The Development of the ICD-11 Classification of Personality Disorders: An Amalgam of Science, Pragmatism, and Politics

The nomenclature of personality disorders in the 11th revision of the represents the most radical change in the classification history of personality disorders. A dimensional structure now replaces categorical description. It was argued by the Working Group that only a dimensional system was consist...

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Published in:Annual review of clinical psychology Vol. 15; p. 481
Main Authors: Tyrer, Peter, Mulder, Roger, Kim, Youl-Ri, Crawford, Mike J
Format: Journal Article
Language:English
Published: United States 07.05.2019
Subjects:
Humans
International Classification of Diseases
Personality Disorders - classification
Personality Disorders - physiopathology
Severity of Illness Index
severity
borderline
classification
personality disorders
dimensions
ISSN:1548-5951, 1548-5951
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Abstract The nomenclature of personality disorders in the 11th revision of the represents the most radical change in the classification history of personality disorders. A dimensional structure now replaces categorical description. It was argued by the Working Group that only a dimensional system was consistent with the empirical evidence and, in the spirit of clinical utility, the new system is based on two steps. The first step is to assign one of five levels of severity, and the second step is to assign up to five prominent domain traits. There was resistance to this structure from those who feel that categorical diagnosis, particularly of borderline personality disorder, should be retained. After lengthy discussion, described in detail here, there is now an option for a borderline pattern descriptor to be selected as a diagnostic option after severity has been determined.
AbstractList The nomenclature of personality disorders in the 11th revision of the represents the most radical change in the classification history of personality disorders. A dimensional structure now replaces categorical description. It was argued by the Working Group that only a dimensional system was consistent with the empirical evidence and, in the spirit of clinical utility, the new system is based on two steps. The first step is to assign one of five levels of severity, and the second step is to assign up to five prominent domain traits. There was resistance to this structure from those who feel that categorical diagnosis, particularly of borderline personality disorder, should be retained. After lengthy discussion, described in detail here, there is now an option for a borderline pattern descriptor to be selected as a diagnostic option after severity has been determined.
The nomenclature of personality disorders in the 11th revision of the International Classification of Diseases and Related Health Problems represents the most radical change in the classification history of personality disorders. A dimensional structure now replaces categorical description. It was argued by the Working Group that only a dimensional system was consistent with the empirical evidence and, in the spirit of clinical utility, the new system is based on two steps. The first step is to assign one of five levels of severity, and the second step is to assign up to five prominent domain traits. There was resistance to this structure from those who feel that categorical diagnosis, particularly of borderline personality disorder, should be retained. After lengthy discussion, described in detail here, there is now an option for a borderline pattern descriptor to be selected as a diagnostic option after severity has been determined.The nomenclature of personality disorders in the 11th revision of the International Classification of Diseases and Related Health Problems represents the most radical change in the classification history of personality disorders. A dimensional structure now replaces categorical description. It was argued by the Working Group that only a dimensional system was consistent with the empirical evidence and, in the spirit of clinical utility, the new system is based on two steps. The first step is to assign one of five levels of severity, and the second step is to assign up to five prominent domain traits. There was resistance to this structure from those who feel that categorical diagnosis, particularly of borderline personality disorder, should be retained. After lengthy discussion, described in detail here, there is now an option for a borderline pattern descriptor to be selected as a diagnostic option after severity has been determined.
Author Mulder, Roger
Kim, Youl-Ri
Crawford, Mike J
Tyrer, Peter
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  givenname: Peter
  surname: Tyrer
  fullname: Tyrer, Peter
  email: p.tyrer@imperial.ac.uk, m.crawford@imperial.ac.uk
  organization: Centre for Psychiatry, Department of Medicine, Imperial College London, London W12 0NN, United Kingdom; email: p.tyrer@imperial.ac.uk , m.crawford@imperial.ac.uk
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  givenname: Roger
  surname: Mulder
  fullname: Mulder, Roger
  email: roger.mulder@otago.ac.nz
  organization: Department of Psychological Medicine, University of Otago, Christchurch 8140, New Zealand; email: roger.mulder@otago.ac.nz
– sequence: 3
  givenname: Youl-Ri
  surname: Kim
  fullname: Kim, Youl-Ri
  email: youlri.kim@paik.ac.kr
  organization: Department of Psychiatry, Seoul Paik Hospital, Inje University, Seoul 100-032, South Korea; email: youlri.kim@paik.ac.kr
– sequence: 4
  givenname: Mike J
  surname: Crawford
  fullname: Crawford, Mike J
  email: p.tyrer@imperial.ac.uk, m.crawford@imperial.ac.uk
  organization: Centre for Psychiatry, Department of Medicine, Imperial College London, London W12 0NN, United Kingdom; email: p.tyrer@imperial.ac.uk , m.crawford@imperial.ac.uk
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Snippet The nomenclature of personality disorders in the 11th revision of the represents the most radical change in the classification history of personality...
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SubjectTerms Humans
International Classification of Diseases
Personality Disorders - classification
Personality Disorders - physiopathology
Severity of Illness Index
Title The Development of the ICD-11 Classification of Personality Disorders: An Amalgam of Science, Pragmatism, and Politics
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