Toward a Model for Assessing Level of Personality Functioning in DSM–5, Part II: Empirical Articulation of a Core Dimension of Personality Pathology

2019 ◽  
Vol 33 (1) ◽  
pp. 49-70 ◽  
Author(s):  
Han Berghuis ◽  
Theo J. M. Ingenhoven ◽  
Paul T. van der Heijden ◽  
Gina M. P. Rossi ◽  
Chris K. W. Schotte

The six personality disorder (PD) types in DSM-5 section III are intended to resemble their DSM-IV/DSM-5 section II PD counterparts, but are now described by the level of personality functioning (criterion A) and an assigned trait profile (criterion B). However, concerns have been raised about the validity of these PD types. The present study examined the continuity between the DSM-IV/DSM-5 section II PDs and the corresponding trait profiles of the six DSM-5 section III PDs in a sample of 350 Dutch psychiatric patients. Facets of the Dimensional Assessment of Personality Pathology—Basic Questionnaire (DAPP-BQ) were presumed as representations (proxies) of the DSM-5 section III traits. Correlational patterns between the DAPP-BQ and the six PDs were consistent with previous research between DAPP-BQ and DSM-IV PDs. Moreover, DAPP-BQ proxies were able to predict the six selected PDs. However, the assigned trait profile for each PD didn't fully match the corresponding PD.


2021 ◽  
Vol 23 (7) ◽  
Author(s):  
Susanne Hörz-Sagstetter ◽  
Ludwig Ohse ◽  
Leonie Kampe

Abstract Purpose of Review The concept of personality functioning (Alternative DSM-5 Model of Personality Disorders) has led to increased interest in dimensional personality disorder diagnosis. While differing markedly from the current categorical classification, it is closely related to the psychodynamic concepts of personality structure and personality organization. In this review, the three dimensional approaches, their underlying models, and common instruments are introduced, and empirical studies on similarities and differences between the concepts and the categorical classification are summarized. Additionally, a case example illustrates the clinical application. Recent Findings Numerous studies demonstrate the broad empirical basis, validated assessment instruments and clinical usefulness of the dimensional concepts. Their advantages compared to the categorical approach, but also the respective differences, have been demonstrated empirically, in line with clinical observations. Summary Evidence supports the three dimensional concepts, which share conceptual overlap, but also entail unique aspects of personality pathology, respectively.


2017 ◽  
Author(s):  
Marissa Jennings

The recently published DSM-5 included a dimensional model of personality pathology, which includes pathological traits. This model is a response to the many criticisms and problems documented with the traditional categorical modal of personality disorders. To date, numerous studies have demonstrated that the trait model is more valid and reliable than the traditional categorical model (Krueger and Markon 2013). This study expands research on the trait model by assessing the association between the DSM-5 traits and propensity for, or attitudes about, violence.


2021 ◽  
Author(s):  
Whitney R. Ringwald ◽  
Michael Hallquist ◽  
Alexandre Dombrovski ◽  
Aidan G.C. Wright

Maintaining psychological equilibrium within a dynamic environment is thought to be the core of human functioning. Systems-based theories of personality hypothesize that generalized processes control stability by regulating how strongly a person reacts to various situations. Research shows there are higher-order traits of general personality function (Stability) and dysfunction (general personality pathology; GPP), but whether or not they capture individual differences in reactivity is largely theoretical. We tested this hypothesis by examining how general personality functioning manifests in everyday life in two samples (Ns=205; 342 participants and 24,920; 17,761 observations) that completed an ambulatory assessment protocol. Consistent with systems-based theories, we found (1) there is a general factor reflecting reactivity across major domains of functioning, and (2) reactivity is strongly associated with Stability and GPP. Results provide insight into how people fundamentally adapt (or not) to their environments, and lays the foundation for more practical, empirical models of human functioning.


2017 ◽  
Vol 34 (2) ◽  
pp. 219-231 ◽  
Author(s):  
Lucas de Francisco CARVALHO ◽  
Catarina Possenti SETTE

Abstract The aim of this study was to revise the Criticism Avoidance dimension of the Dimensional Clinical Personality Inventory and to investigate its psychometric properties. The participants included 213 subjects aged 18 to 69 years (Mean = 25.56; Standard Deviation = 8.70), mostly females (N = 159; 74.3%). All participants answered the Dimensional Clinical Personality Inventory and the Brazilian versions of the Revised NEO Personality Inventory and the Personality Inventory for DSM-5. A total of 470 new items were developed and selected using content analysis, and 39 items composed the final version. Based on the parallel analysis and factor analysis, three interpretable factors were found. The internal consistency coefficients showed adequate levels of reliability ranging between 0.80 and 0.91 for the factors. Additionally, expected correlations were found between the Dimensional Clinical Personality Inventory and the other tests. The present study demonstrated the adequacy of the dimension revised to assess pathological characteristics of the avoidant personality functioning.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S162-S163
Author(s):  
Daniel L Segal ◽  
Lisa E Stone ◽  
Frederick L Coolidge ◽  
Gabrielle Krus

Abstract Introduction: The Personality Inventory for DSM-5 (PID-5) is a measure of the alternative model of personality disorders with limited evidence of validity among older adults. This study examined validity of the model through associations with the Horney-Coolidge Tridimensional Inventory (HCTI). Method: Older adults (N=125) completed the PID-5 and the HCTI. Results: Zero-order correlations were computed between the PID-5’s five domains (Negative Affect, Detachment, Antagonism, Disinhibition, and Psychoticism) and the HCTI’s three domains (Compliance, Aggression, and Detachment). Compliance was moderately negatively correlated with Detachment (r = -.27), as expected. Aggression was significantly positively related to all five PID-5 domains and was most strongly correlated with Antagonism (r = .56), Psychoticism (r = .48), and Disinhibition (r = .32). As predicted, Horney’s Detachment was most strongly related to the PID-5’s Detachment (r = .48). Regression analyses were also conducted with PID-5 domains predicting each HCTI type. The Compliance model was significant, with PID-5 domains predicting 13% of variability in Compliance. Negative Affect (positive) and Detachment (negative) were significant predictors. The Aggression model was also significant, with the PID-5 domains accounting for 40% of variability. Antagonism was the only significant positive predictor. Lastly, the Detachment model was significant, with the PID-5 domains predicting 29% of variance in Detachment scores. Negative Affect (negative) and Detachment (positive) were significant predictors. Discussion: Results indicate that the two measures of personality pathology generally converge regarding theoretically similar constructs and diverge around dissimilar domains, providing evidence of validity of the PID-5 for its ability to capture personality traits.


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