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Journal of Personality Disorders

Shian-Ling Keng, Yirong Lee, Sukriti Drabu, Ryan Y Hong, Cornelia Y I Chee, Cyrus S H Ho, Roger C M Ho
This study examined the construct validity of the McLean Screening Instrument for Borderline Personality Disorder (MSI-BPD) in a consecutive sample of adult psychiatric patients (n = 128) and a separate sample of undergraduate students (n = 289) in Singapore. Participants were administered the MSI-BPD and other measures assessing related symptoms of BPD. Patients were also administered a semistructured interview by interviewers blind to their MSI-BPD scores. Confirmatory factor analyses revealed a unique three-factor solution, consisting of affect dysregulation, self-disturbances, and behavioral and interpersonal dysregulation...
June 27, 2018: Journal of Personality Disorders
Denise S H Lim, Ai Jia Gwee, Ryan Y Hong
The Alternative Model for Personality Disorders (AMPD) in Section III of the Diagnostic and Statistical Manual of Mental Disorders, fifth edition, recommends the joint consideration of personality disorder severity (i.e., dysfunction) and style (i.e., trait profile) in personality disorder diagnosis. The current study examined the association between maladaptive personality dysfunction and traits using a Singaporean student sample (N = 360). A subsample (n = 151) had informant ratings of personality traits on target participants...
June 27, 2018: Journal of Personality Disorders
Chiara De Panfilis, Camilla Antonucci, Kevin B Meehan, Nicole M Cain, Antonio Soliani, Carlo Marchesi, John F Clarkin, Fabio Sambataro
Narcissistic personality disorder (NPD) is associated with both seeming indifference and hypersensitivity to social feedback. This study evaluated whether rejection sensitivity and empathic difficulties in NPD are accounted for by altered facial emotion recognition (FER). Two-hundred non-clinical individuals self-reported NPD features, rejection sensitivity, and empathy and performed an FER task assessing the ability to determine the presence or absence of an emotion when viewing neutral and negative facial stimuli presented at varying emotional intensities (25%, 50%, 75%)...
May 30, 2018: Journal of Personality Disorders
Derek Strijbos, Gerrit Glas
This article provides a philosophical framework to help unpack varieties of self-knowledge in clinical practice. We start from a hermeneutical conception of "the self," according to which the self is not interpreted as some fixed entity, but as embedded in and emerging from our relating to and interacting with our own conditions and activities, others, and the world. The notion of "self-referentiality" is introduced to further unpack how this self-relational activity can become manifest in one's emotions, speech acts, gestures, and actions...
June 2018: Journal of Personality Disorders
Adam Leite
This article addresses the psychotherapeutically important phenomenon of relating first-personally to one's own emotion, belief, desire, or other attitude. The fundamental theoretical challenge is to understand how one can relate to one's attitudes as one's attitudes without occupying a position that is alienated from them. Philosophical questions in this area are significantly illuminated by considering certain clinically manifested vicissitudes and pathologies of the first-person. The article interprets the first-person relation in terms of a complex set of functional capacities: the capacity to occupy the subjective perspective of the attitude as conscious subject; the capacity to both self-ascribe the attitude and articulate its content, in ways that are expressive manifestations of the attitude; and various capacities involved in relating to one's state as an attitude...
June 2018: Journal of Personality Disorders
Ueli Kramer, Antonio Pascual-Leone
Emotional knowledge about one's own and others' emotional experience are central features of mental health and may be characteristic of therapeutic processes leading to good outcome. Clients with personality disorders (PDs) often lack in their ability to access and accept emotional experiences, or to reflect on emotion and use it in adaptive ways. The present theoretical and clinical review discusses self-knowledge, and lack thereof, in personality disorders, from an emotion-focused perspective. A first section differentiates between two fundamental types of meaning construction processing...
June 2018: Journal of Personality Disorders
Giancarlo Dimaggio, Paul H Lysaker
Patients with personality disorders suffer from impairment in self-reflective capacities. This is not a matter of making incorrect judgments about self-experience but reflects problems with (a) labeling internal experience consistent with the type and level of bodily arousal, (b) seeing how thoughts and feelings are connected to one another within the flow of daily life, and (c) realizing that one's own ideas about interpersonal relationships are subjective and fallible and not direct perceptions of external reality...
June 2018: Journal of Personality Disorders
Derek Strijbos, Gerrit Glas
No abstract text is available yet for this article.
June 2018: Journal of Personality Disorders
Erika N Carlson, Thomas F Oltmanns
People with personality disorder (PD) symptoms tend to report and have partners who report lower quality relationships with them. Using a large community sample of romantic couples, the current research tested whether the established link between PD symptoms and partner-reported relationship quality was attenuated by meta-accuracy (insight into the impression one makes) as well as whether the link between PD symptoms and self-reported relationship quality was attenuated by positivity (assuming one makes a desirable impression)...
June 2018: Journal of Personality Disorders
Anvi K Vora, Amanda M Fisher, Antonia S New, Erin A Hazlett, Margaret McNamara, Qiaoping Yuan, Zhifeng Zhou, Colin Hodgkinson, David Goldman, Larry J Siever, Panos Roussos, M Mercedes Perez-Rodriguez
Schizotypy captures the underlying genetic vulnerability to schizophrenia. However, the genetic underpinnings of schizotypy remain unexplored. The authors examined the relationship between single nucleotide poly-morphisms (SNPs) and schizotypy. A sample of 137 subjects (43 healthy controls, 34 subjects with schizotypal personality disorder [SPD], 32 with borderline personality disorder, and 25 with other personality disorders) completed the Schizotypal Personality Questionnaire (SPQ). Subjects were genotyped using a custom array chip...
