Book contents
- The Cambridge Handbook of Personality Disorders
- The Cambridge Handbook of Personality Disorders
- Copyright page
- Contents
- Figures
- Tables
- Contributors
- Preface
- Part I Etiology
- Part II Models
- 5 Controversies in the Classification and Diagnosis of Personality Disorders
- 5a Three Unresolved Conceptual Issues in Personality Disorders: Commentary on Controversies in the Classification and Diagnosis of Personality Disorders
- 5b Classification of Complex Disorders Is a Challenge Solved by Simplicity: Commentary on Controversies in the Classification and Diagnosis of Personality Disorders
- 5c Final Thoughts: Author Rejoinder to Commentaries on Controversies in the Classification and Diagnosis of Personality Disorders
- 6 Categorical Models of Personality Disorders
- 6a Good Taxonomy Can Address Classification Challenges in Personality Pathology by Providing Informative Priors That Balance Information Compression and Fidelity: Commentary on Categorical Models of Personality Disorders
- 6b A Hierarchical, Dimensional Approach Can Advance Personality Disorder Research: Commentary on Categorical Models of Personality Disorders
- 6c The Search for Clinically Meaningful Dimensions Requires a Clinical Theory: Author Rejoinder to Commentaries on Categorical Models of Personality Disorders
- 7 The Five-Factor Model of Personality Disorders
- 7a Personality Disorders are Disorders of Personality: Commentary on the Five-Factor Model of Personality Disorders
- 7b Assessment and Operationalization of Personality Disorders from a Five-Factor Model Perspective: Commentary on the Five-Factor Model of Personality Disorders
- 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
- 8 Interpersonal Models of Personality Pathology
- 8a Interpersonal Nuance in Context: Commentary on Interpersonal Models of Personality Pathology
- 8b Contextual Dynamics in the Interpersonal Theory of Personality and Personality Disorder: Commentary on Interpersonal Models of Personality Pathology
- 8c Expanding on Interpersonal Models of Personality Pathology: Author Rejoinder to Commentaries on Interpersonal Models of Personality Pathology
- Part III Individual Disorders and Clusters
- Part IV Assessment
- Part V Treatment
- Index
- References
6b - A Hierarchical, Dimensional Approach Can Advance Personality Disorder Research: Commentary on Categorical Models of Personality Disorders
from Part II - Models
Published online by Cambridge University Press: 24 February 2020
Book contents
- The Cambridge Handbook of Personality Disorders
- The Cambridge Handbook of Personality Disorders
- Copyright page
- Contents
- Figures
- Tables
- Contributors
- Preface
- Part I Etiology
- Part II Models
- 5 Controversies in the Classification and Diagnosis of Personality Disorders
- 5a Three Unresolved Conceptual Issues in Personality Disorders: Commentary on Controversies in the Classification and Diagnosis of Personality Disorders
- 5b Classification of Complex Disorders Is a Challenge Solved by Simplicity: Commentary on Controversies in the Classification and Diagnosis of Personality Disorders
- 5c Final Thoughts: Author Rejoinder to Commentaries on Controversies in the Classification and Diagnosis of Personality Disorders
- 6 Categorical Models of Personality Disorders
- 6a Good Taxonomy Can Address Classification Challenges in Personality Pathology by Providing Informative Priors That Balance Information Compression and Fidelity: Commentary on Categorical Models of Personality Disorders
- 6b A Hierarchical, Dimensional Approach Can Advance Personality Disorder Research: Commentary on Categorical Models of Personality Disorders
- 6c The Search for Clinically Meaningful Dimensions Requires a Clinical Theory: Author Rejoinder to Commentaries on Categorical Models of Personality Disorders
- 7 The Five-Factor Model of Personality Disorders
- 7a Personality Disorders are Disorders of Personality: Commentary on the Five-Factor Model of Personality Disorders
- 7b Assessment and Operationalization of Personality Disorders from a Five-Factor Model Perspective: Commentary on the Five-Factor Model of Personality Disorders
- 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
- 8 Interpersonal Models of Personality Pathology
- 8a Interpersonal Nuance in Context: Commentary on Interpersonal Models of Personality Pathology
- 8b Contextual Dynamics in the Interpersonal Theory of Personality and Personality Disorder: Commentary on Interpersonal Models of Personality Pathology
- 8c Expanding on Interpersonal Models of Personality Pathology: Author Rejoinder to Commentaries on Interpersonal Models of Personality Pathology
- Part III Individual Disorders and Clusters
- Part IV Assessment
- Part V Treatment
- Index
- References
Summary
Categorical rubrics are the prevailing approach to personality disorder (PD) assessment and diagnosis. Diagnostic manuals, funding bodies, and training programs tend to follow this categorical model. Yet there is now abundant evidence that PD categories are impeding research progress on personality pathology. This chapter describes an emerging dimensional perspective on personality problems, the Hierarchical Taxonomy of Psychopathology (HiTOP). The HiTOP framework encapsulates factor analytically derived higher- and lower-order dimensions of personality pathology, ranging from an overarching general factor of psychopathology at the hierarchy’s apex to homogeneous maladaptive personality traits and acute symptoms at the base. This multi-level system bypasses aspects of categorical PD diagnoses that researchers find problematic (e.g., comorbidity, within-diagnosis heterogeneity, and insufficient coverage of personality problems encountered in the clinic). HiTOP has the potential to renew field-wide interest in PD and streamline social, psychological, and biological research on personality pathology.
Keywords
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- The Cambridge Handbook of Personality Disorders , pp. 140 - 142Publisher: Cambridge University PressPrint publication year: 2020
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