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ICD-11 Personality Disorders: Utility and Implications of the New Model
The ICD-11 classification of personality disorders represents a paradigm shift in diagnosis. This was felt necessary because previous personality disorder classifications had major problems. These included unnecessary complexity, inconsistency with data on normal personality traits, and minimal cons...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Frontiers Media S.A.
2021
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8141634/ https://www.ncbi.nlm.nih.gov/pubmed/34040555 http://dx.doi.org/10.3389/fpsyt.2021.655548 |
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author | Mulder, Roger T. |
author_facet | Mulder, Roger T. |
author_sort | Mulder, Roger T. |
collection | PubMed |
description | The ICD-11 classification of personality disorders represents a paradigm shift in diagnosis. This was felt necessary because previous personality disorder classifications had major problems. These included unnecessary complexity, inconsistency with data on normal personality traits, and minimal consideration of severity despite this being shown to be the major predictor of outcome. The ICD-11 classification abolishes all categories of personality disorder except for a general description of personality disorder. This diagnosis can be further specified as “mild,” “moderate,” or “severe.” Patient behavior can be described using one or more of five personality trait domains; negative affectivity, dissociality, anankastia, detachment, and disinhibition. Clinicians may also specify a borderline pattern qualifier. The ICD-11 shows considerable alignment with the DSM-5 Alternative Model for Personality Disorders. Early evidence around the reliability and validity of the new model appear promising, although at present there is still limited specific evidence due to the model being so recently finalized. However, for the model to be successful, it needs to be embraced by clinicians and used widely in normal clinical practice. |
format | Online Article Text |
id | pubmed-8141634 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-81416342021-05-25 ICD-11 Personality Disorders: Utility and Implications of the New Model Mulder, Roger T. Front Psychiatry Psychiatry The ICD-11 classification of personality disorders represents a paradigm shift in diagnosis. This was felt necessary because previous personality disorder classifications had major problems. These included unnecessary complexity, inconsistency with data on normal personality traits, and minimal consideration of severity despite this being shown to be the major predictor of outcome. The ICD-11 classification abolishes all categories of personality disorder except for a general description of personality disorder. This diagnosis can be further specified as “mild,” “moderate,” or “severe.” Patient behavior can be described using one or more of five personality trait domains; negative affectivity, dissociality, anankastia, detachment, and disinhibition. Clinicians may also specify a borderline pattern qualifier. The ICD-11 shows considerable alignment with the DSM-5 Alternative Model for Personality Disorders. Early evidence around the reliability and validity of the new model appear promising, although at present there is still limited specific evidence due to the model being so recently finalized. However, for the model to be successful, it needs to be embraced by clinicians and used widely in normal clinical practice. Frontiers Media S.A. 2021-05-10 /pmc/articles/PMC8141634/ /pubmed/34040555 http://dx.doi.org/10.3389/fpsyt.2021.655548 Text en Copyright © 2021 Mulder. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Psychiatry Mulder, Roger T. ICD-11 Personality Disorders: Utility and Implications of the New Model |
title | ICD-11 Personality Disorders: Utility and Implications of the New Model |
title_full | ICD-11 Personality Disorders: Utility and Implications of the New Model |
title_fullStr | ICD-11 Personality Disorders: Utility and Implications of the New Model |
title_full_unstemmed | ICD-11 Personality Disorders: Utility and Implications of the New Model |
title_short | ICD-11 Personality Disorders: Utility and Implications of the New Model |
title_sort | icd-11 personality disorders: utility and implications of the new model |
topic | Psychiatry |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8141634/ https://www.ncbi.nlm.nih.gov/pubmed/34040555 http://dx.doi.org/10.3389/fpsyt.2021.655548 |
work_keys_str_mv | AT mulderrogert icd11personalitydisordersutilityandimplicationsofthenewmodel |