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Do not copy complete sentences out of the article without also explaining in you

ID: 3484741 • Letter: D

Question

Do not copy complete sentences out of the article without also explaining in your own words.

3. What were the three different dimensional approaches described in the article?

4. According to the article, why has the FFM been a popular framework for understanding personality and/or personality disorders?

Dimensional models of personality disorder: Diagnostic and Statistical Manual of Mental Disorders Fifth Edition and beyond Timothy J. Trull, Sarah L. Tragesser, Marika Solhan and Rebecca Schwartz-Mette Introduction Diagnostic manuals of mental disorders continue to Purpose of review We describe several dimensional models of personality disorders and highlight future directions for the integration represent the personality disorders in a categorical way, of dimensional approaches in the Diagnostic and Statisticalcoded as cither prescnt or absent. The Diagnostic and Manual of Mental Disorders, Fifth Edition (DSM-V). This Statistical Manual of Mental Disorders, Fourth Edition, Tex! review is timely and relevant, given the upcoming revision ofRevision (DSM-IV-TR) [1], however, does acknowledge DSM (DSM-V) Recent findings Research has identified four common higher order factors rcpresent maladaptive variants of personality traits that that could be used to characterize personality pathology Evidence supports the inclusion of this dimensional representation of personality disorders in DSM-V, possibly Association and thc National Institute of Mcntal Health as an adjunct to the traditional categorical classification scheme. A dimensional approach would ameliorate many of and Statistical Manual of Mental Disorders, Fifth Edition the problems associated with the categorical approach. Issues that still need to be addressed are on how to integrate these dimensions into the current classification system in a way that they will be accepted by clinicians and They emphasized, in particular, the development ofa psychopathologists. The clinical utility of the dimensional models must be demonstrated, and the development of a end, an international conference was held recently that method that combines trait elevations and impairment associated with personality pathology is needed in order to of personality disorders and suggested how such a system define personality disorder from a dimensional perspective.might be implemented [3"]. Summary Although there may be some initial resistance to the incorporation of the dimensional models in the future diagnostic manuals, researchers and clinicians are expected to benefit from the more reliable and valid portrayal of personality pathology that 'an alternative perspective to the categorical approach is the dimensional perspective that personality disorders merge imperceptibly into normality and into one another (p. 689). A joint committee of the American Psychiatric charged with identifying pressing issues for Diagnostic (DSM-V) concluded that 'there is a clear need for dimen- sional models to be developed and for their utility to be compared with that of existing typologics' (12], p. 13). dimensional model of personality disorder. Toward this reviewed the empirical evidence for a dimensional model The article reviews recent evaluations of dimensional approaches to the description of personality disorders and personality pathology. More in-depth treatments of this topic are available 4",5]. First, our review briefly dis- cusses the limitations of the current categorical model of personality disorders. Next, we present alternative pro- posals for 'dimensionalizing' personality pathology and discuss recent findings relevant to these approaches. We then present an integrative dimensional model of person lity pathology that is receiving increasing attention. Finally, we discuss several issues that need to be addressed to facilitate the adoption of a dimensional model of personality disorder clinical utility, dimensional models, personality disorder personality pathology Curr Opin Psychiatry 20:52-56. 2007 Lippincott Williams & Wilkins. University of Mssouri, Missouri, USA Corrpondence to Timothy J. Trull, Department of Psychology, University of Missouri, 1060 McAester, Columbia, MO 65211, USA e-mail: trulltmissoui.edu Categorical models of personality disorder In DSM-IV-TR, personality disorders are defined within a categorical, hierarchical taxonomic system The 10 personality disorders are polythetic categories defined by approximately 7-9 items, of which a subset must be present in order to meet the diagnostic threshold. In addition, the DSM-IV-TR includes a hierarchical system of three clusters of personality disorders. This categorical system does offer several pragmatic advan tages: it maps neatly on the decision of whether to Current Opinion in Psychiatry 2007, 20:52-56 Abbreviations DSM FFM Diagnostic and Statistical Manual of Mental Disorders five-factor model 2007 Lippincott Williams& Wilkins 0951-7367 52

Explanation / Answer

1.The first dimensional approach Quantification , By measuring or assigning value to the symptoms of each personality disorder in DSM.

This can be done in 2 ways.

The second approach is Trait approach. It involves Factor analysis and Cluster analysis of various traits that are present in a constructing the definition of the personality disorder.This approach provides us with a higher order pathology and the underlying traits which fall under its arch.

The third approach is Independent approach. It involves giving a new definition to personality disorders.This can be done by understanding the influence of traits in pathology.The aim is to understand personality disorders from a perspective that is independent of the already existing diagnostic criteria.

2.The five factor model has been popular in understanding personality and its pathology as it has the following advantages.

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