Clinical Diagnosis and SCID-II Assessment of DSM-III-R Personality Disorders

2006 ◽  
Vol 22 (2) ◽  
pp. 104-108 ◽  
Author(s):  
Mats Fridell ◽  
Morton Hesse

Aim: To assess the diagnostic concordance of SCID-II and clinicians' estimation of DSM-III-R personality disorders of substance abusers. Method: Clinical diagnoses of substance abusers in inpatient treatment were compared with SCID-II diagnoses (N = 138). Findings: The overall prevalence of personality disorder was 79% for clinical diagnosis and 80% for SCID-II diagnosis. Substantial agreement was found for borderline personality disorder, and moderate agreement was found for presence of any personality disorder, and antisocial personality disorder. All other disorders had slight to fair agreement. Antisocial personality disorder was overdiagnosed by clinical diagnosis but schizotypal, obsessive-compulsive, passive-aggressive, and masochistic personality disorders were reported more often by SCID-II. Selecting only the primary clinical diagnosis and omitting additional clinical diagnoses, reduced agreement with SCID-II diagnoses. Implications: Clinical diagnosis and structured interviews are not interchangeable, and produce somewhat different profiles of diagnoses for a group of substance abusers, but the two methods for diagnosing personality disorders converge for the two most common personality disorders in substance abusers. Rare and less-known diagnoses tend to be underreported whereas common and well-known disorders tend to be slightly overdiagnosed by clinical diagnosis as compared with a semistructured interview, especially if only one clinical diagnosis is noted.

1999 ◽  
Vol 187 (8) ◽  
pp. 478-486 ◽  
Author(s):  
JOHN J. CECERO ◽  
SAMUEL A. BALL ◽  
HOWARD TENNEN ◽  
HENRY R. KRANZLER ◽  
BRUCE J. ROUNSAVILLE

2019 ◽  
Vol 33 (1) ◽  
pp. 22-48 ◽  
Author(s):  
Ashley L. Watts ◽  
Madeline G. Nagel ◽  
Robert D. Latzman ◽  
Scott O. Lilienfeld

We examined the relations between: (1) narcissism, psychopathy, DSM-5 personality disorder symptom counts; and (2) paraphilic interests among undergraduates (N = 608). Base rates of paraphilic interests were appreciable. The disinhibition and meanness features of psychopathy and the entitlement and exploitativeness features of narcissism were robustly associated with paraphilic interests, particularly sexual sadism, whereas the boldness features of narcissism and psychopathy were essentially unrelated to these interests. Narcissism and psychopathy features typically manifested the most pronounced relations with paraphilic interests, although antisocial personality disorder features were also strong predictors. By and large, these relations were comparable across gender. Lastly, there was no evidence that erotophilia mediated the relations between the narcissism and psychopathy features and paraphilic interests, most likely because erotophilia was generally unrelated to paraphilic interests. Relative to other dimensions of personality disorders, facets of meanness and disinhibition from psychopathy and entitlement/exploitativeness facets from narcissism were most associated with paraphilic interests.


1998 ◽  
Vol 49 (3) ◽  
pp. 189-199 ◽  
Author(s):  
Linda B Cottler ◽  
Wilson M Compton ◽  
T.Andrew Ridenour ◽  
Arbi Ben Abdallah ◽  
Tim Gallagher

Criminologie ◽  
2005 ◽  
Vol 27 (2) ◽  
pp. 33-53 ◽  
Author(s):  
Jean Proulx ◽  
Jocelyn Aubut ◽  
Lise Perron ◽  
André McKibben

During the past 30 years, behavioral and cognitive-behavioral theories of rape have evolved considerably. The influence of etio-logic factors related to personality, however, is limited to antisocial traits. The aim of the current study was, therefore, to investigate the presence of personality disorders in rapists. Forty-nine incarcerated rapists answered a French translation of the Millon Clinical Multiaxial Inventory questionnaire. On the basis of the Avery-Clark and Laws criteria (1983), 31 rapists were classified as less physically violent and 18 as more physically violent. Among the less physically violent rapists, we encountered most frequently avoidant, dependant, passive-aggressive and schizoid personality disorders. Among the more physically violent rapists, an antisocial personality disorder was predominant. The implications of these results concerning rape theories are being discussed.


2007 ◽  
Vol 35 (10) ◽  
pp. 1335-1352 ◽  
Author(s):  
Kristian Aleman

The purpose was to investigate, in a sample of drug abusers, whether subscales in the KAPP (Karolinska Psychodynamic Profile, Weinryb, 1992) interview and defense mechanisms explored by the DMTm (Defense Mechanism Technique modified) could differentiate between DSM-III-R clusters and personality disorders (PDs). Forty-seven (47) subjects out of the 84 injecting drug abusers (56%) recruited from a detoxification hospital ward in Sweden had a primary antisocial PD (ASPD) with a comorbid second DSM-III-R PD diagnosis. Pathology was significant on the KAPP subscales of“Dependency and separation,” “Alexithymic traits,” “Normopathic traits,”“Coping with aggressive affects,” and “Sexual satisfaction” in relation to cluster B (dramatic). All subscales were predominant in patients with ASPD/narcissistic PD, who showed the defense mechanism marked denial. The two latter subscales were related to patients with ASPD/borderline PD, who showed the defense of introaggression and the DMTm sign of disappearance of threat. Finally, some psychoanalytic constructs in KAPP and DMTm showed congruence.


2019 ◽  
Vol 4 (2) ◽  
pp. 130-147
Author(s):  
Nanda Audia Vrisaba ◽  
Ktut Dianovinina

Antosocial personality disorder experienced by someone caused them to take deviant actions and violate the norms and values of their surrounding, so that many of them are prisoners who are in custody. This study aims to determine the personality dynamics possessed by prisoner who experienced antisocial personality disorders. The researcher will also identify several causes that make up a person experiencing an antisocial personality disorder. The researcher used a case study method with a qualitative approach. There is one participant in this study, namely Mahmud, an prisoner of a homicide and involved in an abductions case. During the research process, researcher used observation, interviews, and several psychological tests. The finding shows that antisocial personality disorders experienced by participants was not formed when he was in the adult period, but since his childhood some deviant behavior were indicated. In addition, external factors also have influence in forming a person who has an antisocial personality disorder.


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