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Personality Disorders

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Diagnostic Interviewing

Abstract

According to the DSM-5, “A personality disorder is an enduring pattern of inner experience and behavior that deviates markedly from the expectations of the individual’s culture, is pervasive and inflexible, has an onset in adolescence or early adulthood, is stable over time, and leads to distress or impairment” (American Psychiatric Association, 2013, p. 645, emphasis in the original). The definition has some important elements. Personality disorders (PDs) persist over time, often for decades, sometimes for a lifetime. To determine whether or not an individual has a personality disorder, the characteristics must be considered to deviate markedly from the individual’s culture or subculture. It must be pervasive, characterizing the individual, rather than a quirk or an isolated symptom. Signs of the disorder must also be present reasonably early in life. Given that personality traits have a fairly strong genetic basis (Bockian, 2006), and experiences that put one at risk for a personality disorder rather frequently occur early in life, there are children who have developed personality disorders (Kernberg, Weiner, & Bardenstein, 2000); there are no age restrictions on the diagnosis.

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References

  • American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders (DSM-III-R). Washington, D.C.: American Psychiatric Association.

    Google Scholar 

  • American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (DSM-IV). Washington, D.C.: American Psychiatric Association.

    Google Scholar 

  • American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text revision). Washington, D.C.: American Psychiatric Association.

    Google Scholar 

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Association.

    Book  Google Scholar 

  • Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1987). Cognitive therapy of depression. New York, NY: Guilford Press.

    Google Scholar 

  • Benjamin, L. S. (2003). Interpersonal diagnosis and treatment of personality disorders (2nd ed.). New York, NY: Guilford.

    Google Scholar 

  • Black, L. (1996). Families of African origin: An overview. In M. McGoldrick & J. Giordano (Eds.), Ethnicity and family therapy (2nd ed., pp. 57–65). New York, NY: Guilford Press.

    Google Scholar 

  • Bockian, N. R. (1987). Narcissistic subtypes: An empirical analysis. Unpublished master’s thesis.

    Google Scholar 

  • Bockian, N. R. (2006). Personality-guided therapy for depression. Washington, D.C.: American Psychological Association.

    Book  Google Scholar 

  • Bockian, N. R., Porr, V., & Villagran, N. E. (2002). New hope for people with borderline personality disorder. Roseville, CA: Prima.

    Google Scholar 

  • Bockian, N. R., Smith, J. C., & Jongsma, A. E. (2016). The personality disorders treatment planner (2nd ed.). Hoboken, NJ: Wiley.

    Google Scholar 

  • Bornstein, R. F. (2005). The dependent patient: A practitioner’s guide. Washington, D.C.: American Psychological Association.

    Book  Google Scholar 

  • Bruce, N. G., Manber, R., Shapiro, S. L., & Constantino, M. J. (2010). Psychotherapist mindfulness and the psychotherapy process. Psychotherapy Theory, Research, Practice, and Training, 47(1), 83–97.

    Article  Google Scholar 

  • Clark, L. A., Shapiro, J. L., Daly, E., Vanderbleek, E. N., Negron, M. R., & Harrison, J. H. (2018). Empirically validated diagnostic and assessment methods. In W. J. Livesley & R. Larstone (Eds.), Handbook of personality disorders: Theory, research, and treatment (2nd ed., pp. 341–366).

    Google Scholar 

  • Colli, A., & Ferri, M. (2015). Patient personality and therapist countertransference. Current Opinion in Psychiatry, 28, 46–56.

    Article  Google Scholar 

  • Dutton, D. G. (2007). The abusive personality: Violence and control in intimate relationships (2nd ed.). New York, NY: The Guilford Press.

    Google Scholar 

  • First, M. B., Williams, J. B. W., Benjamin, L. S., & Spitzer, R. L. (2016). User’s guide for the structured clinical interview for DSM-5 personality disorders (SCID-5-PD). Washington, D.C.: American Psychiatric Association Press.

    Google Scholar 

  • Freud, A. (1936). The ego and the mechanisms of defense. New York, NY: International Universities Press, Inc.

    Google Scholar 

  • Gelso, C. J., & Hayes, J. (2007). Countertransference and the therapist’s inner experience: Perils and possibilities. Mahwah, NJ: Lawrence Erlbaum.

    Book  Google Scholar 

  • Grepmair, L., Mitterlehner, F., Loew, T., Bachler, E., Rother, W., & Nickel, M. (2007). Promoting mindfulness in psychotherapists in training influences the treatment results of their patients: A randomized, double-blind, controlled study. Psychotherapy and Psychosomatics, 76, 332–338.

    Article  Google Scholar 

  • Hayes, P. A. (2008). Addressing cultural complexities in practice: Assessment, diagnosis, and therapy (2nd ed.). Washington, D.C.: American Psychological Association.

    Book  Google Scholar 

  • Jane, J. S., Pagan, J. L., Turkheimer, E., Fiedler, E. R., & Oltmanns, T. F. (2006). The interrater reliability of the structured interview for DSM-IV personality. Comprehensive Psychiatry, 47, 368–375.

    Article  Google Scholar 

  • Kabat-Zinn, J. (1994). Wherever you go, there you are. New York, NY: Hyperion.

    Google Scholar 

  • Kernberg, O. (1965). Notes on countertransference. Journal of the American Psychoanalytic Association, 13, 38–56.

