While you're at it I'm curious about your perspective on whether PDs should be subsumed under other diagnostic constructs, and if so, which ones you think go where ;)
While you're at it I'm curious about your perspective on whether PDs should be subsumed under other diagnostic constructs, and if so, which ones you think go where ;)
So you'd change the name and conceptualization, but otherwise preserve the category? I have read that article, I was actually trying to ask what you think about proposals to do away with the grouping and reconceptualize individual PDs as manifestations of other DSM disorders or eliminate them. Came to mind because my intuition runs in the other direction from pmopenthread: I've known enough people whose cluster B traits improve when they do something about their raging untreated ADHD to make me suspicious. Winky face because I'm sure you're eager to dive into that kettle of worms on pleasant Sunday.
I think borderline personality disorder is an interesting case because it can be conceptualized as a mood disorder and trauma-related disorder as well as a personality disorder, and I suspect when a lot of people talk about "eliminating" PDs, they are thinking of borderline. But there are other personality prototypes that are harder to eliminate or subsume under other disorders. Eg, antisocial, narcissistic, avoidant, obsessive-compulsive. It's helpful to have a general category that focuses primarily on self-interpersonal dysfunction.
While you're at it I'm curious about your perspective on whether PDs should be subsumed under other diagnostic constructs, and if so, which ones you think go where ;)
I'm sympathetic to the recommendation that personality disorders should be renamed as interpersonal disorders, as discussed here: https://www.psychiatrymargins.com/p/either-all-psychopathology-is-personality
So you'd change the name and conceptualization, but otherwise preserve the category? I have read that article, I was actually trying to ask what you think about proposals to do away with the grouping and reconceptualize individual PDs as manifestations of other DSM disorders or eliminate them. Came to mind because my intuition runs in the other direction from pmopenthread: I've known enough people whose cluster B traits improve when they do something about their raging untreated ADHD to make me suspicious. Winky face because I'm sure you're eager to dive into that kettle of worms on pleasant Sunday.
I think borderline personality disorder is an interesting case because it can be conceptualized as a mood disorder and trauma-related disorder as well as a personality disorder, and I suspect when a lot of people talk about "eliminating" PDs, they are thinking of borderline. But there are other personality prototypes that are harder to eliminate or subsume under other disorders. Eg, antisocial, narcissistic, avoidant, obsessive-compulsive. It's helpful to have a general category that focuses primarily on self-interpersonal dysfunction.