The DSM-5 Alternative Model for Personality Disorders

The DSM-5 Alternative Model for Personality Disorders
Author: Christopher J. Hopwood
Publisher: Routledge
Total Pages: 334
Release: 2019-01-15
Genre: Psychology
ISBN: 135179292X

The DSM-5 Alternative Model for Personality Disorders reviews and advances this innovative and increasingly popular scheme for diagnosing and evaluating personality disorders. The authors identify the multiple clinical, theoretical, and research paradigms that co-exist in the Alternative Model for Personality Disorders (AMPD) and show how the model can aid the practicing mental health professional in evaluating and treating patients as well as its importance in stimulating research and theoretical understanding of this domain. This work explores and summarizes methods of personality assessment and psychiatric evaluation, research findings, and clinical applications of the AMPD, highlighting its usefulness to clinical teaching and supervision, forensic application, and current research. It is a go-to reference for experienced professionals and researchers, those who wish to learn this new diagnostic system, and for clinicians in training.

Personality Disorders and Pathology

Personality Disorders and Pathology
Author: Steven K. Huprich
Publisher: American Psychological Association (APA)
Total Pages: 467
Release: 2022
Genre: Psychology
ISBN: 9781433835766

"This volume presents the latest theory and research on the diagnosis and treatment of personality disorders"--

Dimensional Models of Personality Disorders

Dimensional Models of Personality Disorders
Author: Thomas A. Widiger
Publisher: American Psychiatric Pub
Total Pages: 324
Release: 2007-05-03
Genre: Medical
ISBN: 1585626732

DSM-IV and ICD-10 both diagnose personality disorders categorically, yet studies indicate that many patients meet criteria for an excessive number of diagnoses, raising the question of whether personality disorders are discrete conditions or rather distinctions along dimensions of general personality functioning. This collection of papers renews long-standing proposals for a dimensional model of personality disorder, describing alternative models, addressing questions about their clinical application and utility, and suggesting that future research seek to integrate such models within a common hierarchical structure. With contributions by preeminent researchers in the field, Dimensional Models of Personality Disorders is drawn from a conference series convened by APA, WHO, and NIH in order to plan for the fifth edition of the DSM. The Nomenclature Work Group concluded that consideration should be given to basing part or all of DSM-V on dimensions rather than categories, and recommended that a dimensional model for personality disorders should serve as a basis for exploring dimensional approaches in other areas. Accordingly, the volume opens with a presentation of 18 proposals for dimensional models and proceeds with provocative contributions on a number of related issues ranging from hard science to clinical practice. Among the topics addressed are Behavioral and molecular genetic research supporting an etiologically informed dimensional classification of personality disorders The as-yet tenuous associations between dimensional trait measures of personality as contained in the models of Cloninger, Depue, and Siever-Davis, and specific neurobiological measures, as examined in neurotransmitter research Potential links between childhood and adolescent temperament and personality dimensions and adult personality psychopathology Studies examining the covariation of personality dimensions across cultures The continuity of Axis I and Axis II disorders and a proposed hierarchical structure of mental disorders that integrates the psychopathology of Axis I disorders with specific personality traits The dual challenges of coverage and cutoffs that must be addressed if dimensional models are to be considered viable alternatives to the existing categorical diagnostic system Although the editors acknowledge that concerns are certain to be raised regarding conversion to a dimensional classification -- such as the disruption to clinical practice by a radical shift in diagnosing personality disorder -- these papers make a strong case for opening the field to alternative ways of enhancing clinical utility and improving the validity of basic classification concepts. Together, they offer stimulating insight into how we approach personality disorders, with the hope of encouraging a new model of diagnosis for DSM-V.

