Personality in DSM–5: Helping Delineate Personality Disorder Content and Framing the Metastructure

Abstract

The transition from the Diagnostic and Statistical Model of Mental Disorders (4th ed., text revision [DSM–IV–TR]; American Psychiatric Association, 2000) to the fifth edition (DSM–5) represents an unprecedented opportunity to integrate dimensional personality trait models into the official nosology. Not surprisingly, a variety of issues have arisen in contemplating this challenging integration. In this article, we address how a dimensional personality trait model could be a helpful component of DSM–5, from the perspective of our roles as work group members and advisors involved in the creation of a trait model and corresponding assessment instrument. We focus in particular on two potential roles for a trait model in DSM–5 that are under official consideration. First, a dimensional personality trait model might be helpful in delineating the content of personality disorders. Second, a trait model might assist in organizing the “metastructure” of DSM–5 (i.e., the arrangement of chapters and other broader classificatory rubrics).