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6 - Categorical Models of Personality Disorders

from Part II - Models

Published online by Cambridge University Press:  24 February 2020

By
Igor Weinberg
Edited by
Carl W. Lejuez  and
Kim L. Gratz
Carl W. Lejuez
Affiliation:
University of Kansas
Kim L. Gratz
Affiliation:
University of Toledo, Ohio
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Summary

This chapter reviews and summaries current knowledge about the categorical model of personality disorders. It starts with the history of the concept from Greek philosophers and moves to the description of personality disorders in DSM-5. It then summarizes key strengths of the categorical approach. First, it provides examples of the disorder-specific concepts that help understand in depth individuals with individual disorders. Second, it reviews research findings that validate the association between personality disorders and functional impairment. Third, construct validity of each personality disorder is reviewed based on the criteria of validation of psychiatric disorders. Ability to test construct validity of each disorder is a unique feature of the categorical model. Fourth, the predictive utility of the categorical model documents that the categorical diagnosis of personality disorder predicts significant clinical and psychosocial outcomes and predicts some functional outcomes independent of the dimensional model. Fifth, clinical utility research on categorical model and its limitations is reviewed. Sixth, the chapter reviews limitations of the categorical model, such as (i) excessive diagnostic co-occurrence, (ii) phenomenological heterogeneity, (iii) arbitrary diagnostic thresholds, and (iv) inadequate coverage. The chapter offers possible resolutions to these limitations. The chapter concludes with discussion of possible future directions, including combining categorical and dimensional approaches.

Keywords

personality disorderscategorical modelcritical reviewtaxonomyvalidation of psychiatric disorders
Type
Chapter
Information
The Cambridge Handbook of Personality Disorders , pp. 120 - 135
Publisher: Cambridge University Press
Print publication year: 2020

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References

Abel, K., Jolley, S., Hemsley, D., & Geyer, M. (2004). The influence of schizotypy traits on prepulse inhibition in young healthy controls. Journal of Psychopharmacology, 18, 181–188.CrossRefGoogle ScholarPubMed
Aboraya, A., France, C., Young, J., Curci, K., & Lepage, J. (2005). The validity of the psychiatric diagnosis revisited. Psychiatry, 2, 48–55.Google Scholar
Abraham, K. (1927). Selected Papers of Karl Abraham. London: Hogarth Press.Google Scholar
Akhtar, S. (1992). Broken Structures: Severe Personality Disorders and Their Treatment. New York: Aronson.Google Scholar
Baskin-Sommers, A., Kruzermark, E., & Ronningstam, E. F. (2014). Empathy in narcissistic personality disorder: From clinical and empirical perspectives. Personality Disorders, 5, 323–333.Google Scholar
Beck, A. T., Freeman, A., Davis, D. D., & Associates (2006). Cognitive Therapy of Personality Disorders (2nd ed.). New York: Guilford Press.Google Scholar
Bernstein, D. P., Iscan, C., Maser, J., & Board of Directors of the Association for Research of Personality Disorders, International Society for Study of Personality Disorders (2007). Opinions of personality disorder experts regarding the DSM-IV personality disorders classification system. Journal of Personality Disorders, 21, 536–551.CrossRefGoogle ScholarPubMed
