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The DSM-5 Alternative Model for Personality Disorders and Clinical Treatment: a Review

  • Personality Disorders (M Zimmerman, Section Editor)
  • Published:
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Abstract

Purpose of review

The goal of the current paper is to review the DSM-5 Alternative Model for Personality Disorders (AMPD), with particular focus on treatment of personality pathology. We briefly outline limitations of the traditional personality disorder diagnostic system, then, review differences between it and the AMPD, and how the alternative model can be applied for intervention planning.

Recent findings

Criterion A of the AMPD refers to the level of self and interpersonal impairment and is required for establishing the presence of a personality disorder diagnosis. Criterion B characterizes the nature of that diagnosis by virtue of maladaptive personality traits. Both criteria have been positioned as having important treatment value, particularly when considered jointly. Several publications illustrate the utility of the AMPD for streamlining assessment, case conceptualization, and treatment.

Summary

The diagnosis of personality disorder with the AMPD provides information with direct utility for case conceptualization and treatment planning. We review the clinical utility of the AMPD. In addition, we highlight limitations in the literature related to the AMPD, with directions for future research aimed at improving understanding of the utility of the AMPD. We further situate our discussion of the AMPD within a broader scientific climate with focus on improvement of both personality and non-personality diagnosis, conceptualization, and treatment.

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References and Recommended Reading

Papers of particular interest, published recently, have been highlighted as: •• Of major importance

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Authors and Affiliations

  1. Department of Psychology, Stony Brook University, Stony Brook, NY, USA

    Craig Rodriguez-Seijas PhD & Nicholas R. Eaton PhD

  2. Warren Alpert Medical School, Brown University, 38 Doyle Avenue, Apt. 4, Providence, RI, 02906, USA

    Craig Rodriguez-Seijas PhD

  3. Department of Psychology, University of North Texas, Denton, TX, USA

    Camilo Ruggero PhD

  4. Department of Psychology, University of Minnesota, Minneapolis, MN, USA

    Robert F. Krueger PhD

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  1. Craig Rodriguez-Seijas PhD
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  2. Camilo Ruggero PhD
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  3. Nicholas R. Eaton PhD
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  4. Robert F. Krueger PhD
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Correspondence to Craig Rodriguez-Seijas PhD.

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Craig Rodriguez-Seijas declares that he has no conflict of interest. Camilo Ruggero declares that he has no conflict of interest. Nicholas R. Eaton declares that he has no conflict of interest.

Robert F. Krueger is a coauthor of the PID-5 and provides consulting services to aid users of the PID-5 in the interpretation of test scores. PID-5 is the intellectual property of the American Psychiatric Association, and Dr. Krueger does not receive royalties or any other compensation from publication or administration of the inventory.

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Rodriguez-Seijas, C., Ruggero, C., Eaton, N.R. et al. The DSM-5 Alternative Model for Personality Disorders and Clinical Treatment: a Review. Curr Treat Options Psych 6, 284–298 (2019). https://doi.org/10.1007/s40501-019-00187-7

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