THE SPECIFICITY OF COGNITIVE PERSONALITY DIMENSIONS IN CLUSTER C PERSONALITY DISORDERS

2000 ◽  
Vol 28 (3) ◽  
pp. 235-246 ◽  
Author(s):  
Hans M. Nordahl ◽  
Tore C. Stiles
Keyword(s):  
Personality Disorder ◽  
Personality Disorders ◽  
Cognitive Model ◽  
Dysfunctional Attitudes ◽  
Obsessive Compulsive ◽  
Dependent Personality Disorder ◽  
Cognitive Specificity ◽  
Dependent Personality ◽  
Axis I ◽  
Obsessive Compulsive Personality Disorder

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”.

Personality Disorders

2017 ◽  
Author(s):  
Waqar Rizvi
Keyword(s):  
Personality Disorder ◽  
Borderline Personality ◽  
Obsessive Compulsive ◽  
Dependent Personality Disorder ◽  
Schizotypal Personality ◽  
Histrionic Personality Disorder ◽  
Dependent Personality ◽  
Schizoid Personality Disorder ◽  
Paranoid Personality Disorder ◽  
Obsessive Compulsive Personality Disorder

In this chapter essential aspects of personality disorder will be reviewed including paranoid personality disorder, schizoid personality disorder, schizotypal personality disorder, borderline personality disorder, histrionic personality disorder, narcissistic personality disorder, Avoidant personality disorder, dependent personality disorder, obsessive-compulsive personality disorder and antisocial personality disorder

Gender-related distribution of personality disorders in a sample of patients with panic disorder

2001 ◽  
Vol 16 (3) ◽  
pp. 173-179 ◽  
Author(s):  
G. Barzega ◽  
G. Maina ◽  
S. Venturello ◽  
F. Bogetto
Keyword(s):  
Personality Disorder ◽  
Panic Disorder ◽  
Personality Disorders ◽  
Structured Interview ◽  
Dependent Personality Disorder ◽  
Dependent Personality ◽  
Co Morbidity ◽  
Related Distribution ◽  
Axis I ◽  
Dsm Iv

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’.

scholarly journals PARANOID SCHIZOPHRENIA -BETWEEN HYPERSEXUALITY AND SADOMASOCHISM

2021 ◽  
Vol 9 (3) ◽  
pp. 195-203
Author(s):  
Simona Trifu ◽  
Beligeanu Mihaela ◽  
Iacob Beatrice Ștefana ◽  
Larimian Ștefania Parisa
Keyword(s):  
Personality Disorder ◽  
Personality Disorders ◽  
Defense Mechanisms ◽  
Paranoid Schizophrenia ◽  
Point Of View ◽  
Obsessive Compulsive ◽  
Schizotypal Personality ◽  
Paternal Line ◽  
Axis I ◽  
Obsessive Compulsive Personality Disorder

Motivation/Background: In this paper we aimed at clinically analyzing a patient diagnosed with paranoid schizophrenia, who also displays features specific to multiple personality disorders, in the context of a presentation whose key topic is sexuality. Given the global prevalence and the severity of schizophrenia, it is increasingly important to appropriately adapt and identify the patients' clinical and non-clinical personality profile. This paper also aims at making the profile of a patient diagnosed with axis I disorder ever since the age of 19, who also has got traits specific to certain personality disorders. At the same time, the work provides an interpretation of the behaviour from the psycho-dynamic point of view. Method: The following instruments were used for performing the analysis: a clinical interview, heteroanamnesis, psychological tests, clinical course monitoring, psychodynamic interpretations, defence mechanisms identification, psychiatric observation and treatment. Results: Based on the materials aforementioned, it has been established a possible diagnosis which includes multiple disorders: Antisocial Personality Disorder, Histrionic Personality Disorder, Schizotypal Personality Disorder, Obsessive Compulsive Personality Disorder, Cotard Syndrome, Kandinsky-Clérambault Syndrome. and there were identified defense mechanisms and coping strategies, under the influence of sexuality and sadomasochistic impulses. Conclusions: It is highlighted the clinical picture of a patient with paranoid schizophrenia, who presents symptoms for differential diagnoses, with disorganized discourse focused on sexuality, with delusional ideation, psychotic manifestation, but also with high suggestibility, especially on the paternal line

scholarly journals Psychometric Properties of the Persian Structured Clinical Interview for Personality Disorders of DSM-5-Personality Version (SCID-5-PD)

2021 ◽  
Author(s):  
Banafsheh Gharraee ◽  
Amir Shabani ◽  
Samira Masoumian ◽  
Somayeh Zamirinejad ◽  
Hooman Yaghmaeezadeh ◽  
...  
Keyword(s):  
Personality Disorder ◽  
Psychometric Properties ◽  
Personality Disorders ◽  
Obsessive Compulsive ◽  
Dependent Personality Disorder ◽  
Dependent Personality ◽  
Persian Version ◽  
Dsm 5 ◽  
Schizoid Personality ◽  
Schizoid Personality Disorder

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.