Bertsch, K., Schmidingerm, I., Neuman, I. D., & Herpertz, S. C. (2013). Reduced plasma cortisol levels in female patients with borderline personality disorder. Hormones and Behavior, 63, 424–429.Google Scholar
Black, D. W. (2015). The natural history of antisocial personality disorder. Canadian Journal of Psychiatry, 60, 309–314.CrossRefGoogle ScholarPubMed
Bodner, E., & Mikulincer, M. (1998). Learned helplessness and occurrence of depressive-like and paranoid-like responses: The role of attentional focus. Journal of Personality and Social Psychology, 74, 1019–1023.Google Scholar
Bornstein, R. F. (1993). The Dependent Personality. New York: Guilford Press.Google Scholar
Bornstein, R. F. (1998). Reconceptualizing personality disorder diagnosis in the DSM-V: The discriminant validity challenge. Clinical Psychology, 5, 333–343.Google Scholar
Bornstein, R. F., Ng, H. M., Gallagher, H. R., Kloss, D. M., & Regier, N. G. (2005). Contrasting effects of self-schema priming on lexical decisions and interpersonal Stroop task performance: Evidence for a cognitive/interactionist model of interpersonal dependency. Journal of Personality, 73, 731–761.Google Scholar
Chanen, A. M., Jackson, H. J., McGorry, P. D., Allot, K. A., Clarkson, V., & Yuen, H. P. (2004). Two-year stability of personality disorders in older adolescent outpatients. Journal of Personality Disorders, 18, 526–541.Google Scholar
Chemerinski, E., Triebwasser, J., Roussos, P., & Siever, L. J. (2013). Schizotypal personality disorder. Journal of Personality Disorders, 27, 652–679.Google Scholar
Chen, H., Cohen, P., Crawford, T. N., Kasen, S., & Johnson, J. G. (2006). Relative impact of young adult personality disorders on subsequent quality of life: Findings of a community-based longitudinal study. Journal of Personality Disorders, 20, 510–523.CrossRefGoogle ScholarPubMed
Cloninger, C. R., Svrakic, D. M., & Przybeck, T. R. (1993). A psychobiological model of temperament and character. Archives of General Psychiatry, 50, 975–990.CrossRefGoogle ScholarPubMed
Costa, P. T., & McCrae, R. R. (1985). The NEO Personality Inventory Manual. Odessa, FL: Psychological Assessment Resources.Google Scholar
Costa, P. T., & Widiger, T. (Eds.) (1993). Personality Disorders and the Five-Factor Model of Personality. Washington, DC: American Psychological Association.Google Scholar
Crawford, T. N., Cohen, P., First, M. B., Skodol, A. E., Johnson, J. G., & Kasen, S. (2008). Comorbid Axis I and Axis II disorders in early adolescence: Outcomes 20 years later. Archives of General Psychiatry, 65, 641–648.Google Scholar
Crego, C., Sleep, C. E., & Widiger, T. A. (2016). Clinicians’ judgments of the clinical utility of personality disorder trait descriptions. Journal of Nervous and Mental Disease, 204, 49–56.Google Scholar
Croft, R., Lee, A., Bertolot, J., & Gruzelier, J. (2001). Association of P50 suppression and desensitization with perceptual and cognitive features of “unreality” in schizotypy. Biological Psychiatry, 50, 441–446.Google Scholar
Diedrich, A., & Voderholzer, U. (2015). Obsessive-compulsive personality disorder: A current review. Current Psychiatry Reports, 17, 1–10.CrossRefGoogle ScholarPubMed
Edens, J. F., Marcus, D. K., & Morey, L. C. (2009). Paranoid personality has a dimensional latent structure: Taxometric analyses of community and clinical samples. Journal of Abnormal Psychology, 118, 545–553.CrossRefGoogle Scholar
