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Case Reports
. 2018 Oct 29;18(1):351.
doi: 10.1186/s12888-018-1908-3.

Application of the ICD-11 classification of personality disorders

Bo Bach  1 , Michael B First  2
Affiliations
Case Reports

Application of the ICD-11 classification of personality disorders

Bo Bach et al. BMC Psychiatry. .

Abstract

Background: The ICD-11 classification of Personality Disorders focuses on core personality dysfunction, while allowing the practitioner to classify three levels of severity (Mild Personality Disorder, Moderate Personality Disorder, and Severe Personality Disorder) and the option of specifying one or more prominent trait domain qualifiers (Negative Affectivity, Detachment, Disinhibition, Dissociality, and Anankastia). Additionally, the practitioner is also allowed to specify a Borderline Pattern qualifier. This article presents how the ICD-11 Personality Disorder classification may be applied in clinical practice using five brief cases.

Case presentation: (1) a 29-year-old woman with Severe Personality Disorder, Borderline Pattern, and prominent traits of Negative Affectivity, Disinhibition, and Dissociality; (2) a 36-year-old man with Mild Personality Disorder, and prominent traits of Negative Affectivity and Detachment; (3) a 26-year-old man with Severe Personality Disorder, and prominent traits of Dissociality, Disinhibition, and Detachment; (4) a 19-year-old woman with Personality Difficulty, and prominent traits of Negative Affectivity and Anankastia; (5) a 53-year-old man with Moderate Personality Disorder, and prominent traits of Anankastia and Dissociality.

Conclusions: The ICD-11 Personality Disorder classification was applicable to five clinical cases, which were classified according to Personaity Disorder severity and trait domain qualifiers. We propose that the classification of severity may help inform clinical prognosis and intensity of treatment, whereas the coding of trait qualifiers may help inform the focus and style of treatment. Empirical investigation of such important aspects of clinical utility are warranted.

Keywords: Classification; ICD-11; Personality disorder; Severity; Trait.

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Conflict of interest statement

Ethics approval and consent to participate

Not applicable.

Consent for publication

Demographic and other patient specific information has been de-identified for each case.

Written informed consent was obtained from the patient for publication of this case report. A copy of the written consent is available for review by the editor of this journal.

Competing interests

The authors are involved in developing a structured interview to assess the ICD-11 classification of Personality Disorder.

Author Bo Bach is currently acting as an Associate Editor for BMC Psychiatry.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
Severe Personality Disorder with Borderline Pattern and prominent traits of Negative Affectivity, Dissociality, and Disinhibition
Fig. 2
Fig. 2
Mild Personality Disorder with prominent traits of Negative Affectivity and Detachment
Fig. 3
Fig. 3
Severe Personality Disorder with prominent traits of Dissociality and Disinhibition
Fig. 4
Fig. 4
Personality Difficulity with prominent traits of Negative Affectivity and Anankastia
Fig. 5
Fig. 5
Moderate Personality Disorder with promiment traits of Anankastia and Dissociality
See this image and copyright information in PMC

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