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Proposed Changes in the DSM-V for Borderline Personality Disorder
The proposed DSM-V changes to the criteria for Borderline Personality Disorder (BPD): The essential features of a personality disorder are impairments in personality (self and interpersonal) functioning and the presence of pathological personality traits. To diagnose borderline personality disorder, the following criteria must be met: A. Significant impairments in personality functioning manifest by: 1. Impairments in self functioning (a or b): a. Identity: Markedly impoverished, poorly developed, or unstable self-image, often associated with excessive self-criticism; chronic feelings of emptiness; dissociative states under stress. b. Self-direction: Instability in goals, aspirations, values, or career plans. AND 2. Impairments in interpersonal functioning (a or b): a. Empathy: Compromised ability to recognize the feelings and needs of others associated with interpersonal hypersensitivity (i.e.,…
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Major changes in the DSM for personality disorders
An LA Times article about changes to the DSM for personality disorders: latimes.com BOOSTER SHOTS: Oddities, musings and news from the health world Personality disorders category is likely to be dramatically revised for next psychiatry textbook By Shari Roan, Los Angeles Times / For the Booster Shots blog 12:05 PM PDT, July 7, 2011 Several types of personality disorders will be dropped from the next edition of the Diagnostic and Statistical Manual of Mental Disorders. But one disorder previously proposed for elimination — narcissistic personality disorder — will likely remain in the text. The American Psychiatric Assn. announced Thursday that the framework for personality disorders in DSM-5 will be a…
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NY Times notes NPD is gone in the DSM V
An article from the NY Times: November 29, 2010 A Fate That Narcissists Will Hate: Being Ignored By CHARLES ZANOR Narcissists, much to the surprise of many experts, are in the process of becoming an endangered species. Not that they face imminent extinction — it’s a fate much worse than that. They will still be around, but they will be ignored. The fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (due out in 2013, and known as DSM-5) has eliminated five of the 10 personality disorders that are listed in the current edition. Narcissistic personality disorder is the most well-known of the five, and its absence has…
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BPD: What’s in a Name and How does it feel to be that person?
Recently Rajkumar Kalapatapu, et al., released a report in which they hosted an Internet-based survey to ask people with BPD what they wanted to see in the next version of the DSM with respect to BPD. As many of you know, scores of people find BPD (Borderline Personality Disorder) stigmatizing and confusing, since the term “borderline” was adopted to indicate “on the border between neurosis and psychosis” (although some indicate that it refers to “borderline schizophrenia” – although no correlation between BPD and schizophrenia exists as far as I am aware) and “personality” often connotes a “character-flaw” or something that is immutable and incurable. The only part of the name…
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NIHM Director Thomas Insel considers the name of “Borderline Personality Disorder”
On the director’s blog at the NIMH (National Institute of Mental Health), Director Dr. Thomas Insel discusses the name of borderline personality disorder: Director’s Blog April 19, 2010 What’s in a Name? — The Outlook for Borderline Personality Disorder Thomas Insel In Shakespeare’s “Romeo and Juliet,” the question is posed to illustrate that a name doesn’t define a person’s feelings or intent. In psychiatry, the same may be said of that which we call borderline personality disorder. Noted primarily for symptoms such as impaired mood regulation, unstable relationships with others, and self-harming behaviors, the name “borderline personality disorder,” fails to capture the essence of this serious mental illness. As currently…
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DSM-V Changes to Personality Disorders
Here is a chart comparing DSM-IV personality disorders to DSM-V personality types. Notice that NPD, Paranoid, Schizoid, and others have no DSM-V comparable disorder and are a combination of prominent personality traits. DSM-5 Type and Trait Cross-Walk DSM-IV Personality Disorder DSM-5 Personality Disorder Type Prominent Personality Traits Paranoid None Suspiciousness Intimacy avoidance Hostility Unusual beliefs Schizoid None Social withdrawal Social detachment Intimacy avoidance Restricted affectivity Anhedonia Schizotypal Schizotypal (4 or 5) Eccentricity Cognitive dysregulation Unusual perceptions Unusual beliefs Social withdrawal Restricted affectivity Intimacy avoidance Suspiciousness Anxiousness Antisocial Antisocial/Psychopathic (4 or 5) Callousness Aggression Manipulativeness Hostility Deceitfulness Narcissism Irresponsibility Recklessness Impulsivity Borderline Borderline (4 or 5) Emotional lability Self-harm Separation insecurity…