The Diagnosis of Personality Disorders a Pilot Study

1978 ◽  
Vol 23 (1) ◽  
pp. 15-22 ◽  
Author(s):  
K.F. Standage
Keyword(s):  
Pilot Study ◽  
Personality Disorder ◽  
Personality Disorders ◽  
Clinical Experience ◽  
Diagnostic Reliability ◽  
Psychiatric Residents ◽  
First Choice ◽  
Audio Recordings ◽  
Different Types

A pilot study was carried out to see what levels of agreement on the diagnosis of the different types of personality disorder, described by Schneider, could be obtained by observers with different amounts of clinical experience. Audio-recordings of eight patients were examined by 10 raters, who represented three levels of experience. Two patients had the same diagnosis made by 80 percent of the raters and these cases seemed best described as “typical”. In all the cases agreement was increased when a second choice diagnosis was permitted. Significantly greater agreement was recorded by clinical clerks than by psychiatrists or psychiatric residents, though this was probably due to their making use of fewer of the types. It seemed probable that some types were less likely than others to be used for a first choice diagnosis. It is recommended that the most typical patients be employed in research in the field of the personality disorders if high diagnostic reliability is required.

Personality Disorder

1973 ◽  
Vol 123 (577) ◽  
pp. 685-692 ◽  
Author(s):  
Jay L. Liss ◽  
Amos Welner ◽  
Eli Robins
Keyword(s):  
Personality Disorder ◽  
Personality Disorders ◽  
Antisocial Personality ◽  
Different Types

A diagnosis of personality disorder is commonly used in psychiatry. It is generally agreed to refer to a disorder manifested by limited adaptive flexibility and certain relatively fixed ineffectual modes of behaviour (Ausubel, 1961; Brody and Lindbergh, 1967; DSM II, 1968; Noyes and Kolb, 1958; Schneider, 1950; Small, Small, Alig and Moore, 1970; Walton, Foulds, Littman and Presly, 1970). However, of twenty or more different types of personality disorders only antisocial personality has been differentiated by rigorous criteria as a distinct diagnostic entity (Robins, 1967; Feighner, Robins, Guze, Woodruff, Winokur and Munoz, 1972; Robins, 1966).

Application of the DSM-5 Level of Personality Functioning Scale by Lay Raters

2018 ◽  
Vol 32 (5) ◽  
pp. 709-720 ◽  
Author(s):  
Leslie C. Morey
Keyword(s):  
College Students ◽  
Personality Disorder ◽  
Personality Disorders ◽  
Clinical Experience ◽  
Alternative Model ◽  
Personality Functioning ◽  
Dsm 5 ◽  
Undergraduate College Students ◽  
The Individual ◽  
Considerable Experience

One concern that has been expressed with the Alternative Model for Personality Disorders (AMPD) presented in DSM-5 is that the description of characteristic impairments in personality function uses concepts requiring considerable experience and clinical inference to apply. To examine this question, the individual indicators included in the AMPD's Level of Personality Functioning Scale (LPFS) that describes these core impairments were abstracted as individual items, and then rated on a target acquaintance by 194 undergraduate college students with minimal training in personality disorder and no training in the AMPD. Results indicated that the LPFS indicators were highly internally consistent as rated in this sample, and that the degree of discrimination between groups corresponded very well with the putative level of severity represented for each indicator in the LPFS. These findings support the contention that using the LPFS might not require any particular clinical experience or training.

scholarly journals Analysis of personality disorder profiles obtained by five-factor personality model

2020 ◽  
Vol 77 (9) ◽  
pp. 950-953
Author(s):  
Danilo Pesic ◽  
Tara Adzic ◽  
Olivera Vukovic ◽  
Marko Kalanj ◽  
Dusica Lecic-Tosevski
Keyword(s):  
Personality Disorder ◽  
Mental Disorders ◽  
Personality Disorders ◽  
Meta Analysis ◽  
Control Group ◽  
Personality Profiles ◽  
Diagnostic Reliability ◽  
Neo Personality Inventory Revised ◽  
Dsm Iv ◽  
High Level

