Table 1.
Tentative “Cross Walk” for personality functioning and mentalizing poles.
| Aspects of personality functioning that contribute to severity determination of personality disorder in ICD-11 | Mentalizing poles | ||
|---|---|---|---|
| Degree and pervasiveness of disturbances in functioning of aspects of the self | Stability and coherence of one's sense of identity (e.g., extent to which identity or sense of self is variable and inconsistent or overly rigid and fixed) | Self, automatic, affective/cognitive, internal | |
| Ability to maintain an overall positive and stable sense of self-worth | Self, automatic, affective, internal | ||
| Accuracy of one's view of one's characteristics, strengths, limitations | Self, cognitive, internal | ||
| Capacity for self-direction (ability to plan, choose, and implement appropriate goals) | Self, cognitive, controlled, internal | ||
| Degree and pervasiveness of interpersonal dysfunction across various contexts and relationships (e.g., romantic relationships, school/work, parent-child, family, friendship, peer context) | Interest in engaging in relationships with others | Other, affective, automatic, internal | |
| Ability to understand and appreciate other's perspective | Other, affective/cognitive, internal | ||
| Ability to develop and maintain close and mutually satisfying relationships | Other, affective | ||
| Ability to manage conflict in relationships | Other, controlled | ||
| Pervasiveness, severity, and chronicity of emotional, cognitive, and behavioral manifestations of the personality dysfunction | Emotional manifestations | Range and appropriateness of emotional experience and expression | Self, automatic, affective |
| Tendency to be emotionally over- or underreactive | Self, automatic, affective | ||
| Ability to recognize and acknowledge unwanted emotions (e.g., anger, sadness.) | Self, affective, internal | ||
| Cognitive manifestations | Accuracy of situational and interpersonal appraisals, especially under stress | Other, self, cognitive | |
| Ability to make appropriate decisions in situations of uncertainty | Self, cognitive | ||
| Appropriate stability and flexibility of belief systems | Self, cognitive | ||
| Behavioral manifestations | Flexibility in controlling impulses and modulating behavior based on the situation and consideration of the consequences | Self, cognitive, controlled, external | |
| Appropriateness of behavioral responses to intense emotions and stressful circumstances (e.g., propensity to self-harm or violence) | Self, controlled, external | ||
The extent to which the dysfunction on the above areas are associated with distress or impairment in personal, family, social, educational, occupational, or other important areas of functioning.