A proposal made for DSM-IV was to include a means with which to provide a dimensional profile of a patient in terms of the diagnostic categories. However, a suggestion of the DSM-V Research Planning Conference on personality disorders was to develop a more fundamental revision through an integration of alternative dimensional models of personality disorder and general personality structure. A purpose of the current article is to provide this proposal. Also discussed is a primary concern with respect to the implementation of any such dimensional model: clinical utility. Discussed in particular are concerns regarding feasibility and treatment implications.