Die „neue“ Borderline-Persönlichkeitsstörung: Dimensionale Klassifikation im DSM-5 und ICD-11. Mitmansgruber, H. Psychotherapie Forum, 24(3):89–99, December, 2020. Company: Springer Distributor: Springer Institution: Springer Label: Springer Number: 3 Publisher: Springer Vienna![Die „neue“ Borderline-Persönlichkeitsstörung: Dimensionale Klassifikation im DSM-5 und ICD-11 [link]](https://bibbase.org/img/filetypes/link.svg "link")
Paper doi abstract bibtex Decades of increasing discontent with current categorical classification systems of personality disorders (PD) in the American DSM-IV and the ICD-10 of the World Health Organization are based on missing empirical support of many of the categories, high comorbidity of PDs and large heterogeneity of symptoms within a diagnosis. This discontent has paved the way for a radical change in the last revisions of these diagnostic systems to replace a categorical with a dimensional model of classification, which is strongly supported by empirical psychological research. For the DSM‑5 the revolution was cancelled, as the dimensional model was placed in Section III “Emerging models” whereas the old DSM-IV categorical system was adopted without any changes. However, this “Alternative Model of Personality Disorders” (AMPD) has received much attention in research since its publication. In the ICD-11, a dimensional assessment of personality on five domains (“Negative Affectivity”, “Detachment”, “Dissociality”, “Disinhibition” and “Anankastia”) as a radical alternative to currently existing 10 categories is officially accepted and will change diagnosis of personality disorders worldwide from 2022. Whereas all current categories have been eliminated in the proposal, at first, critics were able to reclaim a “borderline pattern” as the one and only qualifier for a specific category in the final version of the ICD-11. Both systems are illustrated in their central assumptions and practical procedures. Discussions on dimensions, their current empirical basis and clinical utility are summarized.
@article{mitmansgruber_neue_2020,
title = {Die „neue“ {Borderline}-{Persönlichkeitsstörung}: {Dimensionale} {Klassifikation} im {DSM}-5 und {ICD}-11},
volume = {24},
copyright = {2020 The Author(s)},
issn = {1613-7604},
shorttitle = {Die „neue“ {Borderline}-{Persönlichkeitsstörung}},
url = {https://link.springer.com/article/10.1007/s00729-020-00151-4},
doi = {10.1007/s00729-020-00151-4},
abstract = {Decades of increasing discontent with current categorical classification systems of personality disorders (PD) in the American DSM-IV and the ICD-10 of the World Health Organization are based on missing empirical support of many of the categories, high comorbidity of PDs and large heterogeneity of symptoms within a diagnosis. This discontent has paved the way for a radical change in the last revisions of these diagnostic systems to replace a categorical with a dimensional model of classification, which is strongly supported by empirical psychological research. For the DSM‑5 the revolution was cancelled, as the dimensional model was placed in Section III “Emerging models” whereas the old DSM-IV categorical system was adopted without any changes. However, this “Alternative Model of Personality Disorders” (AMPD) has received much attention in research since its publication. In the ICD-11, a dimensional assessment of personality on five domains (“Negative Affectivity”, “Detachment”, “Dissociality”, “Disinhibition” and “Anankastia”) as a radical alternative to currently existing 10 categories is officially accepted and will change diagnosis of personality disorders worldwide from 2022. Whereas all current categories have been eliminated in the proposal, at first, critics were able to reclaim a “borderline pattern” as the one and only qualifier for a specific category in the final version of the ICD-11. Both systems are illustrated in their central assumptions and practical procedures. Discussions on dimensions, their current empirical basis and clinical utility are summarized.},
language = {de},
number = {3},
urldate = {2022-04-23},
journal = {Psychotherapie Forum},
author = {Mitmansgruber, Horst},
month = dec,
year = {2020},
note = {Company: Springer
Distributor: Springer
Institution: Springer
Label: Springer
Number: 3
Publisher: Springer Vienna},
pages = {89--99},
}
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