The DSM’s Reconnection to Psychoanalytic Theory through the Alternative Model for Personality Disorders
Bibliographic Data
| ID | 8333710 |
|---|---|
| Authors | Adam P Natoli (0000-0002-2324-9242, corresponding author) |
| Year | 2019 |
| Volume | 67 |
| Issue | 6 |
| Pages | 1023-1045 |
| Publication date | 2019-12-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Journal of the American Psychoanalytic Association (JOURNAL) |
| Journal identifiers | ISSN: 0003-0651 • E-ISSN: 1941-2460 |
| Publisher | SAGE Publications (PUBLISHER • US) |
| DOI | 10.1177/0003065120903060 |
| PMID | 32043386 |
| OpenAlex | W3005534679 |
| Language | EN |
| Citations received | 1 |
| References cited | 62 |
Often believed to have Kraepelinian origins, the Diagnostic and Statistical Manual of Mental Disorders—5th Edition (DSM-5) defines personality disorders using a categorical, hierarchical taxonomic system. This system possesses many long-standing problems for clinical practice, including a large assortment of symptom combinations that contribute to problematic heterogeneity and likely impair diagnostic validity. The DSM diagnostic system was at one time heavily influenced by psychoanalytic theory (Shorter 2005). A desire for greater theoretical neutrality then encouraged a shift away from psychoanalytic theory, resulting in the problematic atheoretical model of personality pathology introduced in DSM-III (1980) and still used today. The Alternative Model for Personality Disorders (AMPD), introduced in DSM-5 (2013), is an attempt to reconcile many of the categorical model’s issues and directly parallels primary themes that characterize psychoanalytic models of personality. After a review of the historical development of DSM, three current systems for diagnosing personality pathology—the DSM-5’s categorical model (2013), its AMPD (2013), and the Psychodynamic Diagnostic Manual (2nd ed.; Alliance of Psychoanalytic Organizations 2017) are compared. The comparison illustrates how the AMPD brings psychoanalytic theory back into the DSM system and acknowledges the implications of a more psychoanalytic DSM
Categorical variable · Parallels · Personality · Personality disorders · Personality pathology · Psychoanalysis · Psychoanalytic theory · Psychodynamics · Psychotherapist · Mental Health and Psychiatry · Personality Disorders and Psychopathology · Psychology · Psychotherapy Techniques and Applications
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Levels of Object Representation in Anaclitic and Introjective Depression
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| Citations per year | 0.25 |
|---|---|
| Citation span | 2022 - 2022 (1) |
| Highly cited | No |