PMID- 10402698 OWN - NLM STAT- MEDLINE DCOM- 19990803 LR - 20190831 IS - 0005-7967 (Print) IS - 0005-7967 (Linking) VI - 37 Suppl 1 DP - 1999 Jul TI - Do personality disorders exist? On the validity of the concept and its cognitive-behavioral formulation and treatment. PG - S97-134 AB - Since the introduction of personality disorders as important diagnostic categories in the DSM-III [APA (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: American Psychiatric Association] the concept of personality disorder (PD) has met both skepticism and enthusiasm. This paper addresses criticisms, reviews theoretical and empirical evidence for the concept of personality disorders (PD), critically discusses widespread clinical ideas about PDs, and reviews cognitive-behavioral models and treatments of PDs. It is concluded that there is enough evidence for the usefulness of PDs as diagnostic categories. A confirmatory factor analysis for instance yielded very reasonable evidence for the categories hypothesized by the DSM. Contradicting widespread ideas, research indicates that PDs are not a contraindication for cognitive-behavioral treatments of axis-I problems, and that there are even indications that PD pathology itself can be successfully treated using modified CBT methods. In stark contrast to the generally rich empirical history of CBT, research on cognitive models and treatment of PDs is virtually absent. However, the sparse attempts indicate that cognitive models may be fruitful in this area. Future research should be directed at further developing and testing cognitive conceptualizations and treatment models. FAU - Arntz, A AU - Arntz A AD - Department of Medical, Clinical and Experimental Psychology, University of Maastricht, Netherlands. arnoud.arntz@mp.unimaas.nl LA - eng PT - Journal Article PT - Review PL - England TA - Behav Res Ther JT - Behaviour research and therapy JID - 0372477 SB - IM MH - Adult MH - Behavior Therapy MH - Child MH - Cognitive Behavioral Therapy/*methods/trends MH - Female MH - Humans MH - Male MH - *Models, Psychological MH - Personality Disorders/*diagnosis/*therapy MH - Psychiatric Status Rating Scales/*standards MH - Reproducibility of Results RF - 109 EDAT- 1999/07/14 00:00 MHDA- 1999/07/14 00:01 CRDT- 1999/07/14 00:00 PHST- 1999/07/14 00:00 [pubmed] PHST- 1999/07/14 00:01 [medline] PHST- 1999/07/14 00:00 [entrez] AID - S0005-7967(99)00052-2 [pii] AID - 10.1016/s0005-7967(99)00052-2 [doi] PST - ppublish SO - Behav Res Ther. 1999 Jul;37 Suppl 1:S97-134. doi: 10.1016/s0005-7967(99)00052-2.