One of the residents here relayed a rumor to me that Borderline PD will not be in the DSMV (or, maybe fall into PD NOS). Anyone heard about this?
If so, what will I diagnose my sister with?🙂
Unfortunately, it's a lot more complicated than this. According to "A Reseaerch Agenda for DSM-V," by Kupfer, First, and Regier, the entire personality disorder characterization is undergoing major review.
They point out that personality disorders have existed in every edition of the DSM, but were given increased prominence starting with DSM-III (1980), with the addition of the separate axis system, in order to bring closer attention to it as a treatment focus. The basic tenants of the disorders, however have not changed (i.e. they are maladaptive patterns, lifelong, deeply ingrained, etc.).
This purported system, however, is also not without its faults. Alternate dimension models, for example, have difficulty distinguishing between normal and abnormal personality or "living" patterns
per se.
All this is to say nothing of the now-on-the-verge biological markers that may also contribute to the formation of personality disorders. They go on to cite an example of Coccaro's literature on the remarkably consistent low 5-hydroxytryptamine activity across personality disordered samples.
They go on further to elucidate other aspects of interest in the nomenclature and development of what will eventually be DSM-V personality disorders.
To make a long story longer, they cite:
Childhood development assessment
Physical health
Treatment
Personality Traits/Disorders and their Relation to Axis I disorders
Personality Traits as a function of Axis I Spectrum Condition (they cite specifically two important subcategories: Schizophrenia spectrum and Mood disorder spectrum disorders)
Cross-Cultural and Gender issues
Relational disorders (a huge area of future research and likely inclusion into DSM-V) i.e. "Marital Conflict Disorder without Violence"
Then, some of these above categories are further subdivided into research and inclusion areas...i.e. Cultural attitues toward relational disorders
I really enjoy seeing the evolution of the DSMs, and those on the board for a while know I value my copy of the DSM-I with my life.
😍 Still the best one in my opinion....
Those interested should pick up the above mentioned book. It's good with a bottle of Merlot when you're bored. Or a good Belgium beer for that matter.
Still polishing off the cases of Seasonal Sam Adams people brought for me this Winter.....
/ circumstantiality
Since that time, there has been criticism directed toward the classification of such disorders, and indeed, only two of the PDs were empirically validated across samples prior to inclusion in the DSM. This is not to say, however, that these patterns of personality maladaptation do not exist, but that the "statistical" part of the Diagnostic and Statistical Manual, was essentially lacking.
This criticism led to what many on the DSM-V taskforce are strongly considering....a spectrum or dimensional approach to personality disorders, using supposedly validated assessment instruments. The examples they cite include the Five Factor Model (FFM), the Tridimensional Character Inventory (TCI), the Dimensional Assessment of Personality Psychopathology-Basic Questionnaire (DAPP-BQ), and the Schedule for Nonadaptive and Adaptive Personality (SNAP).
), borderlines & histrionics ostracized to the point that they might remit a LOT faster in a more impoverished culture, etc.... Not that I'm advocating burning myself at the stake or throwing all the hustlers to the lions.... Actually I'm looking for a program that has really strong DBT & CBT... 
