Bringing Dimensional Models of Personality Disorders (AMPD and ICD-11) into Practice: Implementation, Adaptation, and Real-World Challenges

During the last decades, the field of personality disorders has undergone a major paradigm shift, moving from categorical diagnostic systems toward dimensional models of personality disorders, such as the Alternative Model for Personality Disorders (AMPD) and the ICD-11 personality disorder system. These approaches conceptualize personality disorders in terms of impairments in personality functioning and pathological personality traits, offering a more evidence-based, nuanced, and clinically meaningful framework compared to classic categorical systems.However, despite substantial empirical support, the integration of the AMPD and ICD-11 models into routine clinical practice remains limited, reflecting a broader gap between advances in classification systems and their application in everyday clinical settings. Addressing this gap is essential to ensure that advances in personality disorder research translate into meaningful improvements in patient care. To date, only a few contributions have addressed the practical challenges of such implementation in real-world settings. This underscores the need to move beyond validation and toward clinical translation and implementation, by examining how AMPD and ICD-11 models can be meaningfully integrated into everyday practice.This Research Topic aims to bridge the gap between research and clinical practice by focusing on the implementation of AMPD and ICD-11 models of personality disorders in real-world settings. Specifically, it seeks to:-Explore how AMPD and ICD-11 models can be operationalized in routine care-Examine how existing evidence-based assessment can be adapted and/or used within AMPD and ICD-11 frameworks-Examine how existing evidence-based treatments can be adapted and/or used within AMPD and ICD-11 frameworks-Identify barriers and facilitators to implementation-Evaluate acceptability, feasibility, and sustainability across clinical contextsWe welcome submissions addressing, but not limited to, the following themes:-Clinical translation of AMPD and ICD-11 models: use in clinical assessment and diagnosis; dimensional case formulation and clinical decision-making-Adaptation of evidence-based treatments: integration of AMPD and ICD-11 models into existing treatments for personality disorders (e.g., DBT, MBT, TFP, GPM, SFT)-Implementation processes and strategies: training and supervision models for clinicians; integration into service organization; use of implementation science frameworks (e.g., CFIR)-Barriers and facilitators to implementation: clinician attitudes, knowledge, and resistance; institutional, organizational, and systemic constraints; cultural and contextual influences on adoption-Acceptability, feasibility, and sustainability: perspectives of clinicians, patients, and healthcare systems; feasibility and pilot studies; long-term integration and scalability of AMPD and ICD-11 models-Real-world and service-level applications, particularly in adult clinical settings: naturalistic and cohort studies; program descriptions (e.g., in-patient units, day hospitals)We welcome a broad range of article types, including:-Original Research-Brief Research Reports-Systematic Reviews-Mini-Reviews-Clinical Trials-Conceptual Analyses/Hypotheses and Theories (only if they propose a novel adaptation of current approaches)-Case Reports-Community Case Studies Topic editors: Martin Blay, Joost Hutsebaut, Carla Sharp, Mario Speranza Source: https://www.frontiersin.org/research-topics/80504/bringing-dimensional-models-of-personality-disorders-ampd-and-icd-11-into-practice-implementation-adaptation-and-real-world-challenges