
"People with personality disorders (PDs) have, by definition, a set of traits or enduring dispositions that aren't working for them. Everyone has a " personality," and everyone has certain traits. In personality disorders, these traits get in the way of an individual's ability to adapt to life's changing circumstances. When diagnosing PDs, mental health professionals in the United States now have little choice but to decide what category best fits an individual's symptoms."
"Still needed, though, is a way to account for the challenges people with PDs experience when they make their way through life. This is where an individual is assessed for having disturbances in identity (sense of self) or in relations to others. The question is, how much do these separate domains help in both (a) diagnosis and, more importantly, (b) treatment? After all, what matters to people with PDs is how they can get better."
Personality disorders involve enduring traits that impair an individual's ability to adapt to changing circumstances. Diagnostic systems can rate pathological traits dimensionally rather than assign categorical labels, using the AMPD and ICD-11 frameworks. Assessment of identity and interpersonal functioning captures disturbances in sense of self and relations to others. Evaluating identity alongside pathological traits clarifies where personality characteristics end and personhood begins. Considering the whole person rather than isolated traits enhances clinical understanding, guides treatment priorities, and aligns assessment with patients' goals of improvement. Identity measures can contribute unique information beyond trait ratings.
Read at Psychology Today
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