
Contents
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16.1 Introduction 16.1 Introduction
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16.2 Three naturalistic studies of clinical course in personality disorder 16.2 Three naturalistic studies of clinical course in personality disorder
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16.2.1 Collaborative Longitudinal Personality Disorders Study 16.2.1 Collaborative Longitudinal Personality Disorders Study
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16.2.2 McLean Study of Adult Development 16.2.2 McLean Study of Adult Development
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16.2.3 Children in the Community Study (CICS) 16.2.3 Children in the Community Study (CICS)
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16.3 Course of personality disorder diagnoses, criteria, symptoms, and traits 16.3 Course of personality disorder diagnoses, criteria, symptoms, and traits
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16.3.1 CLPS 16.3.1 CLPS
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16.3.2 MSAD 16.3.2 MSAD
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16.3.3 CICS 16.3.3 CICS
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16.4 Course of impairment in psychosocial functioning in personality disorders 16.4 Course of impairment in psychosocial functioning in personality disorders
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16.4.1 CLPS 16.4.1 CLPS
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16.4.2 MSAD 16.4.2 MSAD
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16.4.3 CISC 16.4.3 CISC
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16.5 Summary 16.5 Summary
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References References
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16 Borderline, schizotypal, avoidant, obsessive–compulsive, and other personality disorders
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Published:October 2013
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Abstract
Personality disorders (PDs) have traditionally been conceptualized as enduring and stable, despite many early follow-up studies that showed that 〈50% of patients with PDs retained these diagnoses over time. Because of the methodological limitations of these studies, a new generation of rigorous follow-along studies was spawned. The results of three such studies, the Collaborative Longitudinal Personality Disorders Study, The McLean Study of Adult Development, and The Children in the Community Study are reviewed here. By contrast with the traditional view of PDs as stable forms of psychopathology, these methodologically rigorous longitudinal studies, in both clinical and epidemiological populations, indicate that patients with PDs improve over time and have a clinical course that is likely more waxing and waning than chronic. Results on the course of functional impairment in PDs suggest that impairment is more stable than personality psychopathology itself, but that when PD improves, improvement in functioning follows.
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