Una nueva propuesta de clasificación de los trastornos de personalidad: la clasificación internacional de enfermedades CIE-11

Abstract

Formal classification of personality disorders are linked to the hippocratic four humors but the process initiated by the WHO aims at a fundamental change of conceptualizing in ICD-11. The categorial classification is completely replaced by a widely dimensional classification. 1. General criteria of a personality disorder are given; 2. three severity levels are differentiated; 3. five trait domains are evaluated: negative affectivity, detachment, dissociality, desinhibition and anankastia. Other qualifiers such as functional impairments of the self as well as of interpersonal relationships are probably only to be used in the future in the expert setting. The proposed ICD-11 personality disorder classification seem parsimonious and feasible for busy practitioners across countries and clinical settings and also alining with DSM-5 section III system.