An Examination of Dependent Personality Disorder in the Alternative DSM-5 Model for Personality Disorders

2017 ◽  
Vol 39 (4) ◽  
pp. 635-641 ◽  
Author(s):  
Andrew S. McClintock ◽  
Shannon M. McCarrick
2021 ◽  
Author(s):  
Banafsheh Gharraee ◽  
Amir Shabani ◽  
Samira Masoumian ◽  
Somayeh Zamirinejad ◽  
Hooman Yaghmaeezadeh ◽  
...  

Abstract Background: The aim of this study was to investigate the psychometric properties of the Persian version of a structured clinical interview for personality disorders based on DSM-5 (R) (SCID-5-PD) in the population of patients with psychiatric disorders in Tehran.Method: The study population includes all outpatients and inpatients referred to three psychiatric centers in Tehran, including Iran Psychiatric Hospital, Rasoul Akram Hospital and Clinic of Behavioral Sciences and Mental Health (Tehran Psychiatric Institute). Inclusion criteria were age between 16 and 70 years, written Informed consent and the ability to understand and speak in Persian and no special physical problems that interfere with the interview process. Sampling in this study was done by Convenience sampling. In this study, in addition to the demographic questionnaire, the Persian version of SCID-5-PD was used. Finally, in order to evaluate the information, the methods of face and content validity and diagnostic validity, test-retest reliability and inter-rater reliability were used.Results: the diagnoses related to obsessive-compulsive personality disorder, paranoid, schizotypal, schizoid, histrionic, narcissistic, borderline and antisocial kappa were higher than 0.4 and the diagnoses related to avoidant personality disorder were dependent and in other certain disorders are below 0.4. Regarding borderline personality disorder with kappa 0.839, the highest agreement was reported between the two reports of the psychiatrist and the SCID interviewer. Also, the specificity results were mostly better than the sensitivity results, and in all diagnoses except obsessive-compulsive and paranoid personality disorder, the specificity was higher than 0.9 and in these two diagnoses, the specificity was higher than 0.85, which indicates the desired characteristic. SCID-5-PD. The sensitivity of all diagnoses except avoidant and dependent personality disorder was also reported to be higher than 0.8; But the susceptibility of avoidant and dependent personality disorder was 0.66. Also, the study of LR + / LR- ratio showed that this tool has the best diagnosis for histrionic, antisocial and schizotypal personality disorder. It is also suitable for other personality disorders except schizoid personality disorder and certain other disorders.Conclusion: According to the findings of the present study, SCID-5-PD can be used in psychiatric clinics and hospitals as a diagnostic tool. In general, this version is suitable for most diagnoses; but with regard to diagnoses of schizoid personality disorder and certain other disorders, this should be done with more caution.


2001 ◽  
Vol 16 (3) ◽  
pp. 173-179 ◽  
Author(s):  
G. Barzega ◽  
G. Maina ◽  
S. Venturello ◽  
F. Bogetto

SummaryObjectiveWe examined gender differences in the frequency of DSM-IV personality disorder diagnoses in a sample of patients with a diagnosis of panic disorder (PD).MethodOne hundred and eighty-four outpatients with a principal diagnosis of PD (DSM-IV) were enrolled. All patients were evaluated with a semi-structured interview to collect demographic and clinical data and to generate Axis I and Axis II diagnoses in accordance with DSM-IV criteria.ResultsMales were significantly more likely than females to meet diagnoses for schizoid and borderline personality disorder. Compared to males, females predominated in histrionic and cluster C diagnoses, particularly dependent personality disorder diagnoses. A significant interaction was found between female sex and agoraphobia on personality disorder (PD) distribution.ConclusionsMale PD patients seem to be characterized by more severe personality disorders, while female PD patients, particularly with co-morbid agoraphobia, have higher co-morbidity rates with personality disorders belonging to the ‘anxious-fearful cluster’.


Crisis ◽  
1998 ◽  
Vol 19 (4) ◽  
pp. 177-184 ◽  
Author(s):  
Abraham Rudnick

This study proposes that the goal of crisis intervention for persons with personality disorders should be to return them to their pre-crisis level of functioning, even though this is maladaptive. This is contrasted with standard crisis intervention, which aims to return normal or neurotic persons to their pre-crisis normal or neurotic functioning, usually by means of few and short-term therapeutic encounters. The modification proposed costs more time and resources in persons with personality disorders in crisis and fits the intervention to the personality type. This is illustrated by the case of Eve, a patient in crisis, whose pre-crisis functioning was maladaptive because of a dependent personality disorder. The goal of (modified) crisis intervention in this case was to return the patient to her dependent lifestyle, by means of pharmacotherapy combined with intensive supportive psychotherapy during 3-4 months of partial (day) hospitalization. The special nature of crisis in personality disorders is discussed.


