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Assessing for Personality Disorders in the Hispanic Client

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Guide to Psychological Assessment with Hispanics

Abstract

This chapter opens with an overview of sociocultural considerations in personality assessment with Latino/as. It follows with a review of important sociodemographic information for Latino/as and more in-depth discussion of relevant sociocultural factors. The roles of personality and personality disorder(s) in shaping the management of anxiety, aggression, attachment, and other aspects of life, the distinction between personality and personality disorders, and the purpose of the personality disorder diagnosis and assessment are then discussed. The chapter reviews several extant personality measures and provides suggestions for clinical practice and research. The perspective adopted throughout the chapter is that sociocultural factors are inextricably linked to the psychosocial functioning, personality, and mental health of Latino/as and impact the assessment process.

We thank Steven R. Smith, Ph.D., for his comments on an earlier draft of this manuscript.

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Notes

  1. 1.

    Although Latino/as may share a general, basic cultural system (Marin & Marin, 1991), there are substantial within-group differences among Latino/as. The adoption of self-referential racial or ethnic labels (e.g., Latino/a, Hispanic, Chicana/o, Boricua) among subgroups and individuals varies as a function of generation status, geographic region, nationality, socioeconomic status, and personal preference (Gloria & Segura-Herrera, 2004) as well as context (e.g., Brewer, 1991; Sellers et al., 1998).

  2. 2.

    Yet there are likely to be within and between group as well as generational differences.

  3. 3.

    Although these values dimensions were initially developed from a larger pool of theoretical pan-Latino/a values, their representativeness remains to be addressed as they have thus far only been validated with college students primarily of Mexican heritage.

  4. 4.

    As important, within-group differences have been found for specific subgroups and for type of disorder (Alegria et al., 2008).

  5. 5.

    Balsa and McGuire (2001) define taste discrimination as intentional and statistical discrimination as unintentional. These are akin to conscious versus unconscious discrimination, respectively.

  6. 6.

    Both studies included nonrepresentative clinical samples of Latino/as from the northeast.

  7. 7.

    However, there are no norms available for the Spanish versions in the USA (Butcher et al., 2007).

  8. 8.

    Hall et al. examined the results of 13 studies—all of which included only male participants. Importantly, most samples were comprised primarily of Mexican Americans in inpatient settings.

  9. 9.

    This study was not included in Hall et al.’s review.

  10. 10.

    These consisted of unpublished studies (conference presentations and/or unpublished doctoral dissertations).

  11. 11.

    Only one study in Hall et al.’s review assessed acculturation.

  12. 12.

    These authors also examined selected MMPI-2 scales. Refer to previous section for brief background information for this study.

  13. 13.

    Unlike the normalized standard score transformations commonly used in psychological tests, the MCMI inventory uses actuarial base rate data. This avoids the implicit assumption of T-scores that the prevalence rates of all disorders are equal, for example, assuming there are equal numbers of persons manifesting depression as schizophrenia.

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Authors and Affiliations

  1. Department of Psychology, Kennesaw State University, 1000 Chastain Road Northwest, MD 2202, Kennesaw, GA, 30144, USA

    Saul G. Alamilla Ph.D.

  2. Canvas Health, 7066 Stillwter Blvd. N., Oakdale, MN 55128, Oakdale, MN, 55128, USA

    James V. Wojcik Ph.D.

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  1. Saul G. Alamilla Ph.D.
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  2. James V. Wojcik Ph.D.
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Correspondence to Saul G. Alamilla Ph.D. .

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  1. , Department of Psychology, MS 0296, University of Nevada, Reno, North Virginia Street, Reno, 89557, Nevada, USA

    Lorraine T. Benuto

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Alamilla, S.G., Wojcik, J.V. (2013). Assessing for Personality Disorders in the Hispanic Client. In: Benuto, L. (eds) Guide to Psychological Assessment with Hispanics. Springer, Boston, MA. https://doi.org/10.1007/978-1-4614-4412-1_15

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