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Utility of the alternative DSM-5 model for personality disorders in the clinical practice

Publication at First Faculty of Medicine |
2016

Abstract

In Section III, Emerging Measures and Models, the fifth edition of the Diagnostic and Statistic Manual of Mental Disorders (DSM-5) introduces the Alternative Model for Personality Disorders (AMPD). It's an empirically based model of personality psychopathology, using two diagnostic tools: the Level of Personality Functioning Scale (LPFS) and the Personality Inventory for DSM-5.

The first method can be used to assess the level of personality impairment, while the other examines pathological personality traits. Both tools show good psychometric properties in many international studies, but their effectiveness in clinical diagnostics and treatment hasn't been sufficiently tested yet.

We aim to evaluate AMPD clinical effectiveness and provide a complex review of this dianostics for the Czech psychiatry and psychology professionals. We describe the AMPD theory foundation and evaluate clinical application, scoring and interpretation properties of both tools.

We mention utility of administration of the LPFS and PID-5 to psychiatric patients diagnosed with personality disorders in discussion. Further, we discuss implications of AMPD application, outcomes' interpretation and treatment planning.

Our evaluation is in accordance with previous findings of clinical effectiveness of the AMPD; however, we point out some areas that should be improved.