A critique of Gunderson’s views of DSM-5: Commentary on “Seeking clarity for future revisions of the personality disorders in DSM-5”.

Abstract

Comments on the original article by Gunderson (see record 2013-45025-012). This commentary has three sections: (a) gratitude and agreements, (b) factual issues, and (c) disagreements. Clark first acknowledges potential conflicts of interest: She was a work group (WG) member for the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5; American Psychiatric Association, 2013). Clark is also the author of a trait-dimensional measure for personality disorder (PD) assessment, and she has worked for PD trait-dimensional diagnosis since 1980, when she was shocked to learn that although the third edition of the DSM (American Psychiatric Association, 1980) defined PD in terms of maladaptive traits, PD diagnosis was not based systematically on traits.