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1.
Artigo em Inglês | MEDLINE | ID: mdl-38507051

RESUMO

The current study aims to advance knowledge on the causal interrelationship between childhood CU traits and lying both at a between- and a within-person perspective across a significant developmental period of mid-childhood to mid-adolescence. Cross-lagged panel models and Random-intercept cross-lagged panel models were used to investigate the prospective associations between lying and the distinct subcomponents of CU traits, including Callousness, Uncaring, and Unemotional in a sample of 719 children (T1; Mage = 10.73 years, SDage = 1.38, range = 7-15 years, 54.4% girls) across four assessment points. Results supported large vulnerability effects at the between-person level across time, indicating that CU traits predominantly influence the subsequent development of lying, with Callousness and Uncaring showing most profound effects on subsequent developmental processes of lying. At the within-person level, fluctuations in CU traits and lying were overall meaningfully related, but no causal relationship could be empirically determined. These findings provide a differentiated etiological viewpoint on the intertwinement of CU traits and lying at a young age, and underscore the importance of an early identification of children with callous and uncaring tendencies in order to prevent more persistent lying in adolescence.

2.
Psychother Res ; : 1-17, 2024 Jan 24.
Artigo em Inglês | MEDLINE | ID: mdl-38266654

RESUMO

Objective: Addressing ethnic-cultural topics during the process of psychotherapy, i.e. broaching, is considered highly important for ethnic minority clients who consult mental health care services. Surprisingly little is known, however, about clients' perception of a therapist's broaching qualities, and how clients' mental construction of broaching translates into behavioural broaching acts a therapist may display.Method: Based on previous work and nine in-depth interviews with ethnic minority clients, a client-rated measure of therapists' broaching behaviour was developed and psychometrically evaluated in two samples. Sample 1 (N = 252 UK ethnic minority clients) was used to empirically delineate the factor structure of an initial item set. Participants were then resolicited to complete a revised item pool.Results: The empirical structure resulted in a final 25-item broaching instrument with five subscales probing into therapists' broaching behaviour. This Broaching Assessment Scale (BrAS) was validated in Sample 2 (N = 239 US ethnic minority clients). Strict measurement invariance of the factor structure was observed across the two samples and distinctive correlational patterns with therapeutic process measures were found.Conclusion: The BrAS provides new insights on how sensitivity to ethnic-cultural topics can be targeted along its concrete features, and is a promising tool for conceptualizing culturally sensitive mental healthcare assessment.

3.
Res Child Adolesc Psychopathol ; 52(3): 443-455, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-37947955

RESUMO

Early maladaptive traits are predictive of later borderline personality pathology (BPP), but little is known about their dynamic interplay over time. This is an important issue to address, however, as significant differences in the 'clinical weight' of various traits constituting the early BPP trait phenotype may inform the field on important target constructs from an early intervention perspective. Therefore, the current study aims to uncover the complex dependencies between BPP traits across the crucial developmental period of childhood and adolescence, by using longitudinal network analysis. Both between- and within-person networks were constructed to identify how early mother-reported borderline-related traits are connected across a timespan of six years (ntime 1 = 718, Mtime1 = 10.73 years, SDtime1 = 1.39, 55.1% girls). Overall, the temporal network suggested various trait interdependencies, with internalizing traits being particularly influential in the development of the BPP trait network structure. At the same time, externalizing traits likely inhibit the negative effects of these core traits. In addition, results also revealed that internalizing and externalizing clusters of early borderline-related traits are linked through emotional lability. Implications of these findings are discussed in view of the change mechanisms at play and potential targets for early intervention.


Assuntos
Transtorno da Personalidade Borderline , Transtornos da Personalidade , Feminino , Humanos , Adolescente , Masculino , Transtorno da Personalidade Borderline/psicologia , Fenótipo , Transtornos do Humor , Sintomas Afetivos
4.
Personal Disord ; 14(5): 512-526, 2023 09.
Artigo em Inglês | MEDLINE | ID: mdl-37093668

RESUMO

In this cross-sectional study including a heterogeneous Belgian community sample of adults (N = 1,930), two central questions were addressed pertaining to age differences of self-reported Personality Inventory for DSM-5 (PID-5) maladaptive personality traits: (a) What kind of mean-level changes occur in the PID-5 traits from age 21 to 65? and (b) What kind of variance-level changes occur in the PID-5 traits from age 21 to 65? In exploring these research questions, we also aimed to examine potential sex differences. With regard to latent mean-level age differences of the PID-5 traits, changes across adulthood were overall small to moderate and included a mix of decreasing, flat, and increasing age trends. Regarding the decreasing trends, quadratic regressions showed that the initial downward trend often either stagnated at a certain age, or subtly started increasing again from a certain age onwards. In more than half of the PID-5 traits (15/25), small but significant sex differences were found in the latent mean-level changes across adulthood. In these cases, men tended to score overall higher, except for the negative affectivity facets, on which women tended to score higher. Furthermore, variance stability was found for the majority of the PID-5 personality traits (17/25), indicating that the magnitude of individual differences in PID-5 traits is relatively stable across adulthood. Implications for individual assessment and evaluation of PID-5 scores are discussed. (PsycInfo Database Record (c) 2023 APA, all rights reserved).


Assuntos
Transtornos da Personalidade , Caracteres Sexuais , Adulto , Humanos , Masculino , Feminino , Adulto Jovem , Pessoa de Meia-Idade , Idoso , Estudos Transversais , Inventário de Personalidade , Manual Diagnóstico e Estatístico de Transtornos Mentais , Individualidade , Personalidade
5.
Personal Disord ; 14(1): 83-92, 2023 01.
Artigo em Inglês | MEDLINE | ID: mdl-36848076

RESUMO

In the present article, we aim to contribute to further progress in the field of personality disorder (PD) development by highlighting several recent methodological innovations related to (a) the measurement of personality pathology, (b) the modeling of typical features of personality pathology, and (c) the assessment of processes that characterize PD development. For each of those issues, we discuss key points of attention and methodological strategies, illustrated with recent publications in the PD research field as potential resources for future research. (PsycInfo Database Record (c) 2023 APA, all rights reserved).


Assuntos
Desenvolvimento da Personalidade , Transtornos da Personalidade , Humanos , Transtornos da Personalidade/diagnóstico , Personalidade
6.
J Pers Assess ; 105(4): 499-507, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-35946943

RESUMO

The significance of early maladaptive traits for understanding the roots of borderline personality disorder (BPD) is increasingly endorsed. Given the interpersonal nature of BPD and fluctuations in phenotypic symptomatology, this study aims to test the assumption that a situation-contingent contextualized assessment of borderline traits is a viable avenue to more fully capture the way underlying traits are reflected in socioaffective behavior that occurs in age-relevant situations. We aimed to explore the extent to which the variability on these responses represents a meaningful construct for understanding the clinical richness of BPD. Toward this end, a contextualized measure of DSM-5 BPD traits was developed along a situational judgment test (SJT) format, allowing us to explore both between-person and within-person variability in a more economic format than repeated measurement does. Examination of the psychometric properties of the SJT revealed distinctive correlational patterns of the situation-based traits with symptom scales of a youth BPD measure, but also indicated that for certain traits consistency in trait level across different situations is more maladaptive, whereas for other traits a greater degree of variability in trait expression is more maladaptive. Overall, this work could set the stage for further research on the potential of SJTs for understanding personality vulnerabilities both at the dispositional and the dynamic level.


Assuntos
Transtorno da Personalidade Borderline , Julgamento , Humanos , Transtorno da Personalidade Borderline/diagnóstico , Transtorno da Personalidade Borderline/psicologia , Masculino , Feminino , Adolescente , Psicometria , Manual Diagnóstico e Estatístico de Transtornos Mentais , Personalidade
7.
Psychother Res ; 33(6): 768-782, 2023 07.
Artigo em Inglês | MEDLINE | ID: mdl-36585951

RESUMO

OBJECTIVE: Broaching-i.e., a counsellor's effort to install meaningful conversations in psychotherapy concerning one's cultural identity-is a strong predictor of positive treatment outcomes and client satisfaction, especially for minority-identified clients. Despite this understanding, the broaching literature has struggled to translate broaching principles into practical recommendations for specific behaviours and skills. The current study therefore explores the effects of broaching approaches by the therapist (i.e., direct, indirect and avoidant approach) about cultural topics including ethnicity, religion, gender expression and socioeconomic status on clients' perception of (1) the multicultural orientation of the therapist and (2) the frequency of microaggressions during therapy. METHOD: These research questions were investigated in a sample of ethnic minority clients (N = 231) who followed at least one session of mental healthcare counselling during the last 12 months. RESULTS: Findings show that indirect broaching is the overall most favourable approach, whilst avoidant broaching is consistently negatively associated with all therapy-related outcome measures. CONCLUSION: The results lay the basis for practical guidelines for broaching in psychotherapy, and provide counsellors with a foundation for having cultural conversations in an effective and respectful manner.


Assuntos
Etnicidade , Grupos Minoritários , Humanos , Minorias Étnicas e Raciais , Relações Profissional-Paciente , Grupos Raciais , Psicoterapia/métodos
8.
Psychopathology ; 56(1-2): 102-108, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-35294946

RESUMO

INTRODUCTION: Borderline personality features are often associated with toxic social relationships and problematic peer functioning. Less is known, however, about the extent to which bullying experiences may shape the development and maintenance of borderline-related traits during crucial periods of rapid normative developments in impulse and emotion regulation skills. Given the core interpersonal character of borderline personality pathology (BPP), such research focus may be relevant to better understand possible causal social mechanisms in the development of personality difficulties within the borderline trait spectrum. METHOD: The current longitudinal study examined whether experiences of both bullying perpetration and victimization in pre-adolescence mediated the developmental course of BPP traits between childhood and adolescence. To examine these associations, a sample of children (N = 242; 57% girls; Mage = 10.87 years) was recruited and followed up 1 and 4 years later. RESULTS: Mediation analysis indicated that the prospective link between child and adolescent BPP trait vulnerability was shaped by pre-adolescent experiences of bullying victimization, but not by bullying perpetration. DISCUSSION: These results indicate that the continuity between child and adolescent borderline trait features are partly explained by exposure to bullying victimization, indicating that the impact of environmental invalidation on BPP development also extends to the peer context.


Assuntos
Bullying , Vítimas de Crime , Feminino , Criança , Humanos , Adolescente , Masculino , Estudos Longitudinais , Estudos Prospectivos , Bullying/psicologia , Vítimas de Crime/psicologia , Personalidade
9.
Dev Psychopathol ; 34(4): 1468-1476, 2022 10.
Artigo em Inglês | MEDLINE | ID: mdl-33843532

RESUMO

Although there is increasing attention for the interrelationship between obsessive-compulsive personality disorder (OCPD) and obsessive-compulsive disorder (OCD), their shared characteristics in terms of childhood trait antecedents remain understudied. Perfectionism may be a viable candidate trait antecedent, given its role in the clinical manifestation of both OCPD and OCD in adulthood, and the evidence that perfectionism reflects a dispositional tendency observable from childhood onwards. However, little is known about childhood trajectories of perfectionism with prospective links to later OCPD versus OCD. Using latent growth curve modeling, this study explored the baseline and growth of childhood perfectionism in 485 community and referred children (55.5% girls, 7.17-14.78 years old, Mage = 10.74, SD = 1.50) across three waves. Adolescent OCPD traits and OCD symptoms were measured in Wave 4. An overall decreasing trend of perfectionism from childhood through adolescence appeared, without inter-individual differences in growth. Individual differences in baseline levels of childhood perfectionism were significant, and equally predicting adolescent OCPD and OCD outcomes. At a more specific level, childhood perfectionism predicted most strongly the rigid perfectionism component of OCPD, and the orderliness/cleanliness/perfectionism and obsession domain of OCD. This demonstrates the value of childhood perfectionism for understanding differential outcomes of adolescent OCPD traits and OCD symptoms.


Assuntos
Transtorno Obsessivo-Compulsivo , Perfeccionismo , Adolescente , Adulto , Criança , Transtorno da Personalidade Compulsiva/diagnóstico , Feminino , Humanos , Masculino , Transtorno Obsessivo-Compulsivo/diagnóstico , Inventário de Personalidade , Estudos Prospectivos
10.
Child Psychiatry Hum Dev ; 53(1): 124-136, 2022 02.
Artigo em Inglês | MEDLINE | ID: mdl-33405024

RESUMO

This study investigated emotion regulation (i.e., emotional integration, suppression and dysregulation) as a transdiagnostic process underlying adolescents' internalizing and externalizing symptoms. Basic psychological need experiences were investigated as a possible underlying mechanism explaining this association. A heterogeneous sample of non-clinical and clinically-referred adolescents reported upon emotion regulation, basic psychological needs (i.e., need satisfaction and frustration), and both internalizing and externalizing problems. Results indicated that dysfunctional emotion regulation was positively linked to internalizing as well as externalizing problems. Need frustration was a partial mediator in this relation between emotion regulation and psychopathology. The findings suggest that both emotion regulation and basic psychological needs may play a transdiagnostic role in adolescents' internalizing and externalizing symptoms.


Assuntos
Regulação Emocional , Adolescente , Emoções/fisiologia , Frustração , Humanos , Psicopatologia , Fatores de Risco
11.
Child Psychiatry Hum Dev ; 53(6): 1148-1160, 2022 12.
Artigo em Inglês | MEDLINE | ID: mdl-34076800

RESUMO

The DSM-5 alternative model for the diagnosis of personality disorders (AMPD) states that self- and interpersonal (Criterion A) dysfunction is necessary to diagnose a personality disorder, qualified by maladaptive personality trait profiles (Criterion B). This study tested whether childhood maladaptive personality traits predict interpersonal dysfunction during adolescence, which further predicts lower self-functioning in young adulthood. A mixed clinical-community sample of 157 10-year-olds participated for ten years. Social problems and personality traits were rated by parents at age 10 and 12. At age 20, young adults completed 14 daily ratings of self-functioning. Traits of emotional instability and disagreeableness predicted social problems and self-problems. Social problems predicted worse self-functioning in adulthood. An indirect effect of childhood narcissistic traits on higher levels of self-functioning via lower levels of social problems was found. Results are discussed in terms of their contribution to our understanding of the AMPD from a developmental perspective.


Assuntos
Transtornos da Personalidade , Interação Social , Adolescente , Adulto , Criança , Manual Diagnóstico e Estatístico de Transtornos Mentais , Humanos , Personalidade , Transtornos da Personalidade/diagnóstico , Transtornos da Personalidade/psicologia , Inventário de Personalidade , Ajustamento Social , Adulto Jovem
13.
Psychol Assess ; 33(9): 880-889, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34424018

RESUMO

The present study addresses the need for short and accessible maladaptive trait measures that cover all relevant aspects of developmental trait pathology, in order to comprehensively assess potential antecedents of personality pathology. From this perspective, we present a 98-item version of the well-established Dimensional Personality Symptom Item Pool (DIPSI) measure (DIPSI-B), that is fully age-neutral across the developmental stages of childhood and adolescence, and further includes those items from the original measure with the most optimal coverage of the latent traits. Relying on a large community-based sample of Flemish children and adolescents (N = 1873) randomly split and balanced in terms of age and gender, a precise selection of items was performed followed by an inspection of psychometric properties. The final item-set appears to be reliable, structurally stable, and invariant across both gender and age. We hope that its feasibility stimulates the integration of the DIPSI-B in ongoing prospective designs examining developmental antecedents of personality disorders. (PsycInfo Database Record (c) 2021 APA, all rights reserved).


Assuntos
Transtornos da Personalidade , Inventário de Personalidade , Adolescente , Criança , Feminino , Humanos , Masculino , Transtornos da Personalidade/diagnóstico , Transtornos da Personalidade/psicologia , Psicometria , Reprodutibilidade dos Testes
14.
Res Child Adolesc Psychopathol ; 49(10): 1387-1401, 2021 10.
Artigo em Inglês | MEDLINE | ID: mdl-34021460

RESUMO

The etiology of borderline personality pathology has consistently been framed as an interactional process between child vulnerability (i.e. emotional sensitivity and reactivity; Linehan, 1993) and invalidating parenting strategies, which evolves into increased emotion dysregulation and disinhibited behavior of the child and in turn activates more parental invalidation. Despite the strong theoretical base in support of these high-risk parent-child transactions, invalidating parenting behaviors have mostly been explored as a cause of child dysregulation and disinhibition, rather than as a result of child-driven effects. Also, most transactional research in this regard focused at differences between families, thereby not addressing potential changes within families across time. The current study therefore examines bidirectional between- and within-family effects of childhood borderline-related traits and maternal invalidation in the sensitive developmental phase of pre-adolescence (n = 574; 54.4% girls) along three assessment points. Cross-Lagged Panel Models and Random-Intercept Cross-Lagged Panel Models indicated detrimental parenting effects of invalidation on subsequent development in borderline-related traits of the child both between and within families, and additional child-driven effects for subsequent invalidating parenting strategies within families. Beyond these transactions between borderline-related traits and parenting, the current study also indicates significant differences in the direction of effects when exploring transactions between more common dimensions of child internalizing/externalizing symptomatology and parental invalidation, suggesting a more substantial parenting etiology in the developmental process of borderline traits throughout pre-adolescence. Future longitudinal research may explore to what extent the transactional nature of borderline personality traits during important developmental stages indeed holds unique aspects compared to more common manifestations of symptomatology at young age.


Assuntos
Transtorno da Personalidade Borderline , Poder Familiar , Adolescente , Feminino , Humanos , Masculino , Relações Pais-Filho , Pais , Estudos Prospectivos
15.
Personal Disord ; 12(6): 503-513, 2021 11.
Artigo em Inglês | MEDLINE | ID: mdl-33856835

RESUMO

Children with a constellation of dark traits may be particularly challenging to parents because these traits are associated with an increased chance for parents to lose a supportive attitude in dealing with the child's difficultness and to turn instead toward punishing strategies. The present study looks with more detail into the construct of parental punishment and examines differences and similarities in the effects of physical (harsh) versus nonphysical (corrective) discipline on the developmental course of childhood five-factor model-based dark traits across a 10-year time span. Data were drawn from an ongoing (masked for review) longitudinal study, including five assessment points across 10 years (Ntime 1 = 720, 54.4% girls, age range Time 1 = 8-14.78 years, M = 10.73, SD = 1.39). Latent growth modeling suggested significant differences between both kinds of parental discipline in terms of contrasting effects on subsequent growth in dark traits and also showed a number of age-and gender-specific effects of parental discipline on the developmental course of dark traits. These findings underscore the relevance of a more differentiated perspective on effects of parental punishment in understanding childhood maladaptive trait outcomes and may offer fruitful guidelines for the development of intervention programs targeting children that are difficult to manage. (PsycInfo Database Record (c) 2021 APA, all rights reserved).


Assuntos
Pais , Punição , Adolescente , Criança , Feminino , Humanos , Lactente , Estudos Longitudinais , Masculino , Fenótipo
16.
Psychol Med ; 51(14): 2388-2398, 2021 10.
Artigo em Inglês | MEDLINE | ID: mdl-32321603

RESUMO

BACKGROUND: Recent research has emphasized the importance of within-person transactions between situational perceptions and borderline symptomatology. The current study extends current evidence by evaluating a broad range of situational perceptions and their transactions with borderline symptomatology across both private and professional contexts. Additionally, it explores whether early experiences of parental harsh punishment and emotional support during childhood, two well-established etiological factors in developmental theories of borderline symptomatology, influence the effect of daily situation perception in adulthood on borderline symptom presentation. METHODS: N = 131 young adults (Mage = 20.97, s.d.age = 1.64) completed end-of-day diaries of their borderline symptoms and perceptions of the home and school or work environment for 14 days. During their mid-childhood, reports of maternal strategies of harsh punishment and emotional support were collected. RESULTS: Findings revealed that on the same day, borderline symptoms were associated with more negative and stressful, and less positive perceptions of both the private and professional context. Additionally, borderline symptoms predicted more negative and stressful perceptions of school/work on subsequent days. Finally, while early harsh punishment predicted overall increases in daily borderline symptoms 10 years later, emotionally supportive parenting in childhood predicted decreases in borderline symptom expression in less positive and more stressful contexts. CONCLUSIONS: The current study points to the importance of managing BPD symptoms to reduce subsequent negative perceptions of the environment, and also indicates the relevance of exploring adult person-situation processes based on early parenting experiences.


Assuntos
Transtorno da Personalidade Borderline/diagnóstico , Educação Infantil/psicologia , Poder Familiar/psicologia , Percepção , Punição/psicologia , Local de Trabalho/psicologia , Adulto , Transtorno da Personalidade Borderline/psicologia , Criança , Humanos , Personalidade , Instituições Acadêmicas , Adulto Jovem
17.
J Consult Clin Psychol ; 87(12): 1069-1084, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31724426

RESUMO

OBJECTIVE: Diagnosis is a cornerstone of clinical practice for mental health care providers, yet traditional diagnostic systems have well-known shortcomings, including inadequate reliability, high comorbidity, and marked within-diagnosis heterogeneity. The Hierarchical Taxonomy of Psychopathology (HiTOP) is a data-driven, hierarchically based alternative to traditional classifications that conceptualizes psychopathology as a set of dimensions organized into increasingly broad, transdiagnostic spectra. Prior work has shown that using a dimensional approach improves reliability and validity, but translating a model like HiTOP into a workable system that is useful for health care providers remains a major challenge. METHOD: The present work outlines the HiTOP model and describes the core principles to guide its integration into clinical practice. RESULTS: Potential advantages and limitations of the HiTOP model for clinical utility are reviewed, including with respect to case conceptualization and treatment planning. A HiTOP approach to practice is illustrated and contrasted with an approach based on traditional nosology. Common barriers to using HiTOP in real-world health care settings and solutions to these barriers are discussed. CONCLUSIONS: HiTOP represents a viable alternative to classifying mental illness that can be integrated into practice today, although research is needed to further establish its utility. (PsycINFO Database Record (c) 2019 APA, all rights reserved).


Assuntos
Transtornos Mentais/classificação , Transtornos Mentais/diagnóstico , Transtornos Mentais/fisiopatologia , Modelos Teóricos , Psicopatologia/métodos , Adolescente , Adulto , Humanos , Transtornos Mentais/terapia
18.
Psychol Assess ; 31(4): 417-419, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30920276

RESUMO

Personality and its assessment are growth areas in the psychological literature and are important in applied practice. In the decades since personality reemerged as a viable scientific construct following the person-situation debate, we have learned much about the nature and full breadth of personality traits as well as refined methods for the assessment of personality characteristics. Indeed, the personality assessment literature currently is vibrant and now intersects with numerous other disciplines, including traditional psychometrics, developmental psychology and psychopathology, clinical psychology, neuroscience, industrial-organizational psychology, and educational and social psychology. This growth in the personality assessment literature inspired us to organize an expert meeting on personality assessment. This 2-day event-which was held in Oostduinkerke (Belgium) in September 2016-brought together junior and senior personality assessment researchers as well as a number of methodologists from around the world and focused on sharing modern viewpoints on personality assessment from a wide diversity of perspectives. Following the meeting, we envisioned this special issue, including papers from meeting attendees addressing topics that emerged from the discussion sessions and are the result of fruitful and often new collaborations. Although the papers were invited, all were subjected to critical peer review and underwent revisions prior to their publication here. In what follows, the overall rationale for the present special issue and the connection between the different papers will be outlined from an integrative perspective. (PsycINFO Database Record (c) 2019 APA, all rights reserved).


Assuntos
Determinação da Personalidade , Transtornos da Personalidade/diagnóstico , Personalidade , Conferências de Consenso como Assunto , Humanos , Transtornos da Personalidade/psicologia , Pesquisa Translacional Biomédica
19.
Psychol Assess ; 31(4): 432-443, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30869962

RESUMO

In the present article, we discuss the potential of ambulatory assessment for an idiographic study of the structure and process of personality. To this end, we first review important methodological issues related to the design and implementation of an ambulatory assessment study in the personality domain, including methods of ambulatory assessment, frequency of measurement and duration of the study, ambulatory assessment scales and questionnaires, participant selection, training and motivation, and ambulatory assessment hard- and software. Next, we provide a detailed outline of available analytical approaches that can be used to analyze the intensive longitudinal data generated by an ambulatory assessment study. By doing this, we hope to familiarize personality scholars with these methods and to provide guidance for their use in the field of personality psychology and beyond. (PsycINFO Database Record (c) 2019 APA, all rights reserved).


Assuntos
Determinação da Personalidade , Personalidade , Interpretação Estatística de Dados , Humanos , Estudos Longitudinais , Projetos de Pesquisa
20.
J Pers Assess ; 101(4): 345-355, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-29746190

RESUMO

The categorical model of personality disorder classification in the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (5th ed. [DSM-5]; American Psychiatric Association, 2013 ) is highly and fundamentally problematic. Proposed for DSM-5 and provided within Section III (for Emerging Measures and Models) was the Alternative Model of Personality Disorder (AMPD) classification, consisting of Criterion A (self-interpersonal deficits) and Criterion B (maladaptive personality traits). A proposed alternative to the DSM-5 more generally is an empirically based dimensional organization of psychopathology identified as the Hierarchical Taxonomy of Psychopathology (HiTOP; Kotov et al., 2017 ). HiTOP currently includes, at the highest level, a general factor of psychopathology. Further down are the five domains of detachment, antagonistic externalizing, disinhibited externalizing, thought disorder, and internalizing (along with a provisional sixth somatoform dimension) that align with Criterion B. The purpose of this article is to discuss the potential inclusion and placement of the self-interpersonal deficits of the DSM-5 Section III Criterion A within HiTOP.


Assuntos
Mecanismos de Defesa , Manual Diagnóstico e Estatístico de Transtornos Mentais , Transtornos da Personalidade/diagnóstico , Personalidade , Adulto , Feminino , Humanos , Masculino , Inventário de Personalidade , Comportamento Problema , Psicopatologia
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