![]() ![]() Early evidence around the reliability and validity of the new model appear promising, although at present there is still limited specific evidence due to the model being so recently finalized. ![]() The ICD-11 shows considerable alignment with the DSM-5 Alternative Model for Personality Disorders. Clinicians may also specify a borderline pattern qualifier. This diagnosis can be further specified as “mild,” “moderate,” or “severe.” Patient behavior can be described using one or more of five personality trait domains negative affectivity, dissociality, anankastia, detachment, and disinhibition. The ICD-11 classification abolishes all categories of personality disorder except for a general description of personality disorder. These included unnecessary complexity, inconsistency with data on normal personality traits, and minimal consideration of severity despite this being shown to be the major predictor of outcome. ![]() This was felt necessary because previous personality disorder classifications had major problems. The ICD-11 classification of personality disorders represents a paradigm shift in diagnosis.
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