Identify the reasons why personality disorders are controversial in modern clinical practice.
ReferencesAl-Dajani, N., Tralnick, T. M., & Bagby, R. M. (2016). A psychometric review of the Personality Inventory for DSM-5 (PID-5): Current status and future directions. Journal of Personality Assessment, 98, 62–81.CrossRefGoogle ScholarPubMed Show American Psychiatric Association. (1980). Diagnostic and Statistical Manual of Mental Disorders (3rd ed.). Washington, DC: American Psychiatric Association. American Psychiatric Association. (1994). Diagnostic and Statistical Manual of Mental Disorders (4th ed.). Washington, DC: American Psychiatric Association. American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Arlington, VA: American Psychiatric Publishing. Angst, J., & Merikangas, K. (1997). The depressive spectrum: Diagnostic classification and course. Journal of Affective Disorders, 45, 31–39.CrossRefGoogle ScholarPubMed Beitz, K., & Bornstein, R. F. (2010). Dependent personality disorder. In Fisher, J. F. & Dononhue, W. T. (Eds.), Practitioner’s Guide to Evidence Based Psychotherapy (pp. 230–237). New York: Springer.Google Scholar Binks, C. A., Fenton, M., McCarthy, L., Lee, T., Adams, C. E., & Duggan, C. (2006). Psychological therapies for people with borderline personality disorder. Cochrane Database of Systematic Reviews [Article CD005652].CrossRef Campbell, W. K., & Miller, J. D. (Eds.) (2011). Handbook of Narcissism and Narcissistic Personality Disorder. New York: Wiley.CrossRefGoogle Scholar Caspi, A., Houts, R., Belsky, D. W., & Moffitt, T. E. (2014). The p factor: One general psychopathology factor in the structure of psychiatric disorders? Clinical Psychological Science, 2, 119–137.CrossRefGoogle Scholar Coid, J., & Ullrich, S. (2010). Antisocial personality disorder is on a continuum with psychopathy. Comprehensive Psychiatry, 51, 426–433.CrossRefGoogle ScholarPubMed Costa, P. T., & Widiger, T. A. (Eds.) (2013). Personality Disorders and the Five Factor Model of Personality (3rd ed.). Washington, DC: American Psychological Association.Google Scholar Dickinson, K. A., & Pincus, A. L. (2003). Interpersonal analysis of grandiose and vulnerable narcissism. Journal of Personality Disorders, 17, 188–207.CrossRefGoogle ScholarPubMed Esterberg, M. A., Goulding, S. M., & Walker, E. F. (2010). Cluster A personality disorders: Schizotypal, schizoid and paranoid personality disorders in childhood and adolescence. Journal of Psychopathology and Behavioral Assessment, 32, 515–528.CrossRefGoogle Scholar Eysenck, H. J. (1967). The Biological Basis of Personality. Springfield, IL: Charles C. Thomas.Google Scholar Fazel, S., & Danesh, J. (2002). Serious mental disorder in 23000 prisoners: A systematic review of 62 surveys. Lancet, 359(9306), 545–550.CrossRefGoogle ScholarPubMed First, M. B., Bhat, V., Adler, D., Dixon, L., & Goldman, B. (2014). How do clinicians actually use the Diagnostic and Statistical Manual of Mental Disorders in clinical practice and why we need to know more? Journal of Nervous and Mental Disease, 202, 841–844.CrossRefGoogle ScholarPubMed Frances, A. (2013). Saving Normal. New York: HarperCollins.Google Scholar Gunderson, J. G., & Phillips, K. A. (1991). A current view of the interface between borderline personality disorder and depression. American Journal of Psychiatry, 148, 967–975.Google ScholarPubMed Gunderson, J. G., Stout, R. L., McGlashan, T. H., Shea, T., Morey, L. C., Grilo, C. M., … Skodol, A. E. (2011). Ten-year course of borderline personality disorder: Psychopathology and function from the Collaborative Longitudinal Personality Disorders Study. Archives of General Psychiatry, 68, 827–837.CrossRefGoogle ScholarPubMed Hare, R. D., & Neumann, C. S. (2008). Psychopathy as a clinical and empirical construct. Annual Review of Clinical Psychology, 4, 217–246.CrossRefGoogle ScholarPubMed Hart, S. D., & Hare, R. D. (1996). Psychopathy and antisocial personality disorder. Current Opinion in Psychiatry, 9, 129–132.CrossRefGoogle Scholar Haslam, N. (2016). Concept creep: Psychology’s expanding concepts of harm and pathology. Psychological Inquiry, 27, 1–17.CrossRefGoogle Scholar