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Commentary: The Problematic <em>DSM-5</em> Personality Disorders Proposal: Options for Plan B

J Clin Psychiatry 2011;72(10):1341-1343

Dissatisfaction with the DSM-IV classification of personality disorders has led to calls for a significant overhaul in the classification of personality disorders for DSM-5. The DSM-5 Personality and Personality Disorders Work Group has proposed a radically new approach, but has not set forth alternative options for consideration. This commentary explores the benefits and drawbacks of alternative options, which include leaving the classification system basically unchanged, as is suggested by Zimmerman and colleagues; changing the personality classification incrementally to transition from the current familiar categorical approach to a superior dimensional framework; and implementing dimensionalized versions of the DSM-IV categories.