Edens, J. F., Marcus, D. K., & Ruiz, M. A. (2008). Taxometric analyses of borderline personality features in a large-scale male and female offender sample. Journal of Abnormal Psychology, 117, 705–711.Google Scholar
Everett, K. V., & Linscott, R. J. (2015). Dimensionality vs. taxonicity of schizotypy: Some new data and challenges ahead. Schizophrenia Bulletin, 41(Suppl. 2), S465–S474.CrossRefGoogle ScholarPubMed
Fairbairn, W. R. D. (1952). Psychoanalytic Studies of Personality. London: Tavistock.Google Scholar
Fenton, W., & McGlashan, T. (1989). Risk of schizophrenia in character disorder patients. American Journal of Psychiatry, 146, 1280–1284.Google Scholar
Ferenczi, S. (1938). Thalassa: A Theory of Genitality. New York: Norton.Google Scholar
Ficks, C. A., & Waldman, I. D. (2014). Candidate genes for aggression and antisocial behavior: A meta-analysis of association studies of the 5HTTLPR and MAOA-uVNTR. Behavioral Genetics, 44, 427–444.Google Scholar
First, M. B., Pincus, H. A., Levine, J. B., Williams, J. B. W., Ustun, B., & Peele, R. (2004). Clinical utility as a criterion for revisiting psychiatric diagnoses. American Journal of Psychiatry, 161, 946–954.Google Scholar
Freud, S. (1908). Character and anal erotism. In Collected Papers (Vol. 2). London: Hogarth Press.Google Scholar
Gjerde, L. C., Czajkowski, N., Røysamb, E., Ørstavik, R. E., Knudsen, G. P., Østby, K., … Reichborn-Kjennerud, T. (2012). The heritability of avoidant and dependent personality disorder assessed by personal interview and questionnaire. Acta Psychiatrica Scandinavica, 126, 448–457.CrossRefGoogle ScholarPubMed
Grant, B. F., Chou, S. P., Goldstein, R. B., Huang, B., Stinson, F. S., Saha, T. D., … Ruan, W. J. (2008). Prevalence, correlates, disability, and comorbidity of DSM-IV borderline personality disorder: Results from the wave 2 National Epidemiologic Survey of Alcohol and Related Conditions. Journal of Clinical Psychiatry, 69, 533–545.Google Scholar
Grant, B. F., Hasin, D. S., Stinson, F. S., Dawson, D. A., Chou, S. P., Ruan, W. J., & Pickering, R. P. (2004). Prevalence, correlates, and disability of personality disorders in the United States: Results from the National Epidemiologic Survey of Alcohol and Related Disorders. Journal of Clinical Psychiatry, 65, 948–958.Google Scholar
Grant, B. F., Moore, T. C., Shepard, J., & Kaplan, K. (2003). Source and Accuracy Statement: Wave 1 National Epidemiological Survey on Alcohol and Related Conditions (NESARC). Bethesda, MD: National Institute on Alcohol Abuse and Alcoholism.Google Scholar
Gunderson, J. G. (1984). Borderline Personality Disorder. Washington, DC: American Psychiatric Press.Google Scholar
Gunderson, J. G. (1992). Diagnostic controversies. In Tasman, A. & Riba, M. B. (Eds.), American Psychiatric Press Review of Psychiatry (Vol. 11, pp. 9–24). Washington, DC: American Psychiatric Press.Google Scholar
Gunderson, J. G., Herpertz, S., Skodol, A. E., Torgersen, S., & Zanarini, M. C. (2017). Borderline personality disorder. Nature Reviews Disease Primers, 4, 1–20.Google Scholar
Gunderson, J. G., & Ronningstam, E. F. (2001). Differentiating antisocial and narcissistic personality disorder. Journal of Personality Disorders, 15, 103–109.Google Scholar
Gunderson, J. G., Stout, R. L., McGlashan, T. H., Shea, M. T., Morey, L. C., Grilo, C. M., … Skodol, A. E. (2011). Ten-year course of borderline personality disorder: Psychopathology and function from the Collaborative Longitudinal Personality Disorders Study. Archives of General Psychiatry, 68, 827–837.CrossRefGoogle Scholar
