It has been almost twenty years since DSM-III created a major shift
in psychi atric classification procedures and in diagnostic and
treatment practice by introducing the multi-axial system and, for
our patients specifically, the Axis II: Personality Disorders.
Researchers and clinicians were forced to focus on many issues
related to the field of personality and its disorders. This meant
an immense impetus for research, both empirical and theoretical.
Many recent developments are described in this book, as reviews or
as original articles. This book also covers developments in Europe
as well as in North America. Important questions still remain
unanswered, such as: What is the relationship between the different
clusters: A, B, & C? Are we talking about dimensions,
categories, or typologies? What can be done for patients who have
more than one personality disorder? Is a pro typical approach
required? Consequently, is a multiconceptual approach in treatment
and research required? The authors contribute to this discus sion
and provide guidelines for further thinking in research and
treatment planning. For clinicians, it is of major importance to
know whether the disorder can be influ enced by treatment, and
whether permanent change is really possible. A very impor tant
question is whether a person indeed has a personality disorder, and
how this diagnosis affects clinical practice."
General
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