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6c - The Search for Clinically Meaningful Dimensions Requires a Clinical Theory: Author Rejoinder to Commentaries on Categorical Models of Personality Disorders

from Part II - Models

Published online by Cambridge University Press:  24 February 2020

By
Igor Weinberg
Edited by
Carl W. Lejuez  and
Kim L. Gratz
Carl W. Lejuez
Affiliation:
University of Kansas
Kim L. Gratz
Affiliation:
University of Toledo, Ohio
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Summary

In this rejoinder the author responds to the commentaries to the chapter. While the commentaries favor taxomonetric/categorical vs. dimensional approaches, the author explores various possibilities to integrate these two perspectives. Such an approach would better fit research finding and allows for preservation of the merits of each approach. Such integration has to resolve such challenges as definition of conceptually and clinically meaningful dimensions, identification of the disorder-specific concepts that are not dimensional, conceptualization of orthogonal dimensions, and integration of the dimensional and categorical approaches through identification of moderators.

Keywords

personality disorderscategorical modelcritical reviewtaxonomyvalidation of psychiatric disorders
Type
Chapter
Information
The Cambridge Handbook of Personality Disorders , pp. 143 - 144
Publisher: Cambridge University Press
Print publication year: 2020

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References

Caligor, E., Kernberg, O. F., Clarkin, J. F., & Yeomans, F. E. (2018). Psychodynamic Therapy for Personality Pathology: Treating Self and Interpersonal Functioning. Washington, DC: American Psychiatric Publishing.Google Scholar
Morey, L. C., Hopwood, C. J., Gunderson, J. G., Shea, M. T., Skodol, A. E., Grilo, C. M., … McGlashan, T. H. (2007). A comparison of personality disorder models. Psychological Medicine, 37, 983–994.Google Scholar
Morey, L. C., Hopwood, C. J., Markowitz, J. C., Gunderson, J. G., Grilo, C. M., McGlashan, T. H., … Skodol, A. E. (2012). Comparisons of alternative models of personality disorders, II: 6-, 8-, and 10-year follow-up. Psychological Medicine, 42, 1705–1713.Google Scholar
Newton, I. (1988). Opticks: or, a treatise of the reflexions, refractions, inflexions and colours of light. Also two treatises of the species and magnitude of curvilinear figures. Commentary by Nicholas Humez (Octavo, ed.). Palo Alto, CA: Octavo. (Opticks was originally published in 1704.)Google Scholar
Widiger, T. A., & Mullins-Sweatt, S. N. (2005). Categorical and dimensional models of personality disorders. In Oldham, J. M., Skodol, A. E., & Bender, D. S. (Eds.), The American Psychiatric Publishing Textbook of Personality Disorders (pp. 35–53) Washington, DC: American Psychiatric Publishing.Google Scholar

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