Author(s):  
Nita Rohayati

 This study discusses personality disorders that occur in prisoners. Psychopath is a psychological behavior that occurs in humans. In this study, it will explain the dynamics of personality from prisoners who experience personality disorders. The study was conducted with a qualitative approach to the case study method, through observation, interviews, psychological examinations and documentation studies. AH as a subject in this study is a convicted robbery case, the results of the study showed AH was diagnosed with a dependent personality disorder (selfless) but the behavior that appeared to resemble many individual psychopathic behaviors, so that finally S did a robbery and was caught and served a sentence at the prison.   Keywords: personality disorders, prisoners.    Penelitian ini membahas mengenai gangguan kepribadian yang terjadi pada narapidana. Psikopat merupakan perilaku psikologis yang terjadi pada manusia. Pada penelitian ini akan menjelaskan mengenai dinamika kepibadian dari narapidana yang mengalami gangguan kepribadian. Penelitian dilakukan dengan pendekatan kualitatif dengan metode studi kasus, melalui observasi, wawancara, pemeriksaan psikologi dan studi dokumentasi. AH sebagai subjek dalam penelitian ini merupakan narapidana kasus perampokan, hasil penelitian menunjukkan AH terdiagnosa mengalami gangguan kepribadian dependen (selfless) namun perilaku yang ditampakkannya banyak menyerupai perilaku individu psikopat, sehingga akhirnya S melakukan perampokan dan tertangkap serta menjalani hukuman di LAPAS.   Kata Kunci: Gangguan Kepribadian, Narapidana


2010 ◽  
Vol 106 (3) ◽  
pp. 679-684 ◽  
Author(s):  
Elena Fernández del Río ◽  
Ana López ◽  
Elisardo Becoñta

The relation between personality disorders and premature dropout (attending half of the sessions or fewer) from a psychological treatment for giving up smoking was examined in a sample of 202 smokers. Percent of premature dropout was significantly higher for smokers with personality disorder in general, specifically for smokers with dependent personality disorder and with Cluster C personality disorder, than in smokers without such psychopathology.


1993 ◽  
Vol 38 (3) ◽  
pp. 163-166 ◽  
Author(s):  
André Marchand ◽  
Michel Wapler

This study measures the effect of personality disorders on the efficacy of treatment of agoraphobia. Forty-one patients suffering from panic disorder with agoraphobia are evaluated for the presence of a personality disorder (according to DSM-III-R criteria) before the onset of treatment. The treatment consists in 14 sessions of behavioural cognitive therapy. Various measures of agoraphobic avoidance are obtained before (pre-test) and after the end of treatment (post-test, three month follow-up). Effect of treatment reaches statistical and clinical significance for all patients. Grouping of patients according to presence or absence of personality disorder shows no significant difference between the groups before or after treatment on scores of agoraphobia. A subgroup of patients with dependent personality disorder does not differ on measures of agoraphobic avoidance from patients without personality disorders or with other personality disorders. The discussion points out methodological limitations, differences in our study from other studies regarding the effect of personality on the treatment outcome of panic disorder with agoraphobia, as well as possibilities for future studies.


2000 ◽  
Vol 28 (3) ◽  
pp. 235-246 ◽  
Author(s):  
Hans M. Nordahl ◽  
Tore C. Stiles

The aim of the study was to examine whether there are specific cognitive personality traits that are related to specific cluster C personality disorders as suggested by Beck's cognitive model. The study included 135 psychiatric outpatients and 41 healthy controls. The subjects were diagnosed according to DSM-III-R axis I and axis II. The cognitive dimensions of sociotropy, autonomy and dysfunctional attitudes were assessed. The results indicated some cognitive specificity, especially when the effects of a lifetime depressive disorder were statistically controlled for. Dependent personality disorder was significantly associated with higher scores on all sociotropic subscales and dysfunctional attitudes. Avoidant personality disorder was significantly associated with the sociotropic subscales “concern about disapproval” and “pleasing others” as well as dysfunctional attitudes, while obsessive-compulsive personality disorder was associated with only higher scores on the sociotropic subscale “concern about disapproval”.


1999 ◽  
Vol 16 (4) ◽  
pp. 219-225 ◽  
Author(s):  
Don Tustin

AbstractFunctional analysis is used to identify potential reinforcers by generating hypotheses about possible functions of a behaviour. Current methods of functional analysis emphasise observations of events, especially consequences, that occur in the immediate environment of the behaviour. While these methods are well suited for assessing behaviour that is reinforced frequently, they are less appropriate for assessing behaviour that is reinforced only intermittently. A new method for conducting functional analysis is presented that is designed to assess intermittently reinforced behaviour. The new method is illustrated using data that were gathered from an extension of a standard problem-solving format. Data are interpreted using the principle of revealed preference that arose from behavioural economics. The revealed preference method is illustrated using information provided by a client with a dependent personality disorder.


Sign in / Sign up

Export Citation Format

Share Document