Exploring Identity Disturbance and Psychotic Spectrum Symptoms as Predictors of Borderline and Schizotypal Personality Disorders

2021 ◽  
pp. 1-10
Author(s):  
Maria W. Meisner ◽  
Mark F. Lenzenweger ◽  
Bo Bach ◽  
Martin Vestergaard ◽  
Lea S. Petersen ◽  
...  
Keyword(s):  
Personality Disorder ◽  
Personality Disorders ◽  
Magical Ideation ◽  
Identity Disturbance ◽  
Schizotypal Personality ◽  
Dsm 5 ◽  
Psychosis Proneness ◽  
Final Sample ◽  
Schizotypal Personality Questionnaire ◽  
Interpersonal Factor

<b><i>Introduction:</i></b> Borderline personality disorder (BPD) and schizotypal personality disorder (SPD) were introduced in DSM-III and retained in DSM-5 Section II. They often co-occur and some aspects of the clinical differentiation between the 2 diagnoses remain unclear (e.g., psychotic-like features and identity disturbance). <b><i>Methods:</i></b> The present study explored if self-reported identity disturbance and psychosis proneness could discriminate between the BPD and SPD DSM-5 diagnoses. All patients were interviewed with the Schedules for Clinical Assessment in Neuropsychiatry and the Structured Clinical Interview for DSM-5 Personality Disorders, and administered the Inventory of Personality Organization, Self-Concept and Identity Measure, Schizotypal Personality Questionnaire, Perceptual Aberration Scale, and the Magical Ideation Scale. <b><i>Results:</i></b> A total of 105 patients were initially assessed, 26 were excluded, and the final sample (<i>N =</i> 79) was composed of 34 BPD patients, 25 SPD patients, and 20 patients with co-occurring SPD and BPD. The BPD group (<i>n</i> = 34) was first compared with the pure SPD group (<i>n</i> = 25), and secondly with the total group of patients diagnosed with SPD (<i>n</i> = 25 + 20). Logistic regression analyses indicated that primitive defenses and disorganization best differentiated the BPD and the pure SPD group, while primitive defenses and interpersonal factor along with perceptual aberrations best differentiated the BPD and the total SPD group. <b><i>Conclusion:</i></b> Identity disturbance did not predict the diagnostic groups, but BPD patients were characterized by primitive defenses, which are closely related to identity disturbance. Pure SPD was characterized by oddness/eccentricity, while the lack of specificity for cognitive-perceptual symptoms suggests that the positive symptoms do not differentiate BPD from SPD.

The Oxford Handbook of Personality Disorders

2012 ◽  
Keyword(s):  
Personality Disorder ◽  
Personality Disorders ◽  
Work Group ◽  
Cultural Validity ◽  
Schizotypal Personality ◽  
Dsm 5 ◽  
Dimensional Classification ◽  
Major Transition ◽  
Childhood Antecedents ◽  
Depressive Personality

On the cusp of the newest edition of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM), the field of personality disorders is thriving and productive. This is certainly a time of major transition for the classification, study, and treatment of personality disorders, as the personality disorders section of the DSM is undergoing major revision, leaving researchers and clinicians to wonder whether their area of specialty in the field of personality disorders will be retained, deleted, or revised in DSM-5. In advance of DSM-5, The Oxford Handbook of Personality Disorders provides a summary of the latest information concerning the diagnosis, assessment, construct validity, etiology, pathology, and treatment of personality disorders. The text looks at personality disorders proposed for retention in DSM-5. It also investigates personality disorders that are slated for deletion. The book further examines issues concerning three disorders that have never obtained or had previously lost official recognition (i.e., passive-aggressive, depressive, and racist). The book also includes articles authored by members of the DSM-5 Personality Disorders Work Group, which succinctly outline and explain the proposals, as well as articles by authors who raise significant questions and concerns (often differing) about these proposals. The text includes special coverage of largely neglected areas of investigation (i.e. childhood antecedents of personality disorder, cross-cultural validity). The book finally looks into controversial areas for the DSM, such as schizotypal personality disorder, narcissism, depressive personality disorder, dependent personality disorder, and dimensional classification.

Compulsions and Personality Disorders

2019 ◽  
Vol 29 (1) ◽  
pp. 79-97
Author(s):  
Mara Luiza Vieira Ceroni ◽  
Cláudia Abude
Keyword(s):  
Personality Disorder ◽  
Early Diagnosis ◽  
Personality Disorders ◽  
Social Relationships ◽  
Psychological Treatment ◽  
Human Beings ◽  
Dsm 5 ◽  
Schizoid Personality ◽  
Schizoid Personality Disorder ◽  
Prevention And Treatment

This article proposes a reflection on the possible causes and diagnosis of people involved in violent shootings. The policies for prevention of those social tragedies remain somewhat controversial and vaguely addressed, lacking theoretical attention (Rocque & Duwe, 2018). One of the main diagnoses involved in those cases, according to literature, is Schizoid Personality Disorder-SPD with characteristics of detachment, isolation and difficulties of contact with other human beings (DSM-5, 2013). The loss of capacity to establish social relationships and intimacy hamper and may sometimes impede a psychological treatment based on connection possibilities. Juvenile violence statistics increased dramatically in the last 50 years and because of this, early diagnosis is important for the prevention and treatment of these cases. At the same time, further research and case studies are a pressing need (Rocque, 2017). For diagnosed SPD patients, Bioenergetics Analysis stands out in a scenario in which rapprochement and contact are a priority, also as an approach that is open to new care techniques and alternatives investigations in helping people to open their hearts to life and love. If this objective is not achieved, the outcome, according to Lowen (1991) is tragic.