June 2018: Journal of Personality Disorders
Laura M Heath, Joel Paris, Lise Laporte, Kathryn J Gill
Research has demonstrated that about 30% of chronic pain patients suffer from borderline personality disorder (BPD), yet pain is not often discussed in research on the treatment of BPD. Sixty-five patients entering outpatient treatment for BPD were assessed at baseline for the prevalence of DSM-IV lifetime pain disorder, current medical problems, and the experience of current pain as measured by the McGill Pain Questionnaire. DSM-IV lifetime pain disorder diagnosis was present in 65% of patients. Current pain was experienced by 89% of participants, with intensity ranging from mild (19%) to excruciating (2%)...
June 2018: Journal of Personality Disorders
Kim de Jong, Jaap Segaar, Theo Ingenhoven, Jan van Busschbach, Reinier Timman
This study aimed to evaluate the differential effect of outcome monitoring feedback to therapists and to patients on outcomes in cluster B, cluster C, and personality disorder not otherwise specified (PD-NOS) patients. Day treatment patients (n = 112) and inpatients (n = 94) were randomly assigned to a feedback to therapist (FbT), feedback to therapist and patient (FbTP), or no feedback (NFb) condition. Feedback was based on weekly administrations of the Outcome Questionnaire-45 (OQ-45). In cluster B and PD-NOS patients FbTP resulted in increased OQ-45 scores during the first 6 months of therapy for not on track (NOT) patients...
June 2018: Journal of Personality Disorders
Michelle Schoenleber
In reviewing four prominent theories, Gunderson et al. (2018) incidentally highlight for the reader the need for new collaborative research efforts that draw together scholars representing these various theories o borderline personality pathology. Many avenues for such research exist that have the potential to improve o r overall understanding of the development, maintenance and possible treatment of borderline personality pathology in ways that research grounded in just one theory does not. Herein, the similarities and differences among these theories in their assumptions with regard to emotional baselines and sequences of emotion (i...
April 2018: Journal of Personality Disorders
John F Clarkin
Models of personality pathology have been used to guide treatment development for patients with borderline personality disorder. The existing treatments are effective, but mechanisms of change related to the model have not been adequately explored.
April 2018: Journal of Personality Disorders
Thomas A Widiger, Gillian A McCabe
Gunderson, Fruzzetti, Unruh, and Choi-Kahn (2018) review four competing theories of borderline personality border (BPD). Regrettably, they did not acknowledge the theory that BPD is a maladaptive variant of Five-Factor Model general personality structure. This commentary indicates how the FFM of BPD addresses well, and does so empirically, the points of comparison, made by Gunderson et al.
April 2018: Journal of Personality Disorders
John G Gunderson, Alan Fruzzetti, Brandon Unruh, Lois Choi-Kain
The authors review four theories that propose different conceptualizations of borderline personality disorder's (BPD) core psychopathology: excess aggression, emotional dysregulation, failed mentalization, and interpersonal hypersensitivity. The theories are compared in their ability to explain BPD's coaggregation of four usually distinct sectors of psychopathology, their high overlap with other disorders, their ability to distinguish BPD from other disorders, their integration of heritability, and their clinical applicability...
April 2018: Journal of Personality Disorders
Christopher J Hopwood, Robert F Krueger
No abstract text is available yet for this article.
April 2018: Journal of Personality Disorders
Carla Sharp
This commentary critically evaluates the usefulness of the standards employed by Gunderson et al. (2018) for theory evaluation and comparison and calls into question their adequacy, based both on the lack of scientific evidence supporting the assertions these standards imply and on the availability of alternative standard for theory evaluation and comparison. In so doing, the commentary calls for a redefinition of "borderlineness" as well as the use of standard criteria for theory evaluation and comparison...
April 2018: Journal of Personality Disorders
Katherine L Dixon-Gordon, Christopher R Berghoff, Michael J McDermott
Borderline personality disorder (BPD) is associated with higher rates of pain conditions and greater pain impairment. Past research implicates emotional suppression in acute pain tolerance; thus, emotional suppression may contribute to pain interference among those with high BPD features. Participants were 89 university students who completed measures of BPD features, and complied with 2-week daily diary procedures assessing suppression of emotional thoughts associated with social and nonsocial stressors, distress, pain severity, and interference...
April 2018: Journal of Personality Disorders
Marjolein F van Wijk-Herbrink, Jeffrey Roelofs, Nick J Broers, Marleen M Rijkeboer, Arnoud Arntz, David P Bernstein
This study investigated whether the schema therapy constructs of schema coping and schema modes have val dity in adolescents. We examined the validity and reliability of the Schema Coping Inventory (SCI) and an 80-item version of the Schema Mode Inventory (SMI) in a mixed sample of adolescents. Confirmatory factor analyse showed that the first-order factor structures of the SCI and SMI were replicated, but that the hypothesized higher-order models of the SMI were not confirmed. Instead, we proposed an alternative higher-order model of Internalizing, Externalizing, Overachieving, and Healthy modes...
April 2018: Journal of Personality Disorders
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