User's Guide for the Structured Clinical Interview for the DSM-5® Alternative Model for Personality Disorders (SCID-5-AMPD)

User's Guide for the Structured Clinical Interview for the DSM-5® Alternative Model for Personality Disorders (SCID-5-AMPD)
Author: Michael B. First, M.D.
Publisher: American Psychiatric Pub
Total Pages: 254
Release: 2017-11-16
Genre: Medical
ISBN: 1615370501

The paramount tool for the use of SCID-5-AMPD, the User's Guide for the SCID-5-AMPD provides readers with an essential manual to effectively understand and use the three SCID-5-AMPD modules. Integrating an overview of the DSM-5 Alternative Model, this companion guide provides instructions for each SCID-5-AMPD module and features completed samples of all modules in full, with corresponding sample patient cases and commentary--back cover

Structured Clinical Interview for the DSM-5® Alternative Model for Personality Disorders (SCID-5-AMPD) Module III

Structured Clinical Interview for the DSM-5® Alternative Model for Personality Disorders (SCID-5-AMPD) Module III
Author: Michael B. First
Publisher:
Total Pages: 61
Release: 2017-08-12
Genre:
ISBN: 9781615371853

Expertly designed, the Structured Clinical Interview for the DSM-5 Alternative Model for Personality Disorders (SCID-5-AMPD) is a semistructured diagnostic interview that guides clear assessment of the defining components of personality pathology as presented in the DSM-5 Alternative Model. The modular format of the SCID-5-AMPD allows the researcher or clinician to focus on those aspects of the Alternative Model of most interest. Module III: Structured Clinical Interview for Personality Disorders (Including Personality Disorder--Trait Specified) provides a comprehensive assessment of each of the six specific personality disorders of the Alternative Model. It features clear guidance through the new diagnosis of Personality Disorder--Trait-Specified and elucidates when this diagnosis is applicable. The module concludes with a global assessment of the level of personality functioning and includes a survey of all the personality disorder diagnoses in the module. Module III can be used independently or in combination with any of the following SCID-5-AMPD modules: * Module I dimensionally assesses self and interpersonal functioning using the Level of Personality Functioning Scale.* Module II dimensionally assesses the five pathological personality trait domains and their corresponding 25 trait facets. Also available is the User's Guide for the SCID-5-AMPD: the essential tool for the effective use of any SCID-5-AMPD module. This companion guide provides instructions for each SCID-5-AMPD module and features completed samples of all modules in full, with corresponding sample patient cases and commentary. Trained clinicians with a basic knowledge of the concepts of personality and personality psychopathology will benefit from the myriad applications and insights offered by the SCID-5-AMPD.

Structured Clinical Interview for the DSM-5® Alternative Model for Personality Disorders (SCID-5-AMPD) Module I

Structured Clinical Interview for the DSM-5® Alternative Model for Personality Disorders (SCID-5-AMPD) Module I
Author: Donna S. Bender
Publisher:
Total Pages: 40
Release: 2017-08-12
Genre:
ISBN: 9781615371839

The Structured Clinical Interview for the DSM-5 Alternative Model for Personality Disorders (SCID-5-AMPD) meets a timely need. The Alternative Model for Personality Disorders in DSM-5 has ushered in a consensus and an upswing in research that has shifted from a categorical diagnosis of personality disorders toward a dimensional approach. Before now, no interview-based procedure has been available for applying the Alternative Model. Expertly designed, the Structured Clinical Interview for the DSM-5 Alternative Model for Personality Disorders (SCID-5-AMPD) is a semistructured diagnostic interview that guides clear assessment of the defining components of personality pathology as presented in the DSM-5 Alternative Model. The modular format of the SCID-5-AMPD allows the researcher or clinician to focus on those aspects of the Alternative Model of most interest. Module I: Structured Clinical Interview for the Level of Personality Functioning Scale is devoted to the linchpin of dimensional assessment -- self and interpersonal functioning -- using the Level of Personality Functioning Scale. Module I provides both a global functioning score and an innovative, detailed assessment of all four domains of functioning (Identity, Self-Direction, Empathy, and Intimacy) and their corresponding subdomains. Module I can be used independently or in combination with any of the following SCID-5-AMPD modules: * Module II dimensionally assesses the five pathological personality trait domains and their corresponding 25 trait facets. * Module III comprehensively assesses each of the six specific personality disorders of the Alternative Model, as well as Personality Disorder--Trait-Specified. Also available is the User's Guide for the SCID-5-AMPD: the essential tool for the effective use of any SCID-5-AMPD module. This companion guide provides instructions for each SCID-5-AMPD module and features completed samples of all modules in full, with corresponding sample patient cases and commentary. Trained clinicians with a basic knowledge of the concepts of personality and personality psychopathology will benefit from the myriad applications and insights offered by the SCID-5-AMPD.

