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The ICD-11 classification of personality disorders: A European perspective on challenges and opportunities
Bach,Bo Kramer,Ueli Doering,Stephan di Giacomo,Ester Hutsebaut,Joost Kaera,Andres De Panfilis,Chiara Schmahl,Christian Swales,Michaela Taubner,Svenja
Bach,Bo
Kramer,Ueli
Doering,Stephan
di Giacomo,Ester
Hutsebaut,Joost
Kaera,Andres
De Panfilis,Chiara
Schmahl,Christian
Swales,Michaela
Taubner,Svenja
Abstract
The 11th revision of the World Health Organization (WHO) International Classification of Diseases (ICD-11) includes a fundamentally new approach to Personality Disorders (PD). ICD-11 is expected to be implemented first in European countries before other WHO member states. The present paper provides an overview of this new ICD-11 model including PD severity classification, trait domain specifiers, and the additional borderline pattern specifier. We discuss the perceived challenges and opportunities of using the ICD-11 approach with particular focus on its continuity and discontinuity with familiar PD categories such as avoidant PD and narcissistic PD. The advent of the ICD-11 PD classification involves major changes for health care workers, researchers, administrators, and service providers as well as patients and families involved. The anticipated challenges and opportunities are put forward in terms of specific unanswered questions. It is our hope that these questions will stimulate further research and discussion among researchers and clinicians in the coming years.
Description
Open Access funding enabled and organized by Projekt DEAL.
Date
2022
Journal Title
Journal ISSN
Volume Title
Publisher
Research Projects
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Journal Issue
Keywords
ICD-11, Avoidant personality disorder, Borderline personality disorder, Narcissistic personality disorder, Classification, Diagnosis, Personality trait, Severity, CLINICAL UTILITY, 5-FACTOR MODEL, LEVEL, TIME
Citation
Bach, B, Kramer, U, Doering, S, di Giacomo, E, Hutsebaut, J, Kaera, A, De Panfilis, C, Schmahl, C, Swales, M, Taubner, S & Renneberg, B 2022, 'The ICD-11 classification of personality disorders : A European perspective on challenges and opportunities', Borderline Personality Disorder and Emotion Dysregulation, vol. 9, no. 1, 12. https://doi.org/10.1186/s40479-022-00182-0