Background/Aim. In spite of the growing body of evidence in the field of personality disorders, these disorders still retain the lowest diagnostic reliability of any major category of mental disorders. The aim of this study was to investigate the differences of personality profiles in patients diagnosed with personality disorder in comparison with the group of healthy control subjects, as well as to establish to what extent the five-factor personality model domains determine the specific clusters of personality disorders. Methods. The study group comprised 97 patients diagnosed as personality disorders (according to the Diagnostic and Statistical Manual of Mental Disorders ? DSM-IV criteria), aged between 18 and 65 years [mean = 35.78 years, standard deviation (SD) = 13.72 years], 67% were female. Control group included 58 healthy subjects (student population) aged between 20 to 35 years (mean = 22.48 years, SD = 2.56 years), 56% were female. The assessment was carried out by the new version of the NEO Personality Inventory-Revised (NEO-PIR), form S, and the Structured Clinical Interview (SCID II) for DSM-IV disorders. Results. The three clusters were found by the use of regression analysis: cluster A ? eccentrics (low scores in agreeableness), cluster B ? dramatics (high score in extroversion, low score in agreeableness, and cluster C ? anxious (low score in extroversion). The findings showed that the high level of neuroticism was a non-specific predictor of all three clusters, while dimension openness to experience had no predictive power for any of the three clusters. Conclusion. Our findings support the meta-analysis which suggests consistently high level of neuroticism and low level of agreeableness in most personality disorders. The study showed that it is possible to conceptualize personality disorders by using five-factor personality model of normal personality. Integrating the psychiatric classification with the dimensional model of general personality structure could enable the uncovering of essential parameters for setting the diagnosis.

Tools & Resources: Impairment and Disability Web Sites

1999 ◽  
Vol 4 (6) ◽  
pp. 5-6
Keyword(s):  
Personality Disorder ◽  
Personality Disorders ◽  
Interpersonal Relationships ◽  
Web Sites ◽  
Outpatient Psychotherapy ◽  
Obsessive Compulsive ◽  
Not Otherwise Specified ◽  
Cluster B Personality Disorders ◽  
Clinically Significant ◽  
And Behavior

Abstract Personality disorders are enduring patterns of inner experience and behavior that deviate markedly from those expected by the individual's culture; these inflexible and pervasive patterns reflect issues with cognition, affectivity, interpersonal functioning and impulse control, and lead to clinically significant distress or impairment in social, occupational, or other important areas of functioning. The AMA Guides to the Evaluation of Permanent Impairment, Fourth Edition, defines two specific personality disorders, in addition to an eleventh condition, Personality Disorder Not Otherwise Specified. Cluster A personality disorders include paranoid, schizoid, and schizotypal personalities; of these, Paranoid Personality Disorder probably is most common in the legal arena. Cluster B personality disorders include antisocial, borderline, histrionic, and narcissistic personality. Such people may suffer from frantic efforts to avoid perceived abandonment, patterns of unstable and intense interpersonal relationships, an identity disturbance, and impulsivity. Legal issues that involve individuals with cluster B personality disorders often involve determination of causation of the person's problems, assessment of claims of harassment, and assessment of the person's fitness for employment. Cluster C personality disorders include avoidant, dependent, and obsessive-compulsive personality. Two case histories illustrate some of the complexities of assessing impairment in workers with personality disorders, including drug abuse, hospitalizations, and inpatient and outpatient psychotherapy.

Test-Retest Reliability of a Self-Report Questionnaire for DSM-IV and ICD-10 Personality Disorders

2000 ◽  
Vol 16 (1) ◽  
pp. 53-58 ◽  
Author(s):  
Hans Ottosson ◽  
Martin Grann ◽  
Gunnar Kullgren
Keyword(s):  
Personality Disorder ◽  
Anxiety Disorders ◽  
Personality Disorders ◽  
Clinical Sample ◽  
Self Report ◽  
Anxiety State ◽  
Short Term ◽  
Retest Reliability ◽  
Axis I ◽  
Test Retest Reliability

Summary: Short-term stability or test-retest reliability of self-reported personality traits is likely to be biased if the respondent is affected by a depressive or anxiety state. However, in some studies, DSM-oriented self-reported instruments have proved to be reasonably stable in the short term, regardless of co-occurring depressive or anxiety disorders. In the present study, we examined the short-term test-retest reliability of a new self-report questionnaire for personality disorder diagnosis (DIP-Q) on a clinical sample of 30 individuals, having either a depressive, an anxiety, or no axis-I disorder. Test-retest scorings from subjects with depressive disorders were mostly unstable, with a significant change in fulfilled criteria between entry and retest for three out of ten personality disorders: borderline, avoidant and obsessive-compulsive personality disorder. Scorings from subjects with anxiety disorders were unstable only for cluster C and dependent personality disorder items. In the absence of co-morbid depressive or anxiety disorders, mean dimensional scores of DIP-Q showed no significant differences between entry and retest. Overall, the effect from state on trait scorings was moderate, and it is concluded that test-retest reliability for DIP-Q is acceptable.

