{
  "abstract": "While the conceptualization of personality disorder (PD) moves toward a dimensional approach, the broader adoption within clinical practice appears slow. The lack of a unifying framework in diagnostic classifications might explain this issue. Here, psychopathy, arguably the most pervasive and treatment-resistant PD variant, is presented as a key to integrating dimensional PD constructs and psychotherapy. The Dynamic Model of Psychopathy Assessment and Treatment Framework (DMP-ATF) provides a coalescing structure that, by virtue of its characterization of pivotal developmental psychological processes, hypothetically transcends variations in population, age, and clinical severity, to situate PD within a universal context. The redefined and integrated psychopathy construct and its associated framework represent a meta-theoretical approach that can unify therapeutic models, techniques, and principles to advance psychotherapy integration based on dimensional PD constructs, while placing personality and its psychopathology within a common structure. A system for converting externalizing behaviors into self-conscious emotions and needs, while managing risk, is additionally provided. While these proposals are compatible with contemporary biopsychosocial and treatment-oriented PD models and a trending treatment optimism, they await empirical validation.",
  "abstract_shown": true,
  "affiliations": [
    "St. Olav’s University Hospital, Nidaros District Psychiatric Center (DPS)"
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 1,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Aina Gullhaugen"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/axwg47wqd0pc7.bib",
  "cited_by": 0,
  "doi": "10.3389/fpsyt.2026.1937903",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13736728/",
  "id": "axwg47wqd0pc7",
  "issns": [
    "1664-0640"
  ],
  "landing_url": "https://www.frontiersin.org/articles/10.3389/fpsyt.2026.1937903/full",
  "language": "en",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Hypothesis and Theory"
    ],
    [
      "openalex",
      "3203|Personality Disorders and Psychopathology"
    ]
  ],
  "openalex": "W7223179744",
  "pdf_url": "https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2026.1937903/pdf",
  "pmcid": "PMC13736728",
  "pmid": "42991227",
  "published": "2026-10-22",
  "publisher": "Frontiers Media SA",
  "ris": "https://research.draconitic.com/paper/axwg47wqd0pc7.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:20:18Z",
      "native_id": "10.3389/fpsyt.2026.1937903",
      "source": "crossref",
      "url": "https://www.frontiersin.org/articles/10.3389/fpsyt.2026.1937903/full"
    },
    {
      "first_seen": "2026-11-09T12:22:07Z",
      "native_id": "PMC13736728",
      "source": "pmc",
      "url": "https://doi.org/10.3389/fpsyt.2026.1937903"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:3203|Personality Disorders and Psychopathology",
      "subfield": "psychiatry"
    }
  ],
  "title": "Psychopathy is a key to integrating dimensional personality disorder constructs and psychotherapy: toward a reformulation of personality and its disruption",
  "title_text": "Psychopathy is a key to integrating dimensional personality disorder constructs and psychotherapy: toward a reformulation of personality and its disruption",
  "type": "peer-reviewed",
  "updated_at": "2026-11-09T12:22:07Z",
  "url": "https://research.draconitic.com/paper/axwg47wqd0pc7",
  "venue": "Frontiers in Psychiatry",
  "versions": []
}