Criterion A of the AMPD in HiTOP

Abstract

The categorical model of personality disorder classification in the American Psychiatric Association's <i>Diagnostic and Statistical Manual of Mental Disorders</i> (5th ed. [<i>DSM-5</i>]; American Psychiatric Association, 2013 ) is highly and fundamentally problematic. Proposed for <i>DSM-</i>5 and provided within Section III (for Emerging Measures and Models) was the Alternative Model of Personality Disorder (AMPD) classification, consisting of Criterion A (self-interpersonal deficits) and Criterion B (maladaptive personality traits). A proposed alternative to the <i>DSM-5</i> more generally is an empirically based dimensional organization of psychopathology identified as the Hierarchical Taxonomy of Psychopathology (HiTOP; Kotov et al., 2017 ). HiTOP currently includes, at the highest level, a general factor of psychopathology. Further down are the five domains of detachment, antagonistic externalizing, disinhibited externalizing, thought disorder, and internalizing (along with a provisional sixth somatoform dimension) that align with Criterion B. The purpose of this article is to discuss the potential inclusion and placement of the self-interpersonal deficits of the <i>DSM-5</i> Section III Criterion A within HiTOP.