Publications by authors named "Jaime L Shapiro"
The alternative dimensional model of personality disorder (PD) diagnosis, based on personality-functioning impairment and pathological traits, opens the door for tailoring treatments to individuals with more homogeneous personality profiles than diagnostic categories. Such a transdiagnostic PD treatment approach requires robust, replicable, personality-relevant dimensions, which we found using a large battery of self-report measures: Self-pathology and negative affectivity (NA) traits, interpersonal pathology and detachment traits, and interpersonal pathology and antagonism traits. Using these dimensions, we identified three groups that had, respectively, elevations on (1) all three dimensions, (2) self-pathology/NA (with/without interpersonal-pathology elevation(s)) and (3) either or both interpersonal-pathology dimensions, without elevated self-pathology/NA.
View Article and Find Full Text PDFThe alternative model of personality disorder in the (5th ed.; American Psychiatric Association, 2013), Section III, "Emerging Measures and Models," includes both personality dysfunction and pathological-range traits. However, the nature of personality dysfunction and its relation to pathological-range traits needs further explication.
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- * It introduces the concept of PD-trait specified (PD-TS), which can be Simple PD-TS (general PD criteria without specific type), Mixed PD-TS (criteria for 1-2 types and additional traits), or Complex PD-TS (criteria for 3 or more types).
- * A study with 165 outpatients and 215 high-risk community adults suggests that using PD-TS as the sole diagnosis instead of specific PD types would make the classification system simpler and more clinically effective.