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7c - Challenges but Optimism Regarding the Adoption of Trait Models of Personality Disorders: Author Rejoinder to Commentaries on the Five-Factor Model of Personality Disorders

from Part II - Models

Published online by Cambridge University Press:  24 February 2020

Carl W. Lejuez
Affiliation:
University of Kansas
Kim L. Gratz
Affiliation:
University of Toledo, Ohio
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Summary

De Fruyt and De Clercq (this volume) and Sellbom (this volume) raise important issues surrounding the use of a five-factor model (FFM) of personality to conceptualize, assess, and diagnose personality disorder including how one includes a measure of impairment, the level of abstraction that is optimal (domains vs. facets), and the need for the development of formal test manuals, normative data, and means for identifying non-credible responding. In this response, the authors note their agreement with De Fruyt and De Clercq regarding the importance of assessing impairment but note that (a) it is already included to a large degree in the assessment of pathological FFM traits and (b) that they would prefer an approach that focuses explicitly on difficulties in occupational and social functioning. As to Sellbom’s comments suggesting that further work is necessary with regard to the development of test manuals, normative databases, and measures of valid responding – the authors agree and note some of the obstacles including the need for funding for the collection of normative data (and what consensus as to the kind – clinical only; community only; both) and development of test manuals.  As to measures of credible responding, they note that many of these exist already for the family of FFM PD scales that they helped create and are aware of similar efforts for other popular measures of pathological traits.

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Publisher: Cambridge University Press
Print publication year: 2020

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References

Frances, A. (1993). Dimensional diagnosis of personality: Not whether, but when and whichPsychological Inquiry4, 110111.Google Scholar
Miller, J. D., Sleep, C. E., & Lynam, D. R. (2018). DSM-5 alternative model of personality disorder: Testing the trait perspective captured in criterion B. Current Opinion in Psychology, 21, 5054.CrossRefGoogle ScholarPubMed
Mullins-Sweatt, S. N., & Widiger, T. A. (2010). Personality-related problems in living: An empirical approach. Personality Disorders: Theory, Research, and Treatment, 1, 230238.CrossRefGoogle ScholarPubMed
Pilkonis, P. A., Hallquist, M. N., Morse, J. Q., & Stepp, S. D. (2011). Striking the (im)proper balance between scientific advances and clinical utility: Commentary on the DSM-5 proposal for personality disorders. Personality Disorders: Theory, Research, and Treatment, 2 , 6882.CrossRefGoogle ScholarPubMed
Reed, G. M., First, M. B., Kogan, C. S., Hyman, S. E., Gureje, O., Gaebel, W., … Saxena, S. (2019). Innovations and changes in the ICD-11 classification of mental, behavioural and neurodevelopmental disorders. World Psychiatry, 18, 319.CrossRefGoogle ScholarPubMed
Sleep, C. E., Lynam, D. R., Widiger, T. A., Crowe, M., & Miller, J. D. (2019). An evaluation of DSM-5 Section III Personality Disorder Criterion A (Impairment) in accounting for psychopathology. Psychological Assessment, 31(10), 11811191CrossRefGoogle ScholarPubMed
Widiger, T. A. (2019). Considering the research: Commentary on “The trait-type dialectic: construct validity, clinical utility, and the diagnostic process.” Personality Disorders: Theory, Research, and Treatment, 10, 215219.Google Scholar

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