Herpertz, S. C., Huuprich, S. K., Bohus, M., Chanen, A., Goodman, M., Mehlum, L., … Sharp, C. (2017). The challenge of transforming the diagnostic system of personality disorders. Journal of Personality Disorders, 31, 577–589.CrossRefGoogle ScholarPubMed Horwitz, A. V., & Wakefield, J. C. (2007). The Loss of Sadness: How Psychiatry Transformed Normal Sorrow into Depressive Disorder. New York: Oxford University Press.Google Scholar Horwitz, A. V., & Wakefield, J. C. (2012). All We Have to Fear: Psychiatry’s Transformation of Natural Anxieties into Mental Disorders. New York: Oxford University Press.Google Scholar Insel, T. R., Cuthbert, B., Garvey, M., Heinssen, R., Pine, D. S., Quinn, K., … Wang, P. (2010). Research domain criteria (RDoC): Toward a new classification framework for research on mental disorders. American Journal of Psychiatry, 167, 748–751.CrossRefGoogle Scholar Krueger, R. F., & Bezdjian, S. (2009). Enhancing research and treatment of mental disorders with dimensional concepts: Toward DSM-V and ICD-11. World Psychiatry, 8, 306–310.CrossRefGoogle ScholarPubMed Krueger, R. F., Derringer, J., Markon, K. E., Watson, D., & Skodol, A. E. (2012). Initial construction of a maladaptive personality trait model and inventory for DSM-5. Psychological Medicine, 42, 1879–1890.CrossRefGoogle ScholarPubMed Krueger, R. F., & Markon, C. (2014). The role of the DSM-5 personality trait model in moving toward a quantitative and empirically based approach to classifying personality and psychopathology. Annual Review of Clinical Psychology, 10, 477–501.CrossRefGoogle Scholar Kupfer, D. J., & Regier, D. A. (2011). Neuroscience, clinical evidence, and the future of psychiatric classification in DSM-5. American Journal of Psychiatry, 168, 172–174.CrossRefGoogle ScholarPubMed Lang, P. J., & McTeague, L. M. (2009). The anxiety disorder spectrum: Fear imagery, physiological reactivity, and differential diagnosis. Anxiety, Stress, & Coping, 22, 5–25.CrossRefGoogle ScholarPubMed Lenzenweger, M. F., Lane, M. C., Loranger, A. W., & Kessler, R. C. (2007). DSM-IV personality disorders in the National Comorbidity Survey Replication. Biological Psychiatry, 62, 553–556.CrossRefGoogle ScholarPubMed Livesley, W. J., Jang, K. L., & Vernon, P. A. (1998). Phenotypic and genetic structure of traits delineating personality disorder. Archives of General Psychiatry, 55, 941–948.CrossRefGoogle ScholarPubMed Maples, J. L., Carter, N. T., Few, L. R., Crego, C., Gore, W. L., Samuel, D. B., & Markon, K. E. (2015). Testing whether the DSM-5 personality disorder trait model can be measured with a reduced set of items: An item response theory investigation of the personality inventory for DSM-5. Psychological Assessment, 27, 1195–1210.CrossRefGoogle ScholarPubMed National Institute for Health and Care Excellence. (2009). Borderline Personality Disorder: Recognition and Management (NICE Clinical Guideline No. 78). Retrieved from www.nice.org.uk/guidance/CG78/ Novalis, F., Araujo, A., & Godinho, P. (2015). Historical roots of histrionic personality disorder. Frontiers in Psychology, 6, 1463–1467.Google Scholar Olfson, M., Blanco, W., & Greenhill, L. L. (2013). Trends in office-based treatment of adults with stimulants in the United States. Journal of Clinical Psychiatry, 74, 43–50.CrossRefGoogle ScholarPubMed Paris, J. (2013). Anatomy of a debacle: Commentary on “Seeking clarity for future revisions of the personality disorders in DSM- 5.” Personality Disorders: Theory, Research, & Treatment, 4, 377–378.CrossRefGoogle Scholar Paris, J., Bhat, V., & Thombs, B. (2015). Is adult ADHD being over-diagnosed? Canadian Journal of Psychiatry, 60, 324–328.CrossRefGoogle Scholar
