Assessment of pathological traits in DSM-5 personality disorders by the DAPP-BQ: How do these traits relate to the six personality disorder types of the alternative model?

Contains fulltext : 201303.pdf (Publisher’s version ) (Closed access)The six personality disorder (PD) types in DSM-5 section III are intended to resemble their DSM-IV/DSM-5 section II PD counterparts, but are now described by the level of personality functioning (criterion A) and an assigned trait profile (criterion B). However, concerns have been raised about the validity of these PD types. The present study examined the continuity between the DSM-IV/DSM-5 section II PDs and the corresponding trait profiles of the six DSM-5 section III PDs in a sample of 350 Dutch psychiatric patients. Facets of the Dimensional Assessment of Personality Pathology - Basic Questionnaire (DAPP-BQ) were presumed as representations (proxies) of the DSM-5 section III traits. Correlational patterns between the DAPP-BQ and the six PDs were consistent with previous research between DAPP-BQ and DSM-IV PDs. Moreover, DAPP-BQ proxies were able to predict the six selected PDs. However, the assigned trait profile for each PD didn't fully match the corresponding PD.22 p

Changing appearances: cosmetic surgery and body dysmorphic disorder

Cosmetic surgery has become increasingly popular in the past 15 years, and even seems to be common practice. The overall picture communicates that people profit from these interventions. Generally, people wish to alter their appearance when they are dissatisfied about their body image and when appearance determines their self-esteem to a great extent. Body image disturbances, such as body dysmorphic disorder (bdd), are situated within the extreme dissatisfaction range. Bdd is a serious disorder which is characterised by a preoccupation with an imaginary defect in appearance or an excessive concern about a slight physical abnormality. Patients can be effectively treated with cognitive behavioural therapy or a serotonin reuptake inhibitor, but most of them are convinced that cosmetic surgery is the only answer. Surgery outcome is often disappointing, however. This article aims to summarise the literature about cosmetic surgery and bdd and argues that cosmetic surgery patients should be screened psychologically to detect whether they have bdd. Results of a pilot study are presented to underpin this claim. (netherlands journal of psychology, 62, 34-41.)