It’s time to replace the personality disorders with the interpersonal disorders

Dados Bibliográficos

ID8722009
AutoresAidan G C Wright (0000-0002-2369-0601, autor correspondente), Whitney R Ringwald (0000-0002-8883-5963), Christopher J Hopwood (0000-0001-6645-8645), Aaron L Pincus (0000-0002-6308-0250)
Ano2022
Volume77
Fascículo9
Páginas1085-1099
Data de publicação2022-12-01
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoAmerican Psychologist (JOURNAL)
Identificadores do periódicoISSN: 0003-066X • E-ISSN: 1935-990X
EditoraAmerican Psychological Association (PUBLISHER • US)
DOI10.1037/amp0001087
PMID36595407
OpenAlexW4313528203
IdiomaEN
Citações recebidas15
Referências citadas1

Personality disorders (PDs) are among the most common and severe classes of psychopathology. From a clinical perspective, it is challenging to help individuals with personality disorders because treatment ruptures, discontinuation, reversals, and failures are relatively common. An additional clinical challenge is that the model used to diagnose personality disorders is demonstrably incorrect. Recent efforts to improve diagnosis of personality disorders apply two criteria: the first distinguishes personality disorders from other kinds of psychopathology and the second distinguishes different types of personality disorders. However, this approach has been problematic in that, as currently operationalized, it does not provide a clear demarcation for personality disorders, and it uses a framework for individual differences that is more apt as a model of variation in psychopathology in general. This article proposes that the core of personality disorders involves difficulties understanding and relating to self and others, and thus the personality disorders should be recast as the interpersonal disorders. Interpersonal dysfunction explains extreme social challenges and treatment difficulties that are characteristic of this class of psychopathology. This approach provides a clearer model for distinguishing these kinds of problems, as demonstrated by reformulating traditional personality disorder symptoms from an interpersonal perspective. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Chinese Classification of Mental Disorders · Interpersonal communication · MEDLINE · Operationalization · Personality · Personality disorders · Personality pathology · Perspective (graphical · Psychiatry · Psychopathology · Psychotherapist · PsycINFO · Sadistic personality disorder · Mental Health and Psychiatry · Personality Disorders and Psychopathology · Psychology · Psychotherapy Techniques and Applications · Clinical Psychology · Social Psychology