Paris, J., Gunderson, J. G., & Weinberg, I. (2007). The interface between borderline personality disorder and bipolar spectrum disorder. Comprehensive Psychiatry, 48, 145–154.CrossRefGoogle Scholar Paris, J., & Kirmayer, L. (2016). The NIMH research domain criteria: A bridge too far. Journal of Nervous and Mental Diseases, 204, 26–32.CrossRefGoogle ScholarPubMed Potuzak, M., Ravichandran, C., Lewandowski, K. E., Ongur, D., & Cohen, B. (2014). Categorical vs dimensional classifications of psychotic disorders. Comprehensive Psychiatry, 53, 1118–1129.CrossRefGoogle Scholar Reichborn-Kjennerud, T., Czajkowski, N., Torgersen, S., Neale, M. C., Orstavki, R. E., & Kendler, K. S. (2007). The relationship between avoidant personality disorder and social phobia: A population-based twin study. American Journal of Psychiatry, 164, 1722–1728.CrossRefGoogle ScholarPubMed Rossell, D. R., Futterman, S. E., McMaster, A., & Siever, L. J. (2014). Schizotypal personality disorder: A current review. Current Psychiatry Reports, 16, 452–460.CrossRefGoogle Scholar Schroeder, K., Fisher, H. L., & Schafer, I. (2013). Psychotic symptoms in patients with borderline personality disorder: Prevalence and clinical management. Current Opinion in Psychiatry, 26, 113–119.CrossRefGoogle ScholarPubMed Silk, K. R. (2016). Personality disorders in DSM-5: A commentary on the perceived process and outcome of the proposal of the Personality and Personality Disorders Work Group. Harvard Review of Psychiatry, 24, 309–310.CrossRefGoogle ScholarPubMed Tyrer, P., & Alexander, J. (1979). Classificiation of personality disorder. British Journal of Psychiatry, 135, 163–167.CrossRefGoogle Scholar Tyrer, P., Crawford, M., Mulder, R., & Blashfield, R. (2011). The rationale for the reclassification of personality disorder in the 11th revision of the International Classification of Diseases (ICD-11). Personality and Mental Health, 5, 246–259.CrossRefGoogle Scholar Widiger, T. A. (2007). Dimensional models of personality disorder. World Psychiatry, 6, 79–83.Google ScholarPubMed World Health Organization. (1992). International Statistical Classification of Diseases and Related Health Problems (10th revision, ICD-10). Geneva: World Health Organization. Zachar, P., & First, M. B. (2015). Transitioning to a dimensional model of personality disorder in DSM 5.1 and beyond. Current Opinion in Psychiatry, 28, 66–72.CrossRefGoogle ScholarPubMed Zanarini, M. C. (2009). Psychotherapy of borderline personality disorder. Acta Psychiatrica Scandinavica, 120, 37–41.CrossRefGoogle ScholarPubMed Zanarini, M. C., Frankenburg, F. R., Dubo, E. D.. Sickel, A. E., Trikha, A., & Levin, A. (1998). Axis I comorbidity of borderline personality disorder. American Journal of Psychiatry, 155, 1733–1739.CrossRefGoogle ScholarPubMed Zimmerman, M., & Mattia, J. (1999). Differences between clinical and research practices in diagnosing borderline personality disorder. American Journal of Psychiatry, 156, 1570–1574.CrossRefGoogle ScholarPubMed Zimmerman, M., Rothschild, L., & Chelminski, I. (2005). The prevalence of DSM-IV personality disorders in psychiatric outpatients. American Journal of Psychiatry, 162, 1911–1918.CrossRefGoogle ScholarPubMed Zoccolillo, M., Pickles, A., Quinton, D., & Rutter, M. (1992). The outcome of childhood conduct disorder: Implications for defining adult personality disorder and conduct disorder. Psychological Medicine, 22, 971–986.CrossRefGoogle ScholarPubMed Why are personality disorders controversial in clinical practice?The diagnosis of 'personality disorder' can be controversial because: specialists disagree about how to understand personality disorders. it doesn't take social context into enough account. the term itself can be stigmatising.
Which personality disorder is the most controversial?Dissociative identity disorder (DID) is the most controversial of the dissociative disorders and is disputed and debated among mental health professionals. Previously called multiple personality disorder, this is the most severe kind of dissociative disorder.
What is the controversy with borderline personality disorder?Since its conception, borderline personality disorder has been controversial because of the stigma associated with the diagnosis and the therapeutic nihilism held by practitioners who encounter people with this high prevalence problem in acute settings.
Why is it difficult to treat personality disorders?Personality disorders are some of the most difficult disorders to treat in psychiatry. This is mainly because people with personality disorders don't think their behavior is problematic, so they don't often seek treatment.
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