Gunderson, J. G., Weinberg, I., & Choi-Kain, L. (2013). Borderline personality disorder. In Gabbard, G. O. (Ed.), Gabbard’s Treatments of Psychiatric Disorders (DSM-5 ed.). Washington, DC: American Psychiatric Publishing.Google Scholar
Guntrip, H. (1968). Schizoid Phenomena, Object Relations, and the Self. London: Karnac.Google Scholar
Hirt, E. (1902). Die temperamente. Leipzig: Barth.Google Scholar
Holt, R. R. (1970). Yet another look at clinical and statistical prediction: Or, is clinical psychology worthwhile? American Psychologist, 25, 337–349.Google Scholar
Hong, J. P., Samuels, J., Bienvenu, O. J., Hsu, F. C., Eaton, W. W., & Costa, P. T. Jr. (2005). The longitudinal relationship between personality disorder dimensions and global functioning in a community-residing population. Psychological Medicine, 35, 891–895.Google Scholar
Horney, K. (1937). The Neurotic Personality of Our Time. New York: Norton.Google Scholar
Horwitz, M. J. & Lerner, U. (2010). Treatment of histrionic personality disorder. In Clarkin, J. F., Fonagy, P., & Gabbard, G. (Eds.), Psychodynamic Psychotherapy for Personality Disorders (pp. 289–310). Washington, DC: American Psychiatric Publishing.Google Scholar
Johnson, J. G., First, M. B., Cohen, P., Skodol, A. E., Kasen, S., & Brook, J. S. (2005). Adverse outcomes associated with personality disorders not otherwise specified in a community sample. American Journal of Psychiatry, 162, 1926–1932.Google Scholar
Kernberg, O. F. (1975). Borderline Conditions and Pathological Narcissism. New York: Jason Aronson.Google Scholar
Kessler, R. C., McGonagle, K. A., Zhao, S., Nelson, C. B., Hughes, M., Eshleman, S., … Kendler, K. S. (1994). Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States: Results from the National Comorbidity Survey. Archives of General Psychiatry, 51, 8–19.Google Scholar
Klein, M. H. (1948). Contributions to Psychoanalysis, 1921–1945. London: Hogarth Press.Google Scholar
Koenigsberg, H. W., Denny, B. T., Fan, J., Liu, X., Guerreri, S., Mayson, S. J., … Siever, L. J. (2014). The neural correlates of anomalous habituation to negative emotional pictures in borderline and avoidant personality disorder patients. American Journal of Psychiatry, 171, 82–90.Google Scholar
Kohut, H. (1971). The Analysis of the Self. New York: International Universities Press.Google Scholar
Kraepelin, E. (1919). Dementia Praecox and Paraphrenia. Edinburgh: Livingstone.Google Scholar
Kretchmer, E. (1925). Korperbau und character. Berlin: Springer Verlag.Google Scholar
Lenzenweger, M. F., Lane, M. C., Loranger, A. W., & Kessler, R. C. (2007). DSM-IV personality disorders in the National Comorbidity Survey Replication. British Journal of Psychiatry, 62, 533–564.Google Scholar
Lilienfield, S. O., Waldman, I. D., & Israel, A. C. (1994). A critical examination of the issue of the term “comorbidity” in psychopathology research. Clinical Psychology, 1, 71–83.Google Scholar
Links, P. S. (1993). Psychiatric rehabilitation model for borderline personality disorder. Canadian Journal of Psychiatry, 38(Suppl. 1), S35–S38.Google Scholar
Liu, H., Liao, J., Jiang, W., & Wang, W. (2014). Changes in low-frequency fluctuations in patients with antisocial personality disorder revealed by resting-state functional MRI. PLoS ONE, 9, e89790.Google Scholar
Livesley, W. J., West, M., & Tanney, A. (1986). Historical comment on DSM-III schizoid and avoidant personality disorders. American Journal of Psychiatry, 142, 1344–1346.Google Scholar
Ma, G., Fan, H., Shen, C., & Wang, W. (2016). Genetic and neuroimaging features of personality disorders: State of the art. Neuroscience Bulletin, 32, 286–306.Google Scholar