Working with Personality Disorders in an Integrated Care Setting

2017 ◽  
Author(s):  
Robert E. Feinstein ◽  
Joseph V. Connelly
Keyword(s):  
Personality Disorder ◽  
Personality Disorders ◽  
Integrated Care ◽  
Care Pathway ◽  
Diagnostic Testing ◽  
Care Team ◽  
Obsessive Compulsive ◽  
Medical Settings ◽  
Obsessive Compulsive Personality Disorder ◽  
The Impact

Patients with personality disorders are common in primary care and medical settings. They can elicit intense problematic reactions from the members of an integrated care team, which can affect the team’s evaluation, diagnoses, diagnostic testing, medical orders, medications, laboratory tests, treatments, recommendations, and referrals. The four most common and challenging personality disorders are borderline personality disorder, antisocial personality disorder, narcissistic personality disorder, and obsessive-compulsive personality disorder. This chapter reviews the classification, epidemiology, biological basis, psychosocial formulation, and co-occurring mental health disorders associated with these personality disorders. A personality disorder schema is presented for managing these difficult patients. The impact these patients can have on the integrated care team is described. A care pathway is outlined that can be used for management, brief treatment, and referral for treatment to a personality disorder specialist.

Pattern of Comorbidity Among Anxious and Odd Personality Disorders: The Case of Obsessive-Compulsive Personality Disorder

CNS Spectrums ◽  
2000 ◽  
Vol 5 (9) ◽  
pp. 23-26 ◽  
Author(s):  
Alessandro Rossi ◽  
Maria Grazia Marinangeli ◽  
Giancarlo Butti ◽  
Artemis Kalyvoka ◽  
Concetta Petruzzi
Keyword(s):  
Personality Disorder ◽  
Mental Disorders ◽  
Personality Disorders ◽  
Odds Ratios ◽  
Obsessive Compulsive ◽  
Statistical Manual ◽  
Axis Ii ◽  
Diagnostic And Statistical Manual ◽  
Cluster A ◽  
Obsessive Compulsive Personality Disorder

AbstractThe aim of this study was to examine the pattern of comorbidity among obsessive-compulsive personality disorder (OCPD) and other personality disorders (PDs) in a sample of 400 psychiatric inpatients. PDs were assessed using the Semistructured Clinical Interview for DSM-III-R Personality Disorders (SCID-II). Odds ratios (ORs) were calculated to determine significant comorbidity among OCPD and other axis II disorders. The most elevated odds ratios were found for the cooccurrence of OCPD with cluster A PDs (the “odd” PDs, or paranoid and schizoid PDs). These results are consistent with those of previous studies showing a higher cooccurrence of OCPD with cluster A than with cluster C (“anxious”) PDs. In light of these observations, issues associated with the nosologic status of OCPD within the Diagnostic and Statistical Manual of Mental Disorders clustering system remain unsettled.

Obsessive-Compulsive Personality Disorder

2012 ◽  
pp. 565-581
Author(s):  
Jack Samuels ◽  
Paul T. Costa
Keyword(s):  
Personality Disorder ◽  
Personality Disorders ◽  
Positive Emotions ◽  
Factor Model ◽  
Five Factor Model ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Clinically Significant ◽  
Obsessive Compulsive Personality Disorder ◽  
Over Time

Obsessive-compulsive personality disorder (OCPD) has been described in the clinical literature for over 100 years. Although the specific traits included in the construct have changed over time, there is remarkable consistency in the core concept. OCPD is clinically significant, given its relatively high prevalence in the community, its frequent co-occurrence with mood disorders, anxiety disorders, especially obsessive-compulsive disorder, and eating disorders, and treatment challenges. Although OCPD can be quite severe, it is generally less impairing than other personality disorders in the clinic, and it has not been found to be strongly related to functional impairment in the community. OCPD has excellent construct validity, but concerns have been raised about the stability over time and the reliability of assessment. OCPD may be alternatively construed dimensionally, with high conscientiousness as an important feature. Like other personality disorders, OCPD is better understood and described in terms of a combination of traits or facets rather than as reflecting a single domain of personality. In this regard, a number of studies illuminate the contribution of high neuroticism, low openness to actions and values, low agreeableness, and low extraversion facets of warmth and positive emotions. Finally, there are many advantages to tying personality disorders, and especially OCPD, to established dimensions of general personality because a great deal is already known about the dimensions of the Five-Factor Model.

Personality Pathology in OCD

2017 ◽  
Author(s):  
Michael G. Wheaton ◽  
Anthony Pinto
Keyword(s):  
Personality Disorder ◽  
Personality Disorders ◽  
Obsessive Compulsive Disorder ◽  
Clinical Course ◽  
Personality Pathology ◽  
Future Research ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Obsessive Compulsive Personality Disorder ◽  
The Impact

This chapter reviews the literature on personality pathology in obsessive-compulsive disorder (OCD). It begins by comparing and contrasting OCD with obsessive-compulsive personality disorder (OCPD). These two conditions have a longstanding yet frequently misunderstood relationship. Though they share some overlapping features, recent research has established OCD and OCPD as distinct conditions. Even so, OCD and OCPD frequently cooccur. The chapter reviews the literature on comorbidity and the impact of OCPD on the clinical course and treatment of OCD, including evidence that OCPD may complicate OCD treatment. It also describes other personality disorders observed in OCD. Finally, it describes recent advances in the conceptualization of personality disorders, including dimensional approaches, and concludes with directions for future research.

Modified Crisis Intervention for Personality Disorder

Crisis ◽  
1998 ◽  
Vol 19 (4) ◽  
pp. 177-184 ◽  
Author(s):  
Abraham Rudnick
Keyword(s):  
Personality Disorder ◽  
Personality Disorders ◽  
Crisis Intervention ◽  
Personality Type ◽  
Short Term ◽  
Supportive Psychotherapy ◽  
Dependent Personality Disorder ◽  
Level Of Functioning ◽  
Dependent Personality ◽  
Therapeutic Encounters

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.

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