<P>The notion of character disorder in children remains highly controversial given unanswered questions regarding personality formation. According to the Diagnostic and Statistical Manual of Mental Disorders, fourth edition, personality is defined as “enduring patterns of perceiving, relating to and thinking about the environment and oneself … when they are maladaptive and inflexible, they constitute Personality Disorders.” Currently, such disorders are “generally recognized by adolescence or earlier.” DSM-IV continues, however, by emphasizing corresponding diagnoses given to children and adolescents, such as Conduct Disorder, as an earlier equivalent to Antisocial Personality Disorder. Narcissistic Personality Disorder (NPD) has no such equivalent despite the acknowledgment that it develops earlier than 18 years. The ambivalence and ambiguity regarding personality disorder in children are further highlighted by the suggestion that one can apply the diagnosis of personality disorder to children if the traits are stable for at least 1 year and are not limited to a particular developmental stage.
</P><H4>ABOUT THE AUTHOR
</H4><P>Karen Kernberg Bardenstein, PhD, is with Case Western Reserve University, Cleveland, OH.
</P><P>Address correspondence to: Karen Kernberg Bardenstein, PhD, 12429 Cedar Road, Suite 18, Cleveland Heights, OH 44106; or e-mail <A HREF="MAILTO:kkbard@earthlink.net">kkbard@earthlink.net</a>.
</P><P>Dr. Bardenstein has disclosed no relevant financial relationships.
</P>