Martín-Blanco, A., Ferrer, M., Soler, J., Arranz, M. J., Vega, D., Calvo, N., … Pascual, J. C. (2015). The role of hypothalamus-pituitary-adrenal genes and childhood trauma in borderline personality disorder. European Archives of Psychiatry and Clinical Neuroscience, 266, 307–316.Google Scholar
McGlashan, T. H., Grilo, C. M., Sanislow, C. A., Ralevski, E., Morey, L. C., Gunderson, J. G., … Pagano, M. (2005). Two-year prevalence and stability of individual DSM-IV criteria for schizotypal, borderline, avoidant, and obsessive-compulsive personality disorders: Toward a hybrid model of Axis II disorders. American Journal of Psychiatry, 162, 883–889.Google Scholar
Meloy, J. R., & Yakeley, J. (2010). Psychodynamic treatment of antisocial personality disorder. In Clarkin, J. F., Fonagy, P., & Gabbard, G. (Eds.), Psychodynamic Psychotherapy for Personality Disorders (pp. 311–336). Washington, DC: American Psychiatric Publishing.Google Scholar
Minzenberg, M., Xu, K., & Mitrolopou, V. (2006). Catechol-O-methyltransferase Val158Met genotype variation is associated with prefrontal-dependent task performance in schizotypal personality disorder patients and comparison groups. Psychiatric Genetics, 16, 117–124.CrossRefGoogle ScholarPubMed
Morey, L. C., Benson, K. T., Busch, A. J., & Skodol, A. E. (2015). Personality disorders in DSM-5: Emerging research on the alternative model. Current Psychiatric Reports, 17, 1–9.CrossRefGoogle ScholarPubMed
Morey, L. C., Hopwood, C. J., Gunderson, J. G., Shea, M. T., Skodol, A. E., Grilo, C. M., … McGlashan, T. H. (2007). A comparison of personality disorder models. Psychological Medicine, 37, 983–994.CrossRefGoogle Scholar
Morey, L. C., Hopwood, C. J., Markowitz, J. C., Gunderson, J. G., Grilo, C. M., McGlashan, T. H., … Skodol, A. E. (2012). Comparisons of alternative models of personality disorders, II: 6-, 8-, and 10-year follow-up. Psychological Medicine, 42, 1705–1713.Google Scholar
Morey, L. C., & Skodol, A. E. (2013). Convergence between DSM-IV-TR and DSM-V diagnostic models for personality disorders: Evaluation of strategies for establishing diagnostic thresholds. Journal of Psychiatric Practice, 19, 179–193.Google Scholar
Morey, L. C., Skodol, A. E., & Oldham, J. M. (2014). Clinician judgment of clinical utility: A comparison of DSM-IV-TR personality disorders and the alternative model for DSM-V personality disorders. Journal of Abnormal Psychology, 123, 398–405.Google Scholar
Nestadt, G., Samuels, J. F., Bienvenu, O. J., Reti, I. M., Costa, P., Eaton, W. W., & Bandeen-Roche, K. (2010). The stability of the DSM personality disorders over ten to eighteen years. Journal of Psychiatric Research, 44, 1–7.CrossRefGoogle ScholarPubMed
Oldham, J. M., Skodol, A. E., Kellman, H. D., Hyler, S. E., Rosnick, L., & Davies, M. (1992). Diagnosis of DSM-III-R personality disorders by two structured interviews: Patterns of comorbidity. American Journal of Psychiatry, 149, 213–220.Google Scholar
Penner-Goeke, K., Henrikson, C. A., Chateau, D., Latimer, E., Sareen, J., & Katz, L. Y. (2015). Reduction in quality of life associated with common mental disorders: Results from a national representative sample. Journal of Clinical Psychiatry, 76, 1506–1512.Google Scholar
Plakun, E. M. (1990). Narcissistic personality disorder: A validity study and comparison to borderline personality disorder. Psychiatric Clinics of North America, 12, 603–620.Google Scholar
