladaptive temperamental traits that are relatively more stable-similar to normal-range personality traits-with increasing stability until after 50 years of age. A new model for assessing PD-and perhaps all psychopathology-emerges from integrating these interrelated reconceptualizations.
ISSN:0066-4308
1545-2085
DOI:10.1146/annurev.psych.57.102904.190200