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4 - The Psychodynamic Core of Personality Disorder

Contemporary Concepts and Methods

from Part II - Contemporary Approaches to Traditional Conceptual Perspectives

Published online by Cambridge University Press:  25 June 2025

Konrad Banicki
Affiliation:
Jagiellonian University, Krakow
Peter Zachar
Affiliation:
Auburn University, Montgomery
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Summary

The contemporary personality disorder approaches found in the Alternative DSM-5 Model and the International Classification of Diseases 11th Edition model of personality disorder are organized along a core axis of personality functioning impairment. Both models represent personality disorder impairment dimensionally. Moreover, the psychological and psychiatric constructs subsumed in this core impairment dimension of personality functioning dovetail with contemporary advances in psychodynamic thinking. Specifically, object relations, attachment/mentalization, intersubjective, and narrative theories are embodied in the personality disorder impairment dimension. This chapter explicates the rich conceptual pluralism of these personality disorder models and identifies implications for measurement, empirical study, and clinical practice.

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Conceptualizing Personality Disorder
Perspectives from Philosophy, Psychological Science, and Psychiatry
, pp. 59 - 85
Publisher: Cambridge University Press
Print publication year: 2025

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