Treatment of Personality

2018 ◽  
pp. 281-286
Author(s):  
S. Nassir Ghaemi
Keyword(s):  
Personality Disorder ◽  
Personality Disorders ◽  
Empirical Support ◽  
Symptomatic Treatment ◽  
Borderline Personality ◽  
Antisocial Personality ◽  
Schizotypal Personality ◽  
Narcissistic Personality ◽  
Personality Changes ◽  
The Common

The diagnosis and treatment of personality are probed. Some DSM definitions are viewed as either invalid (narcissistic personality disorder) or related to other conditions (schizotypal personality). Instead, DSM-based personality “disorders” are seen as psychoanalytic speculations, with weak empirical support, except for borderline personality and antisocial personality. Other aspects of personality are best understood as traits, rather than “disorders,” or as symptomatic changes that are acute and occur lower in the hierarchy of diagnosis than mood or psychotic states, and are caused by the latter. The common report of purported comorbidity is seen as an overestimation, with personality changes often being part of other conditions. Symptomatic treatment is seen to be questionable in benefit over risk, both for dopamine blockers and for SRIs.

Personality Disorder Features and Paraphilic Interests Among Undergraduates: Differential Relations and Potential Antecedents

2019 ◽  
Vol 33 (1) ◽  
pp. 22-48 ◽  
Author(s):  
Ashley L. Watts ◽  
Madeline G. Nagel ◽  
Robert D. Latzman ◽  
Scott O. Lilienfeld
Keyword(s):  
Personality Disorder ◽  
Personality Disorders ◽  
Antisocial Personality Disorder ◽  
Antisocial Personality ◽  
Sexual Sadism ◽  
Base Rates ◽  
Dsm 5 ◽  
Disorder Symptom ◽  
Differential Relations

We examined the relations between: (1) narcissism, psychopathy, DSM-5 personality disorder symptom counts; and (2) paraphilic interests among undergraduates (N = 608). Base rates of paraphilic interests were appreciable. The disinhibition and meanness features of psychopathy and the entitlement and exploitativeness features of narcissism were robustly associated with paraphilic interests, particularly sexual sadism, whereas the boldness features of narcissism and psychopathy were essentially unrelated to these interests. Narcissism and psychopathy features typically manifested the most pronounced relations with paraphilic interests, although antisocial personality disorder features were also strong predictors. By and large, these relations were comparable across gender. Lastly, there was no evidence that erotophilia mediated the relations between the narcissism and psychopathy features and paraphilic interests, most likely because erotophilia was generally unrelated to paraphilic interests. Relative to other dimensions of personality disorders, facets of meanness and disinhibition from psychopathy and entitlement/exploitativeness facets from narcissism were most associated with paraphilic interests.

Relating DSM-5 section III personality traits to section II personality disorder diagnoses

2015 ◽  
Vol 46 (3) ◽  
pp. 647-655 ◽  
Author(s):  
L. C. Morey ◽  
K. T. Benson ◽  
A. E. Skodol
Keyword(s):  
Personality Disorder ◽  
Personality Traits ◽  
Personality Disorders ◽  
Alternative Model ◽  
Work Group ◽  
Taxonomic Structure ◽  
Personality Functioning ◽  
Dsm 5 ◽  
Criterion A ◽  
Dsm Iv

BackgroundThe DSM-5 Personality and Personality Disorders Work Group formulated a hybrid dimensional/categorical model that represented personality disorders as combinations of core impairments in personality functioning with specific configurations of problematic personality traits. Specific clusters of traits were selected to serve as indicators for six DSM categorical diagnoses to be retained in this system – antisocial, avoidant, borderline, narcissistic, obsessive–compulsive and schizotypal personality disorders. The goal of the current study was to describe the empirical relationships between the DSM-5 section III pathological traits and DSM-IV/DSM-5 section II personality disorder diagnoses.MethodData were obtained from a sample of 337 clinicians, each of whom rated one of his or her patients on all aspects of the DSM-IV and DSM-5 proposed alternative model. Regression models were constructed to examine trait–disorder relationships, and the incremental validity of core personality dysfunctions (i.e. criterion A features for each disorder) was examined in combination with the specified trait clusters.ResultsFindings suggested that the trait assignments specified by the Work Group tended to be substantially associated with corresponding DSM-IV concepts, and the criterion A features provided additional diagnostic information in all but one instance.ConclusionsAlthough the DSM-5 section III alternative model provided a substantially different taxonomic structure for personality disorders, the associations between this new approach and the traditional personality disorder concepts in DSM-5 section II make it possible to render traditional personality disorder concepts using alternative model traits in combination with core impairments in personality functioning.

Assessment of Personality Disorders and Related Traits: Bridging DSM-IV-TR and DSM-5

2012 ◽  
pp. 107-140 ◽  
Author(s):  
Joshua D. Miller ◽  
Lauren R. Few ◽  
Thomas A. Widiger
Keyword(s):  
Personality