Retention or deletion of personality disorder diagnoses in the DSM-V: An Expert Consensus Approach

S.N. Mullins-Sweatt, D.P. Bernstein, T. Widiger

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

One of the official proposals for the fifth edition of the American Psychiatric Association's (APA) diagnostic manual (DSM-5) is to delete half of the existing personality disorders (i.e., dependent, histrionic, narcissistic, paranoid, and schizoid). Within the APA guidelines for DSM-5 decisions, it is stated that there should be expert consensus agreement for the deletion of a diagnostic category. Additionally, categories to be deleted should have low clinical utility and/or minimal evidence for validity. The current study surveyed members of two personality disorder associations (n = 146) with respect to the utility, validity, and status of each DSM-IV-TR personality disorder diagnosis. Findings indicated that the proposal to delete five of the personality disorders lacks consensus support within the personality disorder community.

Original languageEnglish
Pages (from-to)689-703
Number of pages15
JournalJournal of Personality Disorders
Volume26
Issue number5
DOIs
Publication statusPublished - Oct 2012

Keywords

  • CLASSIFICATION
  • DIMENSIONAL MODEL
  • PATHOLOGY
  • SUPPORT
  • SYSTEM

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