Pokorny, A. D. (1983). Prediction of suicide in psychiatric patients: Report of a prospective study. Archives of General Psychiatry, 40, 249–257.Google Scholar
Pulay, A. J., Stinson, F. S., Dawson, D. A., Goldstein, R. B., Chou, S. P., Huang, B., … Grant, B. F. (2009). Prevalence, correlates, disability, and comorbidity of DSM-IV schizotypal personality disorder: Results from the wave 2 National Epidemiologic Survey of Alcohol and Related Conditions. Primary Care Companion to the Journal of Clinical Psychiatry, 11, 53–67.CrossRefGoogle Scholar
Rappaport, D. (1961). The Collected Papers of David Rappaport. New York: Basic Books.Google Scholar
Reich, W. (1933). Character Analysis. New York: Farrar & Rinehart.Google Scholar
Robins, E., & Guze, S. B. (1970). Establishment of diagnostic validity in psychiatric illness: Its application to schizophrenia. American Journal of Psychiatry, 126, 983–987.CrossRefGoogle ScholarPubMed
Ronningstam, E. (2011). Narcissistic personality disorder in DSM-V: In support of retaining a significant diagnosis. Journal of Personality Disorders, 25, 248–259.Google Scholar
Ronningstam, E. F. (2013). The update on narcissistic personality disorder. Current Opinion in Psychiatry, 26, 102–106.Google Scholar
Ronningstam, E. F., Gunderson, J. G., & Lyons, M. (1995). Changes in pathological narcissism. American Journal of Psychiatry, 152, 253–257.Google Scholar
Rothschild, L., Cleland, C., Haslam, N., & Zimmerman, M. (2003). A taxometric study of borderline personality disorder. Journal of Abnormal Psychology, 112, 657–666.Google Scholar
Rubovzki, G., Gunderson, J. G., & Weinberg, I. (2006). Patients’ acceptance and emotional reactions to disclosure of borderline personality disorder diagnosis. Paper presented at the APA Conference, Toronto, Canada.Google Scholar
Salekin, R. T. (2002). Psychopathy and therapeutic pessimism: Clinical lore or clinical reality? Clinical Psychology Review, 22, 79–112.Google Scholar
Sanislow, C. A., Grilo, C. M., Morey, L. C., Bender, D. S., Skodol, A. E., Gunderson, J. G., … McGlashan, T. H. (2002). Confirmatory factor analysis of DSM-IV criteria for borderline personality disorder: Findings from the collaborative longitudinal personality disorders study. American Journal of Psychiatry, 159, 284–290.Google Scholar
Schneider, K. (1923). Psychopathic Personalities (9th ed.). London: Cassell.Google Scholar
Schulze, L., Dziobek, I., Vater, A., Heekeren, H. R., Bajbouj, M., Renneberg, B., … Roepke, S. (2013). Grey matter abnormalities in patients with narcissistic personality disorder. Journal of Psychiatric Research, 47, 1363–1369.Google Scholar
Siever, L., Amin, F., Coccaro, E., Trestman, R. Silverman, J., & Hovath, T. (1996). Schizotypal personality disorder. In Widiger, T., Frances, A., & Pincus, H. (Eds.). DSM-IV Sourcebook (vol. 2, pp. 685–701). Washington, DC: American Psychiatric Association.Google Scholar
Siever, L. J., Coursey, R. D., Alterman, I. S., Zahn, T., Brody, L., Bernad, P., … Murphy, D. L. (1989). Clinical, psychophysiological, and neurological characteristics of volunteers with impaired smooth pursuit eye movements. Biological Psychiatry, 26, 35–51.Google Scholar
Siever, L. J., & Davis, K. L. (1991). A psychobiological perspective on the personality disorders. American Journal of Psychiatry, 148, 1647–1658.,Google Scholar
Skodol, A. E. (2018). Impact of personality pathology on psychosocial functioning. Current Opinion in Psychology, 21, 33–38.Google Scholar
