title: Retention or deletion of personality disorder diagnoses for DSM-5: an expert consensus approach.
abstract: One of the official proposals for the fifth edition of the American Psychiatric Association's (APA) diagnostic manual (DSM-5) is to delete half of the existing personality disorders (i.e., dependent, histrionic, narcissistic, paranoid, and schizoid). Within the APA guidelines for DSM-5 decisions, it is stated that there should be expert consensus agreement for the deletion of a diagnostic category. Additionally, categories to be deleted should have low clinical utility and/or minimal evidence for validity. The current study surveyed members of two personality disorder associations (n = 146) with respect to the utility, validity, and status of each DSM-IV-TR personality disorder diagnosis. Findings indicated that the proposal to delete five of the personality disorders lacks consensus support within the personality disorder community.
authors.affiliation: Department of Psychology, Oklahoma State University, 116 North Murray Hall, Stillwater, OK 74078, USA. stephanie.sweatt@gmail.com
authors.forename: Stephanie N
authors.initials: SN
authors.lastname: Mullins-Sweatt
authors.forename: David P
authors.initials: DP
authors.lastname: Bernstein
authors.forename: Thomas A
authors.initials: TA
authors.lastname: Widiger
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D032921:Consensus; D003625:Data Collection; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010554:Personality Disorders / Q000145:classification / Q000175:diagnosis*; D011570:Psychiatry / Q000592:standards*; D012955:Societies, Medical; D011795:Surveys and Questionnaires; D000078329:Workforce