A practical way to diagnosis personality disorder: A proposal

C. Robert Cloninger

    Research output: Contribution to journalArticlepeer-review

    227 Scopus citations


    General criteria for the diagnosis of personality disorder are provided based on rating a few items describing four core features of personality disorder: (a) low Self-directedness, (b) low Cooperativeness, (c) low Affective Stability, and (d) low Self-transcendence. These core features correspond closely with the basic concept of personality disorder in DSM-IV and are based on specific items easy for clinicians to rate in a short time. Criteria are also provided for rating severity of personality disorganization and for subtyping based on a profile of three additional dimensions corresponding to core features of DSM-IV clusters A, B, and C. This approach should facilitate efficient screening in clinical practice, encourage an understanding of the development of comorbidity as a self-organizing process, and provide a theory-driven basis for therapeutic planning with drugs and psychotherapy.

    Original languageEnglish
    Pages (from-to)99-108
    Number of pages10
    JournalJournal of Personality Disorders
    Issue number2
    StatePublished - 2000


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