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<p>The introduction of DSM‑5 and ICD-11 marks a&#xa0;paradigm shift in the diagnostics of personality disorders (PD), with a&#xa0;growing emphasis on dimensional rather than purely categorical conceptualizations. The hybrid model presented in DSM‑5 section III offers a&#xa0;promising framework for integrating the traditional categorical approach with the new dimensional assessment. Rather than defining PD solely through distinct categories, this model incorporates dimensional modules evaluating both personality functioning and maladaptive personality traits. This article presents the Structured Clinical Interview for the Alternative DSM‑5 Model for Personality Disorders (SCID-5-AMPD), a&#xa0;novel semi-structured diagnostic interview composed of three modules. The first module assesses the level of personality functioning by identifying impairments in identity, self-direction, empathy and intimacy. The second module evaluates maladaptive personality traits across five domains: negative affectivity, detachment, antagonism, disinhibition and psychoticism. The third module facilitates the diagnosis of six specific PDs based on combinations of functional impairments and trait expressions. To demonstrate its clinical utility, a&#xa0;case example illustrates the application of the SCID-5-AMPD. An overview of initial psychometric findings from international studies suggests satisfactory reliability and validity for all three modules, whereby the first module has been the most investigated by far. The article concludes by discussing the implications of this new model for both assessment and treatment of PD.</p>

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Dimensionale Diagnostik von Persönlichkeitsstörungen in der Praxis: das SCID-5-AMPD im Überblick

  • 期刊论文

  • 发表日期：

    2025年8月29日

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  • Susanne Hörz-Sagstetter,
  • Leonie Kampe,
  • Johannes Zimmermann

摘要

The introduction of DSM‑5 and ICD-11 marks a paradigm shift in the diagnostics of personality disorders (PD), with a growing emphasis on dimensional rather than purely categorical conceptualizations. The hybrid model presented in DSM‑5 section III offers a promising framework for integrating the traditional categorical approach with the new dimensional assessment. Rather than defining PD solely through distinct categories, this model incorporates dimensional modules evaluating both personality functioning and maladaptive personality traits. This article presents the Structured Clinical Interview for the Alternative DSM‑5 Model for Personality Disorders (SCID-5-AMPD), a novel semi-structured diagnostic interview composed of three modules. The first module assesses the level of personality functioning by identifying impairments in identity, self-direction, empathy and intimacy. The second module evaluates maladaptive personality traits across five domains: negative affectivity, detachment, antagonism, disinhibition and psychoticism. The third module facilitates the diagnosis of six specific PDs based on combinations of functional impairments and trait expressions. To demonstrate its clinical utility, a case example illustrates the application of the SCID-5-AMPD. An overview of initial psychometric findings from international studies suggests satisfactory reliability and validity for all three modules, whereby the first module has been the most investigated by far. The article concludes by discussing the implications of this new model for both assessment and treatment of PD.