Am J Psychiatry 155:1767-1771, December 1998
©Copyright 1998 American Psychiatric Association
Limitations of Axis II in Diagnosing Personality Pathology in Clinical Practice
Drew Westen, Ph.D., and
Laura Arkowitz-Westen, Ph.D.
Objective:DSM-IV's axis II is limited to severe personality disturbances, posing difficulty for diagnosing less severe but nonetheless clinically significant personality pathology. The authors examined the percentage of patients treated in clinical practice for personality pathology who are diagnosable with DSM-IV. Method:Psychiatrists and psychologists from a random national sample provided diagnostic data on 714 patients treated for enduring, maladaptive personality patterns.Results:Only 39.4% of the patients had diagnosable axis II disorders. This percentage was relatively stable across clinicians' theoretical orientations and did not vary substantially when axis I diagnosis was controlled for.Conclusions:DSM-IV cannot be used to diagnose most patients being treated for personality problems. The range of axis II should be broadened to encompass the range of personality pathology seen in clinical practice. Am J Psychiatry 1998; 155: 1767-1771
This article has been cited by other articles:
|
|
|
|
 
D. Westen, J. Shedler, and R. Bradley
A Prototype Approach to Personality Disorder Diagnosis
Am J Psychiatry,
May 1, 2006;
163(5):
846 - 856.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. D. Miller, R. M. Bagby, P. A. Pilkonis, S. K. Reynolds, and D. R. Lynam
A Simplified Technique for Scoring DSM-IV Personality Disorders With the Five-Factor Model
Assessment,
December 1, 2005;
12(4):
404 - 415.
[Abstract]
[PDF]
|
|
|
|
|
|
|
J. G. Johnson, M. B. First, P. Cohen, A. E. Skodol, S. Kasen, and J. S. Brook
Adverse Outcomes Associated With Personality Disorder Not Otherwise Specified in a Community Sample
Am J Psychiatry,
October 1, 2005;
162(10):
1926 - 1932.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
S. T. Hauser
The Legacy of Enrico Jones
J Am Psychoanal Assoc,
June 1, 2005;
53(2):
535 - 539.
[PDF]
|
|
|
|
|
|
|
H. THOMPSON-BRENNER and D. WESTEN
Personality subtypes in eating disorders: validation of a classification in a naturalistic sample
The British Journal of Psychiatry,
June 1, 2005;
186(6):
516 - 524.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. Shedler and D. Westen
Refining Personality Disorder Diagnosis: Integrating Science and Practice
Am J Psychiatry,
August 1, 2004;
161(8):
1350 - 1365.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
D. Westen, J. Shedler, C. Durrett, S. Glass, and A. Martens
Personality Diagnoses in Adolescence: DSM-IV Axis II Diagnoses and an Empirically Derived Alternative
Am J Psychiatry,
May 1, 2003;
160(5):
952 - 966.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. Shedler
A New Language for Psychoanalytic Diagnosis
J Am Psychoanal Assoc,
June 1, 2002;
50(2):
429 - 456.
[Abstract]
[PDF]
|
|
|
|
|
|
|
M. Horowitz
Defining Character Integrity
J Am Psychoanal Assoc,
June 1, 2002;
50(2):
551 - 573.
[Abstract]
[PDF]
|
|
|
|
|
|
|
S. E. Davison
Principles of managing patients with personality disorder
Advan. Psychiatr. Treat.,
January 1, 2002;
8(1):
1 - 9.
[Full Text]
[PDF]
|
|
|
|
|
|
|
D. Westen and J. Shedler
Revising and Assessing Axis II, Part I: Developing a Clinically and Empirically Valid Assessment Method
Am J Psychiatry,
February 1, 1999;
156(2):
258 - 272.
[Abstract]
[Full Text]
|
|
|
|
|
|
|
D. Westen and J. Shedler
Revising and Assessing Axis II, Part II: Toward an Empirically Based and Clinically Useful Classification of Personality Disorders
Am J Psychiatry,
February 1, 1999;
156(2):
273 - 285.
[Abstract]
[Full Text]
|
|
|
Get information about faster international access.
Privacy Policy
Copyright © 1998
American Psychiatric Association.
All rights reserved.
Home
| Search
| Current Issue
| Past Issues
| Subscribe
| All APPI Journals
| Help
| Contact Us
|