Skodol, A. E., Bender, D. S., Gunderson, J. G., & Oldham, J. M. (2014). Personality disorders. In Hales, R. E., Yudofsky, S. C., & Roberts, L. (Eds.), American Psychiatric Publishing Textbook of Psychiatry (6th ed., pp. 851–894). Washington, DC: American Psychiatric Publishing.Google Scholar
Skodol, A. E., Gunderson, J. G., McGlashan, T. H., Dyck, I. R., Stout, R. L., Bender, D. S., … Oldham, J. M. (2002). Functional impairment in patients with schizotypal, borderline, avoidant, or obsessive-compulsive personality disorder. American Journal of Psychiatry, 159, 276–283.Google Scholar
Skodol, A. E., Johnson, J. G., Cohen, P., Sneed, J. R., & Crawford, T. N. (2007). Personality disorder and impaired functioning from adolescence to adulthood. British Journal of Psychiatry, 190, 415–420.Google Scholar
Skodol, A. E., Oldham, J. E., Bender, D. S, Dyck, I. R., Stout, R. L., Morey, L. C., … Gunderson, J. G. (2005). Dimensional representations of DSM-IV personality disorders: Relationship to functional impairment. American Journal of Psychiatry, 162, 1919–1925.Google Scholar
Spitzer, R. L., Endicott, J., & Gibbons, M. (1979). Crossing the border into the borderline personality and borderline schizophrenia: The development of criteria. Archives of General Psychiatry, 36, 17–24.Google Scholar
Stefanis, N. C., Trikalinos, T. A., Avramopoulos, D., Smyrnis, N., Evdokimidis, I., Ntzani, E. E., … Stefanis, C. N. (2007). Impact of schizophrenia candidate genes on schizotypy and cognitive endophenotypes at the population level. Biological Psychiatry, 62, 784–792.Google Scholar
Stinson, F. S., Dawson, D. A., Goldstein, R. B., Chou, S. P., Huang, B., Smith, S. M., … Grant, B. F. (2008). Prevalence, correlates, disability, and comorbidity of DSM-IV narcissistic personality disorder: Results from the Wave 2 National Epidemiologic Survey on Alcohol and Related Conditions. Journal of Clinical Psychiatry, 69, 1033–1045.Google Scholar
Stone, M. (1980). The Borderline Syndromes. New York: McGraw-Hill.Google Scholar
Stone, M. H. (2013). Paranoid, schizotypal, and schizoid personality disorders. In Gabbard, G. O. (Ed.), Gabbard’s Treatments of Psychiatric Disorders (DSM-5 ed.). Washington, DC: American Psychiatric Publishing.Google Scholar
Svartberg, M., & McCullough, L. (2010). Cluster C personality disorders: Prevalence, phenomenology, treatment effects, and principles of treatment. In Clarkin, J. F., Fonagy, P., & Gabbard, G. (Eds.), Psychodynamic Psychotherapy for Personality Disorders (pp. 337–368). Washington, DC: American Psychiatric Publishing.Google Scholar
Torgersen, S., Lygren, S., Oien, P. A., Skre, I., Onstad, S., Edvardsen, J., … Kringlen, E. (2000). A twin study of personality disorders. Comprehensive Psychiatry, 41, 416–425.Google Scholar
Torgersen, S., Myers, J., Reichborn-Kjennerud, T., Roysamb, E., Kubarych, T. S., & Kendler, K. S. (2012). The heritability of Cluster B personality disorder assessed both by personal interview and questionnaire. Journal of Personality Disorders, 26, 848–866.Google Scholar
Trestman, R. L., Horvath, T., Kalus, O., Peterson, A. E., Coccaro, E., Mitropoulou, V., … Siever, L. J. (1996). Event-related potentials in schizotypal personality disorder. Journal of Neuropsychiatry and Clinical Neuroscience, 8, 33–40.Google ScholarPubMed
Triebwasser, J., Chemerinski, E., Roussos, P., & Siever, L.J. (2013). Paranoid personality disorder. Journal of Personality Disorders, 27, 795–805.Google Scholar
Trull, T. J., Jahng, S., Tomko, R. L., Wood, P. K. & Sher, K. J. (2010). Revised NESARC personality disorder diagnoses: Gender, prevalence, and comorbidity with substance use disorders. Journal of Personality Disorders, 24, 412–426.Google Scholar
