Five Personality Disorders, Detachment

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Personality disorders, according to the National Library of Medicine, “are long-term patterns of thoughts and behaviors that cause serious problems with relationships and work. People with personality disorders have difficulty dealing with everyday stresses and problems. They often have stormy relationships with other people. The exact cause of personality disorders is unknown. However, genes and childhood experiences may play a role.”

Researchers from a Rohde Island Hospital report that in case the five personality disorders are detached from the individuals, it will result in negative and false diagnosis for patients. This study got printed in the Periodical of Clinical Psychiatry and can be located online.

The work group of Personality disorders made many recommendations to modify the approach towards the diagnosis of personality disorders. One such recommendation is the removal of the five personality disorders with a view to diminish the level of co-morbidity among the disorders. Schizoid, histrionic, paranoid, narcissistic and reliant personality disorders were the ones which were to be removed earlier. More lately the similar work group suggested that narcissist should be retained. M.D and director of the Outpatient psychiatry department of Rohde Island Hospital, Mark Zimmerman, puts forward that none of the data cited described the influence which this deletion had or may have in future, on the absolute occurrence of personality disorders. In the similar manner no investigation was cited for the reversal of Work group in making a decision to keep hold of narcissistic personality disorder.

The guiding principle while amending the official diagnostic segmentation should not be the alerted in the absence of investigation demonstrating that, the novel approach is much superior to the traditional in either clinical utility or in validity. Zimmerman says they have witnessed that frequent instances of alterations being made in the nonexistence of enough data demonstrated that the novel criteria is much superior. To prove the hypothesis that removal of five personality disorders had negative impact, Zimmerman along with his colleagues examined 2150 psychiatric outpatients. Of these 2150 patients, one forth was diagnosed with 10 DSM-IV personality disorders. After removing this personality disorder, 59 participants who were diagnosed with a particular personality disorder could no longer be so diagnosed.  The findings concluded that the patients will have artificial and negative results if the negative personality disorders were deleted or removed. If the novel diagnostic material or criteria proved to be more clinically useful but less valid and reliable, then the categorization of personality disorders would not be enhanced.





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