{[ promptMessage ]}

Bookmark it

{[ promptMessage ]}

rr#4 - 1 There has been a great deal of controversy and...

Info icon This preview shows pages 1–2. Sign up to view the full content.

View Full Document Right Arrow Icon
1. There has been a great deal of controversy and opposition concerning the diagnostic criteria for personality disorders in the DSM-IV-TR, and the way in which personality disorders are defined. For example, many features in the diagnostic criteria for a certain personality disorder are also common to other personality disorders. As such, many question the reliability of the diagnoses of personality disorders. Also, diagnosing a personality disorder according to the DSM may require obtaining information that is difficult to acquire. Specific information about how a person interacts with others and how stable their traits are is often difficult to determine. This may also contribute to low reliability in diagnoses of personality disorders. In addition, the DSM-IV-TR defines personality disorders as representing constant and unchanging attributes. Yet, there is evidence that the symptoms themselves and the severity of the symptoms in people diagnosed with personality disorders can change over time. Another major controversy concerns the gender and ethnic differences observed in the diagnoses of personality disorders. Many argue that theses differences represent biases in either how the DSM defines the personality disorders or in how the clinicians apply the diagnostic criteria. For example, some personality disorders (histrionic, dependent, and borderline) may be more often diagnosed in women because the criteria for these disorders coincides with longstanding stereotypical views of women. Biases may also occur because clinicians may often not realize the vast number of ways in which symptoms may be expressed. In order to eliminate biased applications of diagnostic criteria, some advocate the use of structured (as opposed to unstructured) interviews. Also, others have advocated a change in the DSM criteria itself; that there should be the same amount of symptoms and diagnoses for disordered variations of male and female personality traits. One of the biggest controversies involves the categorization of personality disorders. The disorders are categorized in a manner that indicates that their features and characteristics are completely different from more standard personalities. However, many argue that personality disorders are not defined by sets of characteristics completely different from standard personalities, but rather, personality disorders are defined as being extremes of standard personalities. Some advocate that construction of personality disorders in the DSM-IV-TR should be based on the five-factor model of personality, and that personality disorders should be recognized as extreme forms of the different personalities within the five factor model. These advocates point out that the current construction of personality disorders in the DSM (which is based purely on observations from research and clinical settings) lacks an underlying theory for personality disorders. As such, further research of personality disorders is difficult because there is no theory from which to generate hypotheses and perform subsequent tests.
Image of page 1

Info icon This preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
Image of page 2
This is the end of the preview. Sign up to access the rest of the document.

{[ snackBarMessage ]}

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern