RT Journal Article
SR Electronic
T1 Commentary: Inadequacy of the Categorical Approach of the DSM for Diagnosing Female Inmates With Borderline Personality Disorder and/or PTSD
JF Journal of the American Academy of Psychiatry and the Law Online
JO J Am Acad Psychiatry Law
FD American Academy of Psychiatry and the Law
SP 306
OP 309
VO 37
IS 3
A1 Oguntoye, Aderonke
A1 Bursztajn, Harold J.
YR 2009
UL http://jaapl.org/content/37/3/306.abstract
AB Warren and her colleagues’ timely exploration of the difficulties and uncertainties in diagnosing PTSD and personality disorders in the female inmate population raises fundamental questions for clinical as well as forensic analysis. Questions of under-reporting, over-reporting, and comorbidity in this population point to serious inadequacies in the scheme of categorical, context-independent diagnosis in the Diagnostic and Statistical Manual of Mental Disorders. The interplay of predisposition, life history, and current setting and circumstances can best be captured by a progressive refining of probability estimates. Such a diagnostic process calls for psychodynamically informed clinical and forensic interviewing. Additional recommendations are made for the purpose of achieving multidimensional, context-sensitive diagnosis and forensic evaluation.