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This leaves clinicians with very little guidance for clinical practice, especially for diagnosis. What is more, most reviews have focused strictly on the links between psychotic symptoms and the categorically defined borderline PD, which contrasts with the growing movement that emphasizes a dimensional perspective (especially in psychology). Thus, the objectives of this critical review will be to (a) expose typical cases where PDs and psychotic symptoms might cooccur; (b) assess the state of scientific knowledge surrounding PD and psychotic symptoms; and (c) provide clinicians and researchers with recommendations to keep the field moving forward. We conclude that researchers and clinicians should move past the false \u201cPD or psychosis\u201d dichotomy since they often cooccur, avoid (as far as possible) making psychotic symptoms an exclusion criterion in PD research to enhance ecological validity, and consider dimensional PD diagnosis as a potential unifying solution to the dilemma posed by this cooccurrence.<\/jats:p>","DOI":"10.1002\/jclp.23655","type":"journal-article","created":{"date-parts":[[2024,2,7]],"date-time":"2024-02-07T01:46:04Z","timestamp":1707270364000},"page":"1003-1014","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Time to put aside the false dichotomy between personality disorders and psychotic symptoms"],"prefix":"10.1002","volume":"80","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2609-9275","authenticated-orcid":false,"given":"Philippe","family":"Leclerc","sequence":"first","affiliation":[{"name":"Facult\u00e9 d'\u00e9ducation Universit\u00e9 de Sherbrooke Sherbrooke Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8735-712X","authenticated-orcid":false,"given":"Dominick","family":"Gamache","sequence":"additional","affiliation":[{"name":"D\u00e9partement de psychologie Universit\u00e9 du Qu\u00e9bec \u00e0 Trois\u2010Rivi\u00e8res Trois\u2010Rivi\u00e8res Quebec Canada"},{"name":"CERVO Brain Research Centre Qu\u00e9bec City Qu\u00e9bec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5931-8182","authenticated-orcid":false,"given":"Lionel","family":"Cailhol","sequence":"additional","affiliation":[{"name":"D\u00e9partement de psychiatrie Centre int\u00e9gr\u00e9 universitaire de sant\u00e9 et de services sociaux de l'Est\u2010de\u2010l'\u00cele\u2010de\u2010Montr\u00e9al Montr\u00e9al Qu\u00e9bec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,2,4]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association. 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