Revising the Borderline Diagnosis for DSM-V: An Alternative Proposal
The changes in the borderline personality disorder (BPD) diagnosis proposed by the DSM-V personality disorder work group involve radical changes in format (prototype and dimensions) and descriptive characteristics (traits). Changes of this magnitude will create an unwelcome and potentially harmful d...
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| Published in | Journal of personality disorders Vol. 24; no. 6; pp. 694 - 708 |
|---|---|
| Main Author | |
| Format | Journal Article |
| Language | English |
| Published |
New York, NY
Guilford
01.12.2010
Guilford Press |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0885-579X 1943-2763 1943-2763 |
| DOI | 10.1521/pedi.2010.24.6.694 |
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| Abstract | The changes in the borderline personality disorder (BPD) diagnosis proposed by the DSM-V personality disorder work group involve radical changes in format (prototype and dimensions) and descriptive characteristics (traits). Changes of this magnitude will create an unwelcome and potentially harmful discontinuity with the definition that has guided BPD research and the development of disorder-specific therapies. This paper offers an alternative proposal that was developed in collaboration with clinical and research leaders. It includes modification of existing criteria, use of a diagnostic algorithm based on phenotypes, and giving BPD a hierarchical relationship vis-à-vis other personality disorders. These changes are incremental, diminish overlap and heterogeneity, sustain clinical and research development, and will improve utilization. |
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| AbstractList | The changes in the borderline personality disorder (BPD) diagnosis proposed by the DSM-V personality disorder work group involve radical changes in format (prototype and dimensions) and descriptive characteristics (traits). Changes of this magnitude will create an unwelcome and potentially harmful discontinuity with the definition that has guided BPD research and the development of disorder-specific therapies. This paper offers an alternative proposal that was developed in collaboration with clinical and research leaders. It includes modification of existing criteria, use of a diagnostic algorithm based on phenotypes, and giving BPD a hierarchical relationship vis-à-vis other personality disorders. These changes are incremental, diminish overlap and heterogeneity, sustain clinical and research development, and will improve utilization.The changes in the borderline personality disorder (BPD) diagnosis proposed by the DSM-V personality disorder work group involve radical changes in format (prototype and dimensions) and descriptive characteristics (traits). Changes of this magnitude will create an unwelcome and potentially harmful discontinuity with the definition that has guided BPD research and the development of disorder-specific therapies. This paper offers an alternative proposal that was developed in collaboration with clinical and research leaders. It includes modification of existing criteria, use of a diagnostic algorithm based on phenotypes, and giving BPD a hierarchical relationship vis-à-vis other personality disorders. These changes are incremental, diminish overlap and heterogeneity, sustain clinical and research development, and will improve utilization. The changes in the borderline personality disorder (BPD) diagnosis proposed by the DSM-V personality disorder work group involve radical changes in format (prototype and dimensions) and descriptive characteristics (traits). Changes of this magnitude will create an unwelcome and potentially harmful discontinuity with the definition that has guided BPD research and the development of disorder-specific therapies. This paper offers an alternative proposal that was developed in collaboration with clinical and research leaders. It includes modification of existing criteria, use of a diagnostic algorithm based on phenotypes, and giving BPD a hierarchical relationship vis-à-vis other personality disorders. These changes are incremental, diminish overlap and heterogeneity, sustain clinical and research development, and will improve utilization. [PUBLICATION ABSTRACT] The changes in the borderline personality disorder (BPD) diagnosis proposed by the DSM-V personality disorder work group involve radical changes in format (prototype and dimensions) and descriptive characteristics (traits). Changes of this magnitude will create an unwelcome and potentially harmful discontinuity with the definition that has guided BPD research and the development of disorder-specific therapies. This paper offers an alternative proposal that was developed in collaboration with clinical and research leaders. It includes modification of existing criteria, use of a diagnostic algorithm based on phenotypes, and giving BPD a hierarchical relationship vis-à-vis other personality disorders. These changes are incremental, diminish overlap and heterogeneity, sustain clinical and research development, and will improve utilization. |
| Author | Gunderson, John G. |
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| Keywords | Human Borderline Criterion Diagnostic and Statistical Manual V Classification Nosology Diagnosis Revised drafting Personality disorder Recommendation |
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| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23 The author was assisted by Igor Weinberg, PhD, and is deeply indebted to the many colleagues who offered encouragement, identified relevant research, and helped shape this proposal (see Appendix). |
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| SubjectTerms | Adult and adolescent clinical studies Algorithms Biological and medical sciences Borderline Personality Disorder - diagnosis Borderline Personality Disorder - psychology Cooperative Behavior Depression (Psychology) Diagnostic and Statistical Manual of Mental Disorders Humans Interpersonal Relationship Mathematics Medical diagnosis Medical sciences Nosology. Terminology. Diagnostic criteria Patients Personality Personality disorders Personality Problems Phenomenology Psychiatric Status Rating Scales Psychiatry Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Resistance (Psychology) Schizophrenia Social Psychology Techniques and methods |
| Title | Revising the Borderline Diagnosis for DSM-V: An Alternative Proposal |
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