Amendment of Statement of Principles concerning personality disorder No. 14 of 1997 (Cth)

Instrument No.14 of 1997

Amendment of Statement of Principles

concerning

PERSONALITY DISORDER

ICD CODES: 301.0, 301.10, 301.11, 301.12, 301.2 - 301.9

Veterans’ Entitlements Act 1986
subsection 196B(3)

The Repatriation Medical Authority amends, under subsection 196B(3) of the Veterans’ Entitlements Act 1986 (the Act), Instrument No.144 of 1995, (Statement of Principles concerning personality disorder), by:

1.         omitting the words “ICD CODE: 301” in the heading of the Instrument and replacing them with the following:

“ICD CODES: 301.0, 301.10, 301.11, 301.12, 301.2 - 301.9”

2.         omitting the definitions of “ICD code” and “personality disorder” in paragraph 4 and replacing them with the following definitions:

“'ICD code' means a number assigned to a particular kind of injury or disease in the Australian Version of The International Classification of Diseases, 9th revision, Clinical Modification (ICD-9-CM), effective date of 1 July 1996, copyrighted by the National Coding Centre, Faculty of Health Sciences, University of Sydney, NSW, and having ISBN 0 642 24447 2;

‘personality disorder’ means a psychiatric condition, attracting ICD code 301.0, 301.10, 301.11, 301.12 or a code in the range 301.2 to 301.9, derived from DSM-IV, meeting the following criteria,

(a)       an enduring pattern of inner experience and behaviour that deviates markedly from the expectations of the individual's culture, manifested in at least two of the following areas:

(i)        cognition (ie. ways of perceiving and interpreting self, other people and events);

(ii)       affectivity (ie. the range, intensity, lability, and appropriateness of emotional response);

(iii)     interpersonal functioning;

(iv)      impulse control; and

(b)       the enduring pattern is inflexible and operative across a broad range of personal and social situations; and

(c)       the enduring pattern leads to clinically significant distress or impairment in social, occupational, or other important areas eg. functioning; and

(d)       the pattern is stable and of long duration and its onset can be traced back at least to adolescence or early adulthood; and

(e)       the enduring pattern is not better accounted for as a manifestation or consequence of another mental disorder; and

(f)        the enduring pattern is not due to the direct physiological effects of a substance (eg. a drug of abuse, a medication) or a general medical condition (eg. head trauma), and may be identified as any of the following:

(i)        paranoid personality disorder attracting ICD code 301.0;

(ii)       schizoid personality disorder attracting ICD code 301.2;

(iii)      schizo typal personality disorder attracting ICD code 301.22;

(iv)      antisocial personality disorder attracting ICD code 301.7;

(v)        borderline personality disorder attracting ICD code 301.83;

(vi)      histrionic personality disorder attracting ICD code 301.50;

(vii)     narcissistic personality disorder attracting ICD code 301.81;

(viii)    avoidant personality disorder attracting ICD code 301.82;

(ix)      dependent personality disorder attracting ICD code 301.6;

(x)       obsessive-compulsive personality disorder attracting ICD code 301.4;

(xi)      personality disorder not otherwise specified attracting ICD code 301.9.

Note: The above criteria are derived from DSM-IV.”.

3. The amendments made by this instrument apply to all matters to which Instrument No.144 of 1995 and section 120B of the Act apply.

Dated this       Twenty-second     day of        January      1997

The Common Seal of the    )

Repatriation Medical Authority                   )

was affixed to this instrument   )

in the presence of:   )

KEN DONALD

CHAIRMAN