La evaluación de los trastornos de la personalidad según el DSM-5: Recursos y limitaciones

Abstract

This paper aims at reviewing interviews and self-reports avalaible in Spanish for the assessment of personality disorders (PD) according to DSM-5. The current approach to PD appears in Section II of DSM-5 and has not changed from that in DSM-IV, except that they are moved to the main disorder section from Axis II. However, there is an alternative model developed in Section III. PD are characterized by impairments in personality functioning and by pathological personality traits. Diagnostic categories derived from this model include only antisocial, avoidant, borderline, narcissistic, obsessive-compulsive and schizotypal personality disorders. Diagnostic categories are assessed with structured clinical interviews, such as SCID-II or IPDE. In turn pathological personality traits are assessed with self-reports specifically designed for DSM-5 alternative dimensional model, such as PID-5, or with more general self-reports, such as MMPI-2-RF, MCMI-III or PAI. Self-reports have a tendency to over-diagnose personality disorders. Suggestions for future research are outlined.