Dependent Personality Disorder in the DSM-IV and Beyond
Article first published online: 25 JAN 2006
Clinical Psychology: Science and Practice
Volume 4, Issue 2, pages 175–187, June 1997
How to Cite
Bornstein, R. F. (1997), Dependent Personality Disorder in the DSM-IV and Beyond. Clinical Psychology: Science and Practice, 4: 175–187. doi: 10.1111/j.1468-2850.1997.tb00108.x
- Issue published online: 25 JAN 2006
- Article first published online: 25 JAN 2006
- Received June 27, 1996; accepted September 4, 1996.
- dependent personality disorder;
- external validity
The DSM-IV dependent personality disorder (DPD) criteria are inconsistent with empirical research on dependency in several respects. DPD is associated with a wider range of disorders than is acknowledged in the DSM-IV, and is less prevalent in outpatient settings than the DSM-IV suggests. Contrary to the assertions of the DSM-IV, women receive DPD diagnoses at higher rates than men do. Two of the eight DSM-IV DPD symptoms are contradicted by empirical research on dependency, and two other symptoms have never been tested empirically. A revised set of DPD criteria is offered that (a) emphasizes the dependency-related cognitions central to DPD, (b) makes explicit the variability of the dependent person's relationship-facilitating behavior, and (c) minimises attachment-related confounds that characterize the current DPD criteria.