Journal article Open Access

Assessment and Diagnosis of Personality Disorder: Perennial Issues and an Emerging Reconceptualization

Clark, Lee Anna


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{
  "DOI": "10.1146/annurev.psych.57.102904.190200", 
  "author": [
    {
      "family": "Clark, Lee Anna"
    }
  ], 
  "issued": {
    "date-parts": [
      [
        2007, 
        1, 
        1
      ]
    ]
  }, 
  "abstract": "This chapter reviews recent (2000\u20132005) 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\u2013Axis 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\u2014similar to normal-range personality traits\u2014with increasing stability until after 50 years of age. A new model for assessing PD\u2014 and perhaps all psychopathology\u2014emerges from integrating these interrelated reconceptualizations.", 
  "title": "Assessment and Diagnosis of Personality Disorder: Perennial Issues and an Emerging Reconceptualization", 
  "type": "article-journal", 
  "id": "1134186"
}
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