Abstract:
:Following critiques that the DSM multiaxial system lacks psychodynamic information useful for treatment, an axis for defense mechanisms was developed for DSM-IV, including up to 7 individual defenses from a glossary of 27, and 3 predominant defense levels from a list of 7. We tested the feasibility, reliability, and discriminability of the proposed axis. Clinician and psychiatric resident volunteers were trained at two U.S. and one Norwegian sites. After conducting initial interviews on 107 patients, they rated the DSM-III-R and defense axes, as did a second blind rater. Median kappa reliabilities were .42 (individual defenses), and .47 (defense levels). A summary measure, Overall Defensive Functioning (ODF), had similar reliability to current GAF (IR .68 vs. .62), similar 1-month stability (.75 vs. .78), but greater 6-month stability (.51 vs. .17). Independent of Axis III, ODF had small to moderate associations with other Axes and symptoms. Our findings indicate that the defense axis is a feasible, acceptably reliable, and nonredundant addition to DSM-IV, which may prove useful for planning and conducting treatment.
journal_name
J Pers Disordjournal_title
Journal of personality disordersauthors
Perry JC,Hoglend P,Shear K,Vaillant GE,Horowitz M,Kardos ME,Bille H,Kagan Ddoi
10.1521/pedi.1998.12.1.56subject
Has Abstractpub_date
1998-04-01 00:00:00pages
56-68issue
1eissn
0885-579Xissn
1943-2763journal_volume
12pub_type
临床试验,杂志文章,多中心研究abstract::People diagnosed with a personality disorder (PD) are often a stigmatized patient group. This can affect the care they receive, their progression, and the well-being of staff caring for them. Interventions targeted at health care professionals that aim to improve attitudes toward these patients and improve staff well-...
journal_title:Journal of personality disorders
pub_type: 杂志文章,随机对照试验
doi:10.1521/pedi_2014_28_149
更新日期:2015-04-01 00:00:00
abstract::Interpersonal problems are significant markers of personality disorders (PDs). There is little research examining the specific interpersonal problems which lead to social impairment in PD. This study used canonical correlation analyses to examine the relationship between interpersonal competence and PDs, first as cate...
journal_title:Journal of personality disorders
pub_type: 杂志文章
doi:10.1521/pedi.2011.25.1.16
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abstract::The emergent interpersonal syndrome (EIS) approach conceptualizes personality disorders as the interaction among their constituent traits to predict important criterion variables. We detail the difficulties we have experienced finding such interactive predictors in our empirical work on psychopathy, even when using un...
journal_title:Journal of personality disorders
pub_type: 杂志文章,评审
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更新日期:2019-10-01 00:00:00
abstract::There has been no prior research on peer victimization and child or adolescent schizotypal personality. This study tests the hypothesis that increased peer victimization is associated with increased schizotypal personality. Schizotypy was assessed using the SPQ-C (Schizotypal Personality Questionnaire-Child) in 3,508 ...
journal_title:Journal of personality disorders
pub_type: 杂志文章
doi:10.1521/pedi.2012.26.3.428
更新日期:2012-06-01 00:00:00
abstract::The main objective of this study was to determine whether being taught the latest information concerning borderline personality disorder (BPD) leads to a decline in core BPD symptoms and an improvement in psychosocial functioning. Fifty-five late adolescent women participated in a rigorous diagnostic assessment and 50...
journal_title:Journal of personality disorders
pub_type: 杂志文章,随机对照试验
doi:10.1521/pedi.2008.22.3.284
更新日期:2008-06-01 00:00:00
abstract::We assessed the association of personality pathology with romantic couples' observed interpersonal behaviors. Couples engaged in four discussion tasks, after which observers used the Continuous Assessment of Interpersonal Dynamics method to continuously rate each participant's dominance and warmth over the course of e...
journal_title:Journal of personality disorders
pub_type: 杂志文章
doi:10.1521/pedi_2019_33_444
更新日期:2020-08-01 00:00:00
abstract::Harari, Shamay-Tsoory, Ravid, and Levkovitz (2010) demonstrated a "double dissociation" in empathy in borderline personality disorder (BPD), such that BPD patients had higher affective than cognitive empathy, whereas controls exhibited the opposite pattern. Two processes that may relate to this dissociation are emotio...
