Diagnosis and classification of personality disorder: Difficulties, their resolution and implications for practice
Sarkar, Jaydip Duggan, Conor
Sarkar, Jaydip
Duggan, Conor
Abstract
There are many difficulties associated with the diagnostic guidelines for personality disorder in the current international classificatory systems such as ICD-10 and DSM-IV. These lead not only to significant overlap with DSM Axis I disorders, result ing in high rates of diagnoses of comorbidities and multiple personality disorders, but also to lack of adequate capture of core personality pathology. The current classifications are also unhelpful in treatment selection, presumably the prime reason for assess ing individuals in the first place. In this article we highlight various deficits and inadequacies related to the nosology of the current systems and suggest some strategies for dealing with these. We offer an integrated model of assessing and diagnosing personality disorders. We attempt to demonstrate how using a more integrated approach minimises or even eliminates some of the key problems high lighted in the current systems.
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Date
2010
Type
Article
Subject
Personality disorders, International classification of diseases, Diagnostic and statistical manual of mental disorders
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Citation
Sarkar, J. & Duggan, C. (2010). Diagnosis and classification of personality disorder: Difficulties, their resolution and implications for practice. Advances in Psychiatric Treatment, 16 (5), pp.388-396.