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J Pers Disord. 2012 Oct;26(5):689-703.

Retention or deletion of personality disorder diagnoses for DSM-5: an expert consensus approach.

Author information

  • 1Department of Psychology, Oklahoma State University, 116 North Murray Hall, Stillwater, OK 74078, USA. stephanie.sweatt@gmail.com

Abstract

One of the official proposals for the fifth edition of the American Psychiatric Association's (APA) diagnostic manual (DSM-5) is to delete half of the existing personality disorders (i.e., dependent, histrionic, narcissistic, paranoid, and schizoid). Within the APA guidelines for DSM-5 decisions, it is stated that there should be expert consensus agreement for the deletion of a diagnostic category. Additionally, categories to be deleted should have low clinical utility and/or minimal evidence for validity. The current study surveyed members of two personality disorder associations (n = 146) with respect to the utility, validity, and status of each DSM-IV-TR personality disorder diagnosis. Findings indicated that the proposal to delete five of the personality disorders lacks consensus support within the personality disorder community.

PMID:
23013338
[PubMed - indexed for MEDLINE]
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