
Contents
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ICD-11 personality disorder severity ICD-11 personality disorder severity
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Degree and pervasiveness of disturbances in functioning of aspects of the self Degree and pervasiveness of disturbances in functioning of aspects of the self
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Degree and pervasiveness of interpersonal dysfunction across various contexts and relationships Degree and pervasiveness of interpersonal dysfunction across various contexts and relationships
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Pervasiveness, severity, and chronicity of emotional, cognitive, and behavioral manifestations of the personality dysfunction Pervasiveness, severity, and chronicity of emotional, cognitive, and behavioral manifestations of the personality dysfunction
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Case examples Case examples
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References References
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2 Determining Personality Disorder Severity
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Published:January 2025
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Abstract
The International statistical classification of diseases —11th edition (ICD-11; World Health Organization, 2024) nomenclature for personality disorders focuses on impairment of the self and interpersonal functioning along with emotional, cognitive, and behavioral manifestations. While the clinician may also specify the prominent trait domains that are present in the patient (i.e., Negative Affectivity, Detachment, Dissociality, Disinhibition, and Anankastia, as well as assessing whether the patient is also characterized by a Borderline pattern), it is critical that clinicians recognize patients’ maladaptive ways in which self and other representations, as well as cognitive-emotional-behavioral manifestations of personality, lead to impairment. These impairments range across levels and comprise what is known as personality disorder severity. This chapter offers a detailed description of how self and interpersonal dysfunction, as well as emotional, cognitive, and behavioral manifestations of impairment, may present in patients who function at various levels of severity. We offer examples of how the trait domains may manifest themselves at the various severity levels and provide two brief vignettes demonstrating mild and moderate personality disorder.
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