
Contents
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Conceptual Overview of Personality Disorders Conceptual Overview of Personality Disorders
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Dimensional Conceptualizations of Personality Disorders Dimensional Conceptualizations of Personality Disorders
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Comorbidity Comorbidity
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Etiology and Development Etiology and Development
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Biological and Genetic Basis of Personality Disorders Biological and Genetic Basis of Personality Disorders
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Psychosocial and Cultural Factors Psychosocial and Cultural Factors
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Longitudinal Course and Related Impairment Longitudinal Course and Related Impairment
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Assessment Assessment
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General Considerations General Considerations
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Assessment Instruments Assessment Instruments
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Treatment for Personality Disorders Treatment for Personality Disorders
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The Efficacy of Psychotherapy for Personality Disorders The Efficacy of Psychotherapy for Personality Disorders
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Interventions for Borderline Personality Disorder Interventions for Borderline Personality Disorder
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Pharmacotherapy for Personality Disorders Pharmacotherapy for Personality Disorders
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Comorbid Personality Disorders and Axis I Disorders Comorbid Personality Disorders and Axis I Disorders
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Conclusion Conclusion
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Future Directions: Expanded Research Agenda for Complex Cases Future Directions: Expanded Research Agenda for Complex Cases
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References References
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24 The Spectrum of Personality Disorders
Get accessSusan C. South, Department of Psychological Sciences, Purdue University, West Lafayette, IN
Washington University in St. Louis
Robert F. Krueger Department of Psychology University of Minnesota Minneapolis, MN, USA
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Published:18 September 2012
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Abstract
The concept of personality disorder has existed throughout the history of psychology and psychiatry. The ten current personality disorders (PDs) listed in the DSM-IV are conceived of as distinct syndromes. Nevertheless, DSM-IV PDs overlap extensively with each other, with normal personality traits, and with Axis I psychopathology. Thus, many investigators suggest that, in DSM-5, the classification system for PDs should be revised to better reflect the closeness of the links between personality and psychopathology, perhaps by linking both constructs within broader spectrums of psychopathological variation. The most common and well-accepted suggestion is that the categorical diagnoses of DSM-IV should be replaced with a dimensional model of pathological personality traits, and the links between personality traits and more syndromal forms of psychopathology (Axis I disorders) should also be explicitly articulated. In this chapter, we review current research on how PDs are linked with broad spectrums of personality and psychopathology. Specifically, we examine (1) evidence relevant to the etiology and course of PDs, (2) how these disorders can best be assessed, and (3) evidence regarding the most effective practices in the treatment of PDs, with the aim of articulating how etiology, course, assessment, and treatment of PDs might be conceptualized in a spectrum-based classification system.
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