Clinical Utility of the Five Factor Model

Author(s):  
Stephanie Mullins-Sweatt ◽  
Douglas B. Samuel ◽  
Ashley Helle

The purpose of this chapter is to discuss the clinical utility of the Five Factor Model (FFM). This chapter will consider the clinical application of the FFM for treatment in general, but its primary focus will be on the clinical utility of an FFM of personality disorders. Discussed herein will be the three fundamental components of clinical utility: ease of usage, communication, and treatment planning. Empirical research concerning the clinical utility of the FFM also will be considered in terms of the three components. Finally, research and examination of clincians’ perspectives of the utilty of categorical and dimensional models of personality will be discussed.

2006 ◽  
Vol 37 (7) ◽  
pp. 983-994 ◽  
Author(s):  
LESLIE C. MOREY ◽  
CHRISTOPHER J. HOPWOOD ◽  
JOHN G. GUNDERSON ◽  
ANDREW E. SKODOL ◽  
M. TRACIE SHEA ◽  
...  

Background. The categorical classification system for personality disorder (PD) has been frequently criticized and several alternative dimensional models have been proposed.Method. Antecedent, concurrent and predictive markers of construct validity were examined for three models of PDs: the Five-Factor Model (FFM), the Schedule for Nonadaptive and Adaptive Personality (SNAP) model and the DSM-IV in the Collaborative Study of Personality Disorders (CLPS) sample.Results. All models showed substantial validity across a variety of marker variables over time. Dimensional models (including dimensionalized DSM-IV) consistently outperformed the conventional categorical diagnosis in predicting external variables, such as subsequent suicidal gestures and hospitalizations. FFM facets failed to improve upon the validity of higher-order factors upon cross-validation. Data demonstrated the importance of both stable trait and dynamic psychopathological influences in predicting external criteria over time.Conclusions. The results support a dimensional representation of PDs that assesses both stable traits and dynamic processes.


Author(s):  
T. G. Gadisov ◽  
A. A. Tkachenko

Summary. Objective: A comparative study of the personality structure from the perspective the Five-factor personality model (“Big Five”) in mentally healthy and in people with personality disorders depending on the leading radical determined by the clinical method.Materials and methods: a comparative study of personality structures in the mentally healthy (13 people) and in individuals with personality disorders (47 people) was carried out. To assess the personality structure, the NEO-Five Factor Inventory questionnaire was used. Persons with personality disorders were divided into groups in accordance with the leading radical: 24 — with emotionally unstable; 13 — with a histrionic; 6 — with schizoid; 4 — with paranoid radicals.Results: There were no differences in the values of the domains of the Five-Factor personality model between a group of individuals with personality disorders and the norm. The features of domain indicators of the Five-factor personality model were revealed in individuals with personality disorder depending on theradical.Conclusion: The NEO-Five Factor Inventory questionnaire, like most other tools from the perspective of the Five-Factor Model, is not suitable for assessing a person in terms of assigning it to variants of a mental disorder. When comparing the categorical and dimensional approaches to assessing the structure of personality disorders, it was found that the obligate personality traits identified using the categorical approach are fully reflected in the «Big Five» in individuals with a leading schizoid radical. The relations of obligate personal traits with the domains of the Five-factor model of personality in individuals with other (paranoid, histrionic,and emotionally unstable) radicals are less clear.


2009 ◽  
pp. 43-59
Author(s):  
Paolo Migone

- After an introduction on the dimensional approach in personality diagnosis and on its use as an attempt at solving some of the problems of categorical diagnoses (such as those of DSM-III and DSM-IV), the main dimensional models of personality are presented, namely: 16 PF Questionnaire by Cattell, Eysenck Personality Inventory (EPI), Five-Factor Model (FFM) by Costa & McCrae (Big Five), Temperament and Character Inventory (TCI) by Cloninger, Schedule for Nondaptive and Adaptive Personality (SNAP) by Clark, Dimensional Assessment of Personality Pathology - Basic Questionnaire (DAPP-BQ) by Livesley, Structural Analysis of Social Behavior (SASB) by Benjamin, the "fundamental polarity (anaclitic and introjective) of personality" by Blatt, Shedler-Westen Assessment Procedure (SWAP). Finally, advantages and disadvantages of dimensional models are discussed, with particular emphasis on borderline disorder.key words: personality, dimensional models, categorical model, borderline, diagnosis


Author(s):  
Joshua D. Miller

This chapter argues that personality disorders can and should be understood as collections of basic personality traits from a general model of personality, namely the five-factor model (FFM). It reviews evidence for the convergence of FFM personality disorder profiles across multiple approaches—expert ratings (i.e., researchers and clinicians) and empirical relations. It discusses how to score the personality disorders from the FFM and provides evidence for the convergent, discriminant, and construct validity of this approach. The chapter also demonstrates how the new alternative model for personality disorders can be embedded within the more established and robust FFM literature.


2005 ◽  
Vol 19 (4) ◽  
pp. 343-357 ◽  
Author(s):  
Stephanie D. Stepp ◽  
Timothy J. Trull ◽  
Rachel M. Burr ◽  
Mimi Wolfenstein ◽  
Angela Z. Vieth

This study examined the incremental validity of the Structured Interview for the Five‐Factor Model (SIFFM; Trull & Widiger, 1997) scores in the prediction of borderline, antisocial, and histrionic personality disorder symptoms above and beyond variance accounted for by scores from the Schedule for Nonadaptive and Adaptive Personality (SNAP; Clark, 1993), a self‐report questionnaire that includes items relevant to both normal (i.e. Big Three) and abnormal personality traits. Approximately 200 participants (52 clinical outpatients, and 149 nonclinical individuals from a borderline‐features‐enriched sample) completed the SIFFM, the SNAP, and select sections of the Personality Disorder Interview—IV (PDI‐IV; Widiger, Mangine, Corbitt, Ellis, & Thomas, 1995). We found support for the incremental validity of SIFFM scores, further indicating the clinical utility of this instrument. However, results also supported the incremental validity of SNAP scores in many cases. We discuss the implications of the findings in terms of dimensional approaches to personality disorder assessment. Copyright © 2005 John Wiley & Sons, Ltd.


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