Verheul, R., & Widiger, T. A. (2004). A meta-analysis of the prevalence and usage of the personality disorder not otherwise specified (PDNOS) diagnosis. Journal of Personality Disorders, 18, 309–319.Google Scholar
Weinbrecht, A., Schulze, L., Boetther, J., & Renneberg, B. (2013). Avoidant personality disorder. Current Psychiatric Reports, 18, 1–8.Google Scholar
Westen, D., & Arkowitz-Westen, L. (1998). Limitations of Axis II in diagnosing personality pathology in clinical practice. American Journal of Psychiatry, 155, 1767–1771.Google Scholar
Widiger, T. A., & Mullins-Sweatt, S. N. (2005). Categorical and dimensional models of personality disorders. In Oldham, J. M., Skodol, A. E., & Bender, D. S. (Eds.), The American Psychiatric Publishing Textbook of Personality Disorders (pp. 35–53) Washington, DC: American Psychiatric Publishing.Google Scholar
Widiger, T. A., & Sanderson, C. J. (1995). Towards a dimensional model of personality disorders in DSM-IV and DSM-V. In Livesley, W. J. (Ed.), The DSM-IV Personality Disorders (pp. 380–394). New York: Guilford Press.Google Scholar
Wilberg, T., Hummelen, B., Pedersen, G., & Karterud, S. (2008). A study of patients with personality disorder not otherwise specified. Comprehensive Psychiatry, 49, 460–468.Google Scholar
Williams, P. (2010). Psychotherapeutic treatment of Cluster A personality disorders. In Clarkin, J. F., Fonagy, P., & Gabbard, G. (Eds.), Psychodynamic Psychotherapy for Personality Disorders (pp. 165–186). Washington, DC: American Psychiatric Publishing.Google Scholar
Winnicott, D. W. (1965). The Maturational Process and the Facilitating Environment. New York: International Universities Press.Google Scholar
Yang, Y., & Raine, A. (2009). Prefrontal structural and functional brain imaging findings in antisocial, violent, and psychopathic individuals: A meta-analysis. Psychiatric Research, 17, 81–88.Google Scholar
Young, J. E., Klosko, J. S., & Weishaar, M. E. (1993). Schema Therapy: A Practitioner’s Guide. New York: Guilford Press.Google Scholar
Zanarini, M. C., & Frankenburg, F. R. (2008). A preliminary, randomized trial of psychoeducation for women with borderline personality disorder. Journal of Personality Disorders, 22, 284–290.CrossRefGoogle ScholarPubMed
Zanarini, M. C., Frankenburg, F. R., Hennen, J. J., Reich, D. B., & Silk, K. R. (2005). Psychosocial functioning of borderline patients and Axis II comparison subjects followed prospectively for six years. Journal of Personality Disorders, 19, 19–29.Google Scholar
Zanarini, M. C., Frankenburg, F. R., Reich, D. B., & Fitzmaurice, G. (2010). The 10-year course of psychosocial functioning among patients with borderline personality disorder and Axis II comparison subjects. Acta Psychiatrica Scandinavica, 122, 103–109.Google Scholar
Zanarini, M. C., Frankenburg, F. R., & Vujanovic, A. A. (2002). Inter-rater and test-retest reliability of the diagnostic interview for borderlines. Journal of Personality Disorders, 16, 270–276.Google Scholar
Zanarini, M. C., Skodol, A. E., Bender, D. S., Dolan, R., Sanislow, C. A., Schaefer, E., … Gunderson, J. G. (2000). The Collaborative Longitudinal Personality Disorders Study: Reliability of Axis I and II diagnoses. Journal of Personality Disorders, 14, 291–299.Google Scholar
Zimbardo, P. G., Andersen, S. M., & Kabat, L. G. (1981). Induced hearing deficit generates experimental paranoia. Science, 212, 1529–1531.Google Scholar

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