Not long ago—say, 1999 or so—the phrase “evidence-based approach to personality disorders” was clearly an oxymoron. In that era, reviews of personality disorders followed an archeological method. A learned author would describe what Freud, Jung, Adler, Kernberg, Kohut, and few disciples thought, then list the current Diagnostic and Statistical Manual of Mental Disorders criteria, without showing how one domain of knowledge related to the other. Writing about personality was a cottage industry without standards or regulation. No claim about personality, however arcane or misguided, could be discarded or disproven once it found its way into print.
Frank J. Personality Disorders. JAMA. 2006;295(3):332–333. doi:10.1001/jama.295.3.332
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