What we’ve said about Alternative model for personality disorders

“it's alternative because it's not hypothetical. It's considered a coexisting and as valid model as the traditional DSM-IV model for personality disorders. This is a DSM system, you know, APA approved”

“DSM-5 alternative model, personality functioning is split up into self and interpersonal. And under the self realm, we have identity. And we have self-direction”

“your self-functioning is how you feel and relate to yourself and how you can make yourself do certain things or not. Self-control, self-regulation, self-appraisal. self understanding”

“Now, let's go to level three. That's severe impairment. This would be clearly if you have at least two domains impaired personality disorder”

“In the DSM-5 alternative model for personality disorder system, I would rate That his identity functioning is at least at a moderate level of impairment. His self-direction is again, at least at a moderate level of impairment”

“I want to know things like, what's the longest job you've had? Were there any gaps in your educational history and into your work history? Why did those gaps happen? Did you get injured? Did you develop some kind of medical condition? Were you unsure of what you wanted to do”

“Do they seem to be able to automatically access and describe the reactions and internal motivations of other people? Or do they mostly conceptualize things outside themselves? Like all these other people are doing things to me”

“You want to know a number of relationships, duration of relationships, how they met, how they broke up. You don't necessarily have all the time for this, but you can get a sense of it sometimes automatically”

“using questions from this type of R, in my opinion, gets you a lot of clinical data automatically for all the four elements of personality functioning that you see in the alternative model”

“it's very important to assess these things in ostensibly normal patients. What do I mean by ostensibly normal? I mean patients that seem to have relatively normal personality functioning just on the face of it”

“Okay, you get enough data for that, you can make the diagnosis. You can say, I have detected sufficient impairment based on this model in personality functioning. It's present over time. I also assessed and considered for the possibility that these impairments were not due to the personality”

“the personality disorder categories as described in DSM are terrible in the primary section, not the alternative model, by the way, section three. The DSM-5 has an alternative model that I think is very good and that people should be really familiarizing themselves with”

“I prefer Kernberg's borderline personality organization concept and the DSM-5's alternative model for personality disorders in section three, where essentially we just think of impaired personality functioning”

“if we simply look at criterion a and we look at level of personality functioning i don't know if i've made a borderline personality disorder diagnosis in the last two years okay most of the time i just point to maladaptive personality traits or problems of personality functioning”

“The DSM alternative personality classification is a big improvement on the regular DSM personality categories. But unfortunately, from my perspective, it's dimensional. That's why it's a big improvement. But they tried to do it based on traits”

“in forensics, as much as I'm a fan of the alternative model, it's not very practical for use, especially for one-off evaluations, yet it's still so important”