Proposals for DSM-5: introduction to special section of Journal of Personality Disorders.
ABSTRACT On February 10, 2010, the official proposals for the personality disorders section of the fifth edition of the American Psychiatric Association's (APA) Diagnostic and Statistical Manual of Mental Disorders (DSM-5) were posted (see www.dsm5.org ). The posting by the DSM-5 Personality and Personality Disorders Work Group has been helpful in informing the field of the possible changes that may occur with DSM-5. Their presence allows for and encourages persons to provide their suggestions and concerns. The extent of the proposals is considerable. As expressed on the website, "the work group recommends a major reconceptualization of personality psychopathology" (Skodol, 2010, "Reformulation of personality disorders in DSM-5," para. 1). The proposals have generated some controversy. The Journal of Personality Disorders has always sought to be a participant in the crucial debates in our field. The purpose of this special issue is to provide members of the Work Group the opportunity to further articulate the rationale for the proposals, and to provide others an opportunity to articulate their concerns. Copies of this special issue were distributed to interested persons when the complete set of final papers were received (October of 2010).
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ABSTRACT: The publication of the Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM-5) will transform the way in which personality disorders are conceptualized and diagnosed. Much consideration has been given to the proposed changes and their implications for clinicians and researchers. In this special series, Personality Disorders: Theory, Research, and Treatment adds to this conversation by presenting unique perspectives and issues that have received less attention, but that warrant consideration, as the publication of DSM-5 approaches. Our introduction provides an overview of the key issues in four articles in this special series, considering them within the context of the proposed DSM-5 revisions. (PsycINFO Database Record (c) 2012 APA, all rights reserved).Personality Disorders: Theory, Research, and Treatment 10/2012; 3(4):442-3. DOI:10.1037/per0000012 · 3.54 Impact Factor
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ABSTRACT: Attachment theory is a biopsychosocial model referring to a person’s characteristic ways of relating in close relationships, such as with parents, children, and romantic partners. These ways of relating are learned during early infancy and mold subsequent intimate relationships. An adult who is securely attached has internalized a reliable relationship to his/her caregivers in infancy, and thus is capable of adapting to different social contexts and, more importantly, of maintaining an adequate equilibrium between self-regulation and interpersonal regulation of stress. Insecure adult attachment styles are divided into 1) anxious/preoccupied (individuals are hypersensitive to rejection and show compulsive care- and attention-seeking behavior); 2) avoidant/dismissing (individuals are hyposensitive to social interactions, and are socially isolated); and 3) unresolved/disorganized (individuals are unable to cope under stress, thus suffering pervasive affective dysregulation). This review discusses the theoretical, psychological, neuroscientific, and developmental aspects of attachment from an evidence-based perspective. It provides an updated account of the science regarding attachment and its relevance to the etiology, diagnosis, and treatment of mental illness. It examines the privileged relation between attachment and personality disorders (PDs) from multiple angles in order to introduce the most recent psychotherapeutic advances, based on attachment research, for the treatment of PDs, particularly borderline PD. Three effective, evidence-based psychotherapeutic interventions are described: Mentalization-Based Treatment, Transference-Focused Psychotherapy and Schema-Focused Therapy.03/2013; 11:155-166. DOI:10.1176/appi.focus.11.2.155