Post by Admin on Nov 15, 2022 21:41:37 GMT
Controversies Surrounding Classification of Personality Disorder
www.ncbi.nlm.nih.gov/pmc/articles/PMC2848771/
Abstract
Nowadays, it is apparent that personality disorder is a common condition. Some of the concepts of personality disorder that are currently in use are flawed and need to be revised. The aim of this article is to discuss the controversy created by the uncertainties in the current classification system and to suggest ways forward. In particular, the clinician needs to be aware of the importance of assessing personality abnormality in terms of a severity dimension, and of the ways in which such an abnormality can impact on treatments for other conditions. These changes in the notion of personality disorder are needed as, for the first time, a good evidence base is being established for potential treatments and these will be maximized if we have a classification fit for therapeutic purpose.
Keywords: Personality disorder, Classification, Severity, Treatment
Introduction
Personality disorders are quite common, as epidemiological studies suggest that their prevalence varies from 5-13% of the population in the community,1 but rises to around 30% of primary care attendees2 to 40-50% of those in secondary care,3 and between 70-90% of those in tertiary psychiatric services and prisons.4,5 In the last 50 years, there has been increasing recognition that personality disorder can be described and rated reliably, despite the many imperfections in its classification. Nowadays, there is general agreement among personality disorder researchers that a fundamental change is needed in its classification. The aim of this article is to introduce advanced notions of personality disorder. For this purpose, we describe the controversy created by the uncertainties in the classification of personality disorder.
www.ncbi.nlm.nih.gov/pmc/articles/PMC2848771/
Abstract
Nowadays, it is apparent that personality disorder is a common condition. Some of the concepts of personality disorder that are currently in use are flawed and need to be revised. The aim of this article is to discuss the controversy created by the uncertainties in the current classification system and to suggest ways forward. In particular, the clinician needs to be aware of the importance of assessing personality abnormality in terms of a severity dimension, and of the ways in which such an abnormality can impact on treatments for other conditions. These changes in the notion of personality disorder are needed as, for the first time, a good evidence base is being established for potential treatments and these will be maximized if we have a classification fit for therapeutic purpose.
Keywords: Personality disorder, Classification, Severity, Treatment
Introduction
Personality disorders are quite common, as epidemiological studies suggest that their prevalence varies from 5-13% of the population in the community,1 but rises to around 30% of primary care attendees2 to 40-50% of those in secondary care,3 and between 70-90% of those in tertiary psychiatric services and prisons.4,5 In the last 50 years, there has been increasing recognition that personality disorder can be described and rated reliably, despite the many imperfections in its classification. Nowadays, there is general agreement among personality disorder researchers that a fundamental change is needed in its classification. The aim of this article is to introduce advanced notions of personality disorder. For this purpose, we describe the controversy created by the uncertainties in the classification of personality disorder.