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19a - A Functional Understanding of the Relationship between Personality and Clinical Diagnoses and Implications for Treatment Planning: Commentary on Using DSM-5 and ICD-11 Personality Traits in Clinical Treatment

from Part V - Treatment

Published online by Cambridge University Press:  24 February 2020

By
Shannon Sauer-Zavala
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 commentary on the chapter from Bach and Presnall-Shvorin (this volume) describes the use of the five-factor model (FFM) in treatment planning. Specifically, Bach and Presnall-Shvorin describe how knowledge of a patient’s personality profile can enhance the therapeutic alliance and assist in the selection of treatment components. Their focus is largely at the facet level of the five broad domains, resulting in a large number of intervention strategies necessary to provide adequate coverage for disorder-based sequelae of the FFM. Using neuroticism as an exemplar, this commentary focuses on how clinicians can streamline treatment by understanding functional processes that explain associations between FFM domains and their downstream disorder manifestations. This may allow for a limited number of treatment elements (i.e., five) that may be applicable to the broad range of psychopathology, perhaps increasing treatment efficiency and increasing the likelihood that empirically supported interventions are routinely employed.

Keywords

personalityFive Factor Modeltreatmentfunctional analysisneuroticism
Type
Chapter
Information
The Cambridge Handbook of Personality Disorders , pp. 468 - 470
Publisher: Cambridge University Press
Print publication year: 2020

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