After all the hoopla, looking through the new DSM-5, it's incredible how few substantive changes there really are from DSM-IV. My personality disorders research group argued back and forth for years about radically changing that section, taking out certain disorders, adding "dimensions," etc. Turned out that the DSM left the section pretty much completely unchanged! They did put another chapter in the back of the book for anyone interested in the suggested "new" paradigm. No clinicians will be interested. They already "defer" personality disorder diagnosis as it is.My prediction: The DSM 5 will lead to precisely NO changes in the way psychiatry is practiced today by anyone, myself included.


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