Machiavellianism and personality disorder: their relationship in the mirror of interpersonal attitudes

2014 ◽  
Vol 155 (40) ◽  
pp. 1584-1588
Author(s):  
András Láng
Keyword(s):  
Personality Disorder ◽  
Personality Traits ◽  
Personality Disorders ◽  
Interpersonal Problems ◽  
Self Report ◽  
Callous Unemotional ◽  
Personality Dysfunction ◽  
Medium Strength

Introduction: Social and personality psychologists have described Machiavellianism as a pragmatic, callous-unemotional, exploitative and manipulative attitude towards others. Several former studies linked Machiavellian personality traits and interpersonal problems or personality dysfunction. Aim: The aim of this study was to reveal the connection between Machiavellianism and interpersonal problems that are characteristic of personality disorders. Method: 252 participants (146 females and 106 males, aged 32.46±5.39 years, mean±SD) filled out self-report measures of Machiavellianism and personality disorder related interpersonal problems. Results: There was a medium strength relationships between Machiavellianism and several interpersonal problems. Aggression and ambivalence proved to be significant predictors of Machiavellian personality traits. Conclusions: Results are discussed in relation to the patient–therapist bond. Orv. Hetil., 2014, 155(39), 1584–1588.

The Kinds of Personality Disorders of The Main Character in Inside Out Movie Script

CALL ◽  
2020 ◽  
Vol 2 (1) ◽  
Author(s):  
Firman Nur Zaman ◽  
Udayani Permanaludin
Keyword(s):  
Personality Disorder ◽  
Personality Disorders ◽  
Psychoanalytic Theory ◽  
Point Of View ◽  
Main Character ◽  
Moral Value ◽  
Dsm V ◽  
Movie Script ◽  
Inside Out

Movie script is a narrative literary wok that has intrinsic elements in it, that the intrinsic elements are theme, setting, point of view, plot, moral value, and last but not least are character and characterization. Movie script that are visualized into movies are categorized as modern dramas. Nowdays, the movie is used as a medium of entertainment and as a medium for delivering messages. This research aims to find two things, that is the personality disorders experienced by the main character in “Inside Out” movie script by Pete Docter. In this research, the researcher uses Sigmun Freud’s psychoanalytic theory (1923), and assisted by other supporting theories. The result of the research found that there were eight types of personality disorders of ten types of personality disorders. This research uses DSM-V (2013) as a reference for discussion of personality disorders.Keywords: Personality Disorder, Main Character, Inside Out Movie, Riley, Author, Dialogue, Narration.

scholarly journals The Relationship between Affect Integration and Psychopathology in Patients with Personality Disorder: A Cross-Sectional Study

Medicina ◽  
2021 ◽  
Vol 57 (6) ◽  
pp. 627
Author(s):  
Christina Frederiksen ◽  
Ole André Solbakken ◽  
Rasmus Wentzer Licht ◽  
Carsten René Jørgensen ◽  
Maria Rodrigo-Domingo ◽  
...  
Keyword(s):  
Personality Disorder ◽  
Personality Disorders ◽  
Interpersonal Problems ◽  
Symptom Distress ◽  
Central Component ◽  
Psychotherapeutic Treatment ◽  
Cross Sectional ◽  
Personality Functioning ◽  
Emotional Dysfunction ◽  
The Relationship

Background and Objectives: Emotional dysfunction is considered a key component in personality disorders; however, only few studies have examined the relationship between the two. In this study, emotional dysfunction was operationalized through the Affect Integration Inventory, and the aim was to examine the relationships between the level of affect integration and the levels of symptom distress, interpersonal problems, and personality functioning in patients diagnosed with personality disorder according to the Diagnostic and Statistical Manual of Mental Disorders, fifth edition. Materials and Methods: Within a hospital-based psychiatric outpatient setting, 87 patients with personality disorder referred for treatment were identified for assessment with the Affect Integration Inventory and other measures (e.g., the Symptom Checklist-90, Revised, the Inventory of Interpersonal Problems 64 circumplex version, and the Severity Indices of Personality Problems). Results: The analyses revealed that problems with affect integration were strongly and statistically significantly correlated with high levels of symptom distress, interpersonal problems, and maladaptive personality functioning. Additionally, low scores on the Affect Integration Inventory regarding discrete affects were associated with distinct and differentiated patterns of interpersonal problems. Conclusion: Taken together, emotional dysfunction, as measured by the Affect Integration Inventory, appeared to be a central component of the pathological self-organization associated with personality disorder. These findings have several implications for the understanding and psychotherapeutic treatment of personality pathology. Furthermore, they highlight the importance of considering the integration of discrete affects and their specific contributions in the conceptualization and treatment of emotional dysfunction in patients with personality disorders.

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