15) The Transition to a Dimensional System for Personality Disorders. Main Advances and Limitations.

ALFONSO, G. ; FRANCO, B.C. ; CERVIGNI, M. ; MARTINO, P.; VALDEZ PAOLASINI, M.G.; GARGIULO, A.P.I.; GARGIULO, A.J.M.; GARGIULO, P.A.

Psychiatry and Neurosciences. From Episthemology to Clinical Psychiatry. Volume IV. Gargiulo, P.A. and Mesones, H.L. (Editors).

Springer-Nature Switzerland AG

Lugar: Cham ; Año: 2021; p. 527 - 536

15) The Transition to a Dimensional System for Personality Disorders: Main Advances and Limitations. Alfonso, Guillermo; Franco, Bruno César; Cervigni, Mauricio; Martino, Pablo; Valdez Paolasini, María Gabriela; Gargiulo, Augusto Pascual Ítalo; Gargiulo, Ángel José Martín; Gargiulo, Pascual Ángel. In: Gargiulo, Pascual Ángel; Mesones Arroyo, Humberto Luis (Editors). Psychiatry and Neuroscience Update. From Epistemology to Clinical Psychiatry. Vol. IV. Chapter 37. Pp. 527-536. ISBN 978-3-030-61720-2 ISBN 978-3-030-61721-9 (eBook). https://doi.org/10.1007/978-3-030-61721-9 © Springer Nature Switzerland AG 2021.- In Part IV, an effort to explain human pathological behaviors, tendency bridges from brain disorders to psychopathology is made. Here clinical projection lines are cultured. The first chapter of the part, Chap. 37, is headed by Guillermo Alfonso and directed by Pascual Ángel Gargiulo. It is about the transition to a dimensional system for Personality Disorders. In it, the main advances and limitations are considered. Starting from the debate between categorical and dimensional systems, the authors consider the position of DSM-V. Here we retain the categorical classification of previous editions for Personality Disorders (PD). However, an alternative evaluation system with dimensional bases is proposed. It is considered that this ?compromise solution? between the need to preserve the clinical tradition and the imperative of overcoming important diagnostic restrictions opened the doors for a better approach. The authors conclude that dimensional alternatives do not solve all the clinical problems but provide valuable resources tendency to a constant refinement in this discipline.AbstractThe debate between categorical and dimensional systems has marked the history of psychiatry and psychology from its origins. The former has often been criticized as reductionist, while the latter have been considered as anti-scientific. DSM-V retained the categorical classification of previous editions for Personality Disorders (PD) but integrated an alternative evaluation system with dimensional bases. This ?compromise solution? between the need to preserve the clinical tradition and the imperative of overcoming important diagnostic restrictions opened the doors for a better approach. This chapter summarizes the advantages and limitations of each perspective, considering the observations that have been made to the most widespread theories of personality, as well as to evaluation instruments that derive from them. The aim is to enrich the theoretical approaches without rejecting the baggage achieved so far. We propose a moderation of the use of self-records of the patient and a deeper analysis of the experiential Psychopathological history. We conclude that the dimensional alternatives do not solve all the clinical problems ? cut-off point for diagnosis, overlapping of diagnostic criteria, distinction between Axis I and Axis II disorders, preponderance of the conscious aspects- but provide valuable resources tending to the constant refinement that is expected from any discipline. Keywords: DSM V, Personality disorders, Categorical models, Dimensional models, Diagnose, assessment.