journal_title:Journal of personality disorders
pub_type: 杂志文章
doi:10.1521/pedi_2015_29_192
更新日期:2016-04-01 00:00:00
abstract::We describe the Developmental Profile and the development of the instrument, the theory on which it is based, and the manner in which information is collected, interpreted, and used in clinical practice. We present the results of the psychometric research that has been performed to date. Finally, we examine the extent...
journal_title:Journal of personality disorders
pub_type: 杂志文章
doi:10.1521/pedi.15.5.457.19198
更新日期:2001-10-01 00:00:00
abstract::The current study examined whether Callous-Unemotional (CU) traits, a core component of psychopathy, modulate neural responses of participants engaged in a social exchange game. In this task, participants were offered an allocation of money and then given the chance to punish the offerer. Twenty youth participated and...
journal_title:Journal of personality disorders
pub_type: 杂志文章
doi:10.1521/pedi.2013.27.1.99
更新日期:2013-02-01 00:00:00
abstract::A substantial proportion of Borderline Personality Disorder (BPD) patients respond by a marked decrease of psychopathology when treated with Dialectical Behavioral Therapy (DBT). To further enhance the rate of DBT-response, it is useful to identify characteristics related to unsatisfactory response. As DBT relies on e...
journal_title:Journal of personality disorders
pub_type: 杂志文章
doi:10.1521/pedi.2011.25.4.432
更新日期:2011-08-01 00:00:00
abstract::The American Psychiatric Association is sponsoring a series of international conferences to set a research agenda for the development of the next edition of the diagnostic manual. The first conference in this series, "Dimensional Models of Personality Disorder: Etiology, Pathology, Phenomenology, and Treatment," was d...
journal_title:Journal of personality disorders
pub_type: 杂志文章,评审
doi:10.1521/pedi.2005.19.3.315
更新日期:2005-06-01 00:00:00
abstract::The aim of the current study was to compliment previous studies identifying negative states present in borderline personality disorder (BPD) by investigating the presence of positive affective and cognitive states. Ninety-six patients with criteria-defined borderline personality disorder and 24 axis II comparison part...
journal_title:Journal of personality disorders
pub_type: 杂志文章
doi:10.1521/pedi.2011.25.6.851
更新日期:2011-12-01 00:00:00
abstract::Borderline personality disorder (BPD) is highly comorbid with internalizing and externalizing psychopathology. The current study replicates findings indicating that BPD symptomatology is influenced by the distress subfactor of both the internalizing and the externalizing dimension of psychopathology. Confirmatory fact...
journal_title:Journal of personality disorders
pub_type: 杂志文章
doi:10.1521/pedi_2019_33_415
更新日期:2020-12-01 00:00:00
abstract::A stated goal for the latest revision of the DSM was improving the performance of the Axis II system. To evaluate the degree to which this goal was achieved, we performed a psychometric analysis of the Cluster B personality disorders (PD) as they are defined under the DSM-III-R and its successor the DSM-IV. Ninety-fou...
journal_title:Journal of personality disorders
pub_type: 杂志文章
doi:10.1521/pedi.1997.11.3.270
更新日期:1997-10-01 00:00:00
abstract::The criteria for dependent personality disorder (DPD) in DSM-IV appear to fall into two categories: dependent and attachment behaviors. The relevance of this division was evaluated in a sample of 182 patients admitted to a national Norwegian psychiatric hospital. Principal Components Analysis of all items belonging to...
journal_title:Journal of personality disorders
pub_type: 杂志文章
doi:10.1521/pedi.18.6.604.54793
更新日期:2004-12-01 00:00:00
abstract::Using multilevel structural equation modeling, the authors examined within- and between-person predictors of daily impulsivity, with a particular focus on testing a cascade model of affect and daily stress in a 100-day daily diary study of 101 psychiatric patients with personality disorder diagnoses. On average (i.e.,...