    Article  Google Scholar 

  • Kernberg, O. F. (1970). Factors in the psychoanalytic therapy of narcissistic patients. Journal of the American Psychoanalytic Association, 18, 51–85.

    Article  Google Scholar 

  • Kernberg, P., Weiner, A. S., & Bardenstein, K. K. (2000). Personality disorders in children and adolescents. New York, NY: Basic Books.

    Google Scholar 

  • Kohut, H. (1971). The analysis of self. New York, NY: International Universities Press.

    Google Scholar 

  • Lee, E., & Mock, M. R. (2005). Chinese families. In M. McGoldrick, J. Giordano, & N. Garcia-Preto (Eds.), Ethnicity and family therapy (3rd ed.). New York, NY: Guilford.

    Google Scholar 

  • Leigh-Hunt, N., Bagguley, D., Bash, K., Turner, V., Turnbull, S., Valtorta, N., & Caan, W. (2017). An overview of systematic reviews on the public health consequences of social isolation and loneliness. Public Health, 152, 157–171.

    Article  Google Scholar 

  • Linehan, M. M. (1993). Cognitive-behavioral treatment of borderline personality disorder. New York, NY: Guilford.

    Google Scholar 

  • MacLean, S. (2008). Volatile bodies: Stories of corporeal pleasure and damage in marginalised young people’s drug use. International Journal of Drug Policy, 19, 375–383.

    Article  Google Scholar 

  • McGoldrick, M., Giordano, J., & Garcia-Preto, N. (2005). Ethnicity and family therapy (3rd ed.). New York, NY: Guilford.

    Google Scholar 

  • Miller, J. D., Few, L. R., & Widiger, T. A. (2012). Assessment of personality disorders and related traits: Bridging DSM-IV-TR and DSM-5. In T. A. Widiger (Ed.), The Oxford handbook of personality disorders (pp. 108–140). New York, NY: Oxford University Press.

    Google Scholar 

  • Miller, W., & Rollnick, S. (2013). Motivational interviewing: Helping people change (3rd ed.). New York, NY: Guilford.

    Google Scholar 

  • Millon, T. (1987). On the genesis and prevalence of the borderline personality disorder: A social learning thesis. Journal of Personality Disorders, 1, 354–372.

    Article  Google Scholar 

  • Millon, T. (1999). Personality-guided therapy. New York, NY: Wiley.

    Google Scholar 

  • Millon, T. (2011). Disorders of personality: Introducing a DSM/ICD spectrum from normal to abnormal (3rd ed.). New York, NY: Wiley.

    Book  Google Scholar 

  • Millon, T., Grossman, S., & Millon, C. (2015). MCMI-IV: Millon Clinical Multiaxial Inventory Manual (1st ed.). Bloomington, MN: NCS Pearson, Inc.

    Google Scholar 

  • Millon, T., Grossman, S. D., Millon, C., Meagher, S. E., & Ramnath, R. (2004). Personality disorders in modern life (2nd ed.). Hoboken, NJ: Wiley.

    Google Scholar 

  • Oldham, J. M., & Morris, L. B. (1995). The new personality self-portrait: Why you think, work, love and act the way you do. New York, NY: Bantam.

    Google Scholar 

  • Pfohl, B., Blum, N., & Zimmerman, M. (1997). Structured interview for DSM-IV personality (SIDP-IV). Washington, D.C.: American Psychiatric Association Publishing.

    Google Scholar 

  • Rogers, R. (2003). Standardizing DSM-IV diagnoses: The clinical applications of structured interviews. Journal of Personality Assessment, 81, 220–225.

    Article  Google Scholar 

  • Rossberg, J. I., Karterud, S., Pedersen, G., & Friis, S. (2008). Specific personality traits evoke different countertransference reactions: An empirical study. The Journal of Nervous and Mental Disease, 196, 702–708.

    Article  Google Scholar 

  • Sellbom, M., Waugh, M. H., & Hopwood, C. J. (2018). Development and validation of personality disorder spectra scales for the MMPI–2–RF. Journal of Personality Assessment, 100, 406–420.

    Article  Google Scholar 

  • Siever, L. (1992). Schizophrenia spectrum personality disorders. American Psychiatric Press Review of Psychiatry, 11, 25–42.

    Google Scholar 

  • Sonkin, D., & Dutton, D. (2003). Treating assaultive men from an attachment perspective. In D. Dutton & D. Sonkin (Eds.), Intimate violence: Contemporary treatment innovations (pp. 105–134). New York, NY: Haworth Press.

    Google Scholar 

  • Tansey, M. J., & Burke, W. F. (1989). Understanding countertransference: From projective identification to empathy. Hillside, NJ: Analytic Press.

    Google Scholar 

  • Widiger, T. A., & Gore, W. L. (2013). Mental disorders as discrete clinical conditions: Dimensional versus categorical classification. In D. C. Beidel, B. C. Frueh, & M. Hersen (Eds.), Adult psychopathology and diagnosis (7th ed.). Hoboken, NJ: Wiley.

    Google Scholar 

  • Zanarini, M. C., Frankenburg, F. R., Hennen, J., Bradford Reich, B., & Silk, K. R. (2005). The McLean study of adult development: Overview and implications of the first six years of prospective follow-up. Journal of Personality Disorders, 19(5), 505–523.

    Article  Google Scholar 

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Correspondence to Neil Bockian .

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Bockian, N. (2019). Personality Disorders. In: Segal, D.L. (eds) Diagnostic Interviewing. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-9127-3_12

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