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Criterion A of the AMPD in HiTOP.

  • Author(s): Widiger, Thomas A
  • Bach, Bo
  • Chmielewski, Michael
  • Clark, Lee Anna
  • DeYoung, Colin
  • Hopwood, Christopher J
  • Kotov, Roman
  • Krueger, Robert F
  • Miller, Joshua D
  • Morey, Leslie C
  • Mullins-Sweatt, Stephanie N
  • Patrick, Christopher J
  • Pincus, Aaron L
  • Samuel, Douglas B
  • Sellbom, Martin
  • South, Susan C
  • Tackett, Jennifer L
  • Watson, David
  • Waugh, Mark H
  • Wright, Aidan GC
  • Zimmermann, Johannes
  • Bagby, R Michael
  • Cicero, David C
  • Conway, Christopher C
  • De Clercq, Barbara
  • Docherty, Anna R
  • Eaton, Nicholas R
  • Forbush, Kelsie T
  • Haltigan, JD
  • Ivanova, Masha Y
  • Latzman, Robert D
  • Lynam, Donald R
  • Markon, Kristian E
  • Reininghaus, Ulrich
  • Thomas, Katherine M
  • et al.
Abstract

The categorical model of personality disorder classification in the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (5th ed. [DSM-5]; American Psychiatric Association, 2013 ) is highly and fundamentally problematic. Proposed for DSM-5 and provided within Section III (for Emerging Measures and Models) was the Alternative Model of Personality Disorder (AMPD) classification, consisting of Criterion A (self-interpersonal deficits) and Criterion B (maladaptive personality traits). A proposed alternative to the DSM-5 more generally is an empirically based dimensional organization of psychopathology identified as the Hierarchical Taxonomy of Psychopathology (HiTOP; Kotov et al., 2017 ). HiTOP currently includes, at the highest level, a general factor of psychopathology. Further down are the five domains of detachment, antagonistic externalizing, disinhibited externalizing, thought disorder, and internalizing (along with a provisional sixth somatoform dimension) that align with Criterion B. The purpose of this article is to discuss the potential inclusion and placement of the self-interpersonal deficits of the DSM-5 Section III Criterion A within HiTOP.

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