Personality disorders, by DSM-IV (American Psychological Association, 1994) definition, are long-standing/stable, first evidenced in adolescence or early adulthood, and have associated pervasive difficulties in both interpersonal and impulsive functioning. Based on these criteria, it is difficult to adequately assess personality pathology in older adults for whom adolescence and early adulthood may have occurred decades ago. Additionally, several authors have argued that the diagnostic criterion for personality disorders (e.g., impulsivity in sexual and legal domains, aggression, work-related perfectionism) are more relevant for younger adults as opposed to their older adult counter-parts (Agronin & Maletta, 2000; van Alphen, Engelen, Kuin, & Derksen, 2006; Segal, Coolidge, & Rosowsky, 2000).
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Cheavens, J.S., Lynch, T.R. (2008). Dialectical Behavior Therapy for Personality Disorders in Older Adults. In: Gallagher-Thompson, D., Steffen, A.M., Thompson, L.W. (eds) Handbook of Behavioral and Cognitive Therapies with Older Adults. Springer, New York, NY. https://doi.org/10.1007/978-0-387-72007-4_12
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