PERSONALITY DISORDERS – LEC 03
History of DSM:
• Initial made in 1952. Many revisions were made along the way.
• It was not until 1980 the DSM-III came out. This was the biggest change since the
beginning. For example, the importance of a scientific basis was crucial if psychology
were to remain in the medical field. This is also where the concept of personality
disorders were introduced.
• Why we change the DSM: We know a lot more about disorders now then what we did
• In the 1950’s, the psychodynamic approach kind of ruled the era and highly influenced
the making of DSM. The schizophrenic mother hypothesis was a major theme in the
• Attacks that caused the revision of DSM-IV: PDs were using the categorical approach.
This made sense for Axis 1 disorders, for example major depressive; if you have 7
criterion of the 9, then you are diagnosed with major depression. This does not work for
personality, since personality is often measured on a continuum. It is not a all-or-
none...it’s a dimensional approach. The other problem was that many disorder share the
same symptoms. The most common PD is antisocial, then