Structured Clinical Interview for the DSM-5® Alternative Model for Personality Disorders (SCID-5-AMPD) Module II

Structured Clinical Interview for the DSM-5® Alternative Model for Personality Disorders (SCID-5-AMPD) Module II
Author: Andrew E. Skodol
Publisher: American Psychiatric Publishing
Total Pages: 37
Release: 2017-08-12
Genre: Medical
ISBN: 9781615371846

Expertly designed, the Structured Clinical Interview for the DSM-5 Alternative Model for Personality Disorders (SCID-5-AMPD) is a semistructured diagnostic interview that guides clear assessment of the defining components of personality pathology as presented in the DSM-5 Alternative Model. The modular format of the SCID-5-AMPD allows the researcher or clinician to focus on those aspects of the Alternative Model of most interest. Module II: Structured Clinical Interview for Personality Traits focuses on the dimensional assessment of the five pathological personality trait domains in the Alternative Model and their corresponding 25 trait facets. This comprehensive review of the trait domains (Negative Affectivity, Detachment, Antagonism, Disinhibition, and Psychoticism) identifies multiple areas of personality variation and provides a visual profile of trait facets across the trait domains. Module II can be used independently or in combination with any of the following SCID-5-AMPD modules: * Module I dimensionally assesses self and interpersonal functioning using the Level of Personality Functioning Scale.* Module III comprehensively assesses each of the six specific personality disorders of the Alternative Model, as well as Personality Disorder--Trait-Specified. Also available is the User's Guide for the SCID-5-AMPD: the essential tool for the effective use of any SCID-5-AMPD module. This companion guide provides instructions for each SCID-5-AMPD module and features completed samples of all modules in full, with corresponding sample patient cases and commentary. Trained clinicians with a basic knowledge of the concepts of personality and personality psychopathology will benefit from the myriad applications and insights offered by the SCID-5-AMPD.

Personality Disorders

Personality Disorders
Author: William O'Donohue
Publisher: SAGE
Total Pages: 417
Release: 2007-05-23
Genre: Psychology
ISBN: 1412904226

This work offers an evaluation of competing theoretical perspectives and nosological systems for personality disorders. The editors have brought together recognized authorities in the field to offer a synthesis of competing perspectives that provide readers with an assessment for each disorder. The result is a comprehensive, current, and critical summary of research and practice guidelines related to the personality disorders. Key Features focuses on controversies and alternative conceptualizations; separate chapters are dedicated to each personality disorder and considered from various points of view. It presents authoritative perspectives; leading scholars and researchers in the field provide a critical evaluation of alternative perspectives on each personality disorder. And it frames the current state of personality disorder research and practice issues; cutting edge and streamlined research is presented to be used in courses on diagnosis, assessment, psychopathology and abnormal psychology, especially those that include the DSM IV. It also offers an integrative understanding of elusive personality categorizations; wherever possible, case examples are offered as illustrations of each disorders clinical presentation. The use of technical terms are minimized; each contributor takes the approach of a user friendly summary and integration of major trends, findings, and future directions.

Antisocial, Narcissistic, and Borderline Personality Disorders

Antisocial, Narcissistic, and Borderline Personality Disorders
Author: Daniel J. Fox
Publisher: Routledge
Total Pages: 222
Release: 2020-10-20
Genre: Psychology
ISBN: 0429561164

This book provides a framework for scholars and clinicians to develop a comprehensive and dynamic understanding of antisocial, narcissistic, and borderline personality disorders, by seeing personality as a dual, as opposed to a singular, construct. Converging the two separate research and clinical diagnostic systems into a wholistic model designed to reach reliable and valid diagnostic conclusions, the text examines adaptive and maladaptive personality development and expression, while addressing the interpersonal system that keeps the pathology from extinguishing. Each chapter will discuss core and surface content, origin and symptom manifestation, system and pathology perpetuation, and online behavior expression, concluding with practical guidance on treatment success and effective approaches. Seasoned and tyro researchers and clinicians will be challenged to explore the utility of the DSM-5 alternative model of personality disorders and apply it to further the understanding of these complex, and often destructive, disorders.

Evaluating the DSM-5 Alternative Model of Personality Disorders for Obsessive-compulsive Personality Disorder

Evaluating the DSM-5 Alternative Model of Personality Disorders for Obsessive-compulsive Personality Disorder
Author: Jacqueline Marguerite Liggett
Publisher:
Total Pages: 0
Release: 2018
Genre:
ISBN:

Obsessive-compulsive personality disorder (OCPD) is a severe mental health condition estimated to affect 2-7% of the population (American Psychiatric Association [APA], 2013; Grant et al., 2004), making it one of the most common personality disorders (PDs). It is currently operationalised by reference to several behavioural symptoms, including a preoccupation with details, rules and orderliness, over-conscientiousness, perfectionism, hoarding, excessive devotion to work and productivity, reduced capacity to express warmth and emotion, and mental and interpersonal control at the expense of flexibility, openness and efficiency (APA, 2013). The disorder has a long history in the clinical literature, being included in all versions of the Diagnostic and Statistical Manual of Mental Disorders (DSM) (APA, 1952-2013). Despite its history, prevalence and severity, OCPD has been the subject of only limited research. DSM-5 Section III (APA, 2013) includes a newly developed hybrid dimensional-categorical diagnostic model for PDs: the Alternative Model of Personality Disorders (AMPD). The AMPD operationalises PDs using disorder-specific constellations of maladaptive personality traits and functional impairment. Studies assessing the personality traits relevant to OCPD have had inconsistent results, and research into the impairment profile of OCPD is limited. Additional research is required to refine the alternative model of OCPD. This research project aimed to help meet this need. Study One examined the validity of a newly developed disorder-specific impairment scale for OCPD. Although the measure showed initial promise in its ability to measure-disorder specific impairment, results indicated that it may not be useful to maintain the distinction, made in the AMPD, between personality impairment in the self and interpersonal domains. Study Two evaluated the extent to which specific personality traits, and scores on the measure of OCPD-specific impairment from Study One, accounted for variance in scores on measures of traditional OCPD (as operationalised in DSM-5 Section II). Results showed that three of the four AMPD traits, as well as two additional traits uniquely accounted for a large proportion of variance in a latent variable of traditional OCPD. Study Three examined the extent to which the trait criteria in the alternative model of OCPD corresponded with the traditional operationalisation of OCPD with a particular focus on the individual OCPD criteria, in a Danish clinical sample. Results revealed that the AMPD traits aligned only partially with the traditional conceptualisation of OCPD, and that additional traits may be relevant to further capture the nuances of this personality disorder. Study Four investigated the extent to which self-report and informant data of personality psychopathology correspond, the optimal trait profile for OCPD in the AMPD, and whether an OCPD-specific measure of impairment is more diagnostically useful than measures of general impairment in personality functioning. Results showed that self-report data moderately corresponded with informant data and that rigid perfectionism can be considered a core trait of OCPD. OCPD-specific impairment accounted for more variance in traditional OCPD than general measures of impairment. While additional research into the utility of the AMPD is required, taken together, these studies generally support the use of the hybrid dimensional-categorical approach in the assessment and diagnosis of OCPD.