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Doody's Review ServiceReviewer: Brett C. Plyler, M.D.(Northwestern Memorial Hospital)
Description: This book examines different models of personality disorders and how they can be used to redefine the DSM V.
Purpose: The authors' purpose is to publish the data presented at conference in December 2004 on dimensional models of personality. The conference is part of an ongoing series stimulated by the DSM V Research Work Planning groups in preparation for DSM V.
Audience: The audience includes any professional interested in alternative models of personality disorders and new research being done on this topic. It is written for resident level and above.
Features: This book publishes the presentations from a conference in December 2004. It beings with the examination of dimensional model of personality, i.e., not a series of descriptive statements as in DSM IV, but rather five factors of functioning: extraversion vs. introversion, antagonism vs. compliance, constraint vs. compulsivity, emotional dysregulation vs. emotional stability, and unconventionality vs. closed off to experience. A series of monographs then follows examining differing aspects of: how should genetics be added in; how to score each factor; what subsets to include; and neurobiological aspects of personality. Supportive and counter arguments are presented for each paper.
Assessment: This is a fascinating collection of presentations on personality disorders and alternative models for them. It does take a little time initially to understand the concept of a factor rating system and not a categorical model such as in DSM IV, and there are a lot of abbreviations for the myriad of personality tests and scoring systems. However, after getting my bearings, the discussions really expanded my understanding of the ongoing research on personality disorders both in terms of DSM V and the attempt to define them more clearly. I enjoyed the point-counterpoint method of the papers. Overall, an excellent choice for seeing where personality disorder work is and where it will be heading for the future.