journal_title:Journal of personality disorders
pub_type: 杂志文章
doi:10.1521/pedi_2020_34_465
更新日期:2020-02-10 00:00:00
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journal_title:Journal of personality disorders
pub_type: 杂志文章
doi:10.1521/pedi.1999.13.1.90
更新日期:1999-04-01 00:00:00
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journal_title:Journal of personality disorders
pub_type: 杂志文章
doi:10.1521/pedi.2009.23.4.410
更新日期:2009-08-01 00:00:00
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journal_title:Journal of personality disorders
pub_type: 杂志文章
doi:10.1521/pedi.2009.23.6.647
更新日期:2009-12-01 00:00:00
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journal_title:Journal of personality disorders
pub_type: 评论,杂志文章
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更新日期:2005-10-01 00:00:00
abstract::To investigate the relationship of sadistic personality disorder (SPD), as defined in the appendix of DSM-III-R, to other personality disorders and to sexual sadism, 70 sex offenders (27 child molesters, 33 rapists, and 10 murderers) were assessed by the International Personality Disorder Examination. In 19 subjects (...
journal_title:Journal of personality disorders
pub_type: 杂志文章
doi:10.1521/pedi.1999.13.2.175
更新日期:1999-07-01 00:00:00
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journal_title:Journal of personality disorders
pub_type: 杂志文章,meta分析,评审
doi:10.1521/pedi_2014_28_168
更新日期:2015-12-01 00:00:00
abstract::The present study examined the sensitivity and clinical specificity of dimensional personality profiles associated with borderline personality disorder (BPD) by comparing three groups of patients: (a) patients with BPD according to DSM-IV criteria (n = 31); (b) patients with other DSM-IV PD (n = 31); and (c) general p...
journal_title:Journal of personality disorders
pub_type: 杂志文章
doi:10.1521/pedi.16.2.135.22550
更新日期:2002-04-01 00:00:00
abstract::This article focuses on the kinds of evaluative judgments made when applying DSM-IV-TR diagnostic criteria within the diagnostic interview between clinician and patient. The authors name these kinds of value judgments in diagnosis "normative warrant" because they involve one or more justifications (warrants) for stand...
journal_title:Journal of personality disorders
pub_type: 杂志文章,评审
doi:10.1521/pedi.2006.20.2.170
更新日期:2006-04-01 00:00:00
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journal_title:Journal of personality disorders
pub_type: 杂志文章
doi:10.1521/pedi.2020.34.supp.80
更新日期:2020-03-01 00:00:00
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journal_title:Journal of personality disorders
pub_type: 杂志文章
doi:10.1521/pedi_2013_27_123
更新日期:2014-06-01 00:00:00
abstract::After discarding eight items in the Dutch translation of Livesley's DAPP-BQ that showed item-total correlations < 0.20 in a sample of 223 normal subjects. Cronbach's alpha coefficients were calculated for the remaining items in the 18 scales of this instrument. The 'Dutch' alpha coefficients proved to be satisfactory....
journal_title:Journal of personality disorders
pub_type: 杂志文章
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更新日期:2002-06-01 00:00:00
abstract::There are two common approaches to sub-typing the well-documented heterogeneity within antisocial behavior: age-of-onset (i.e., child-onset versus adolescent-onset; see Moffitt, 1993) and behavioral (i.e., physical aggression versus nonaggressive rule-breaking). These approaches appear to be intimately connected, such...
journal_title:Journal of personality disorders
pub_type: 杂志文章
doi:10.1521/pedi.2010.24.2.272
更新日期:2010-04-01 00:00:00
abstract::Psychopathy is a disorder that is characterized by marked emotional deficiencies. Because previous studies suggest that an individual's sensitivity to bodily signals--or "interoceptive awareness"--is associated with various components of emotional functioning, the authors expected this capacity to be reduced in psycho...
journal_title:Journal of personality disorders
pub_type: 杂志文章
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更新日期:2013-10-01 00:00:00
abstract::This investigation examined the moderating role of effortful control (EC) in the association between rejection sensitivity (RS) and its subsequent interpersonal distress (IP-distress) on borderline personality disorder (BPD) features. In total, 625 multicultural undergraduates (Study 1) and 562 community international...
journal_title:Journal of personality disorders
pub_type: 杂志文章
doi:10.1521/pedi_2015_29_226
更新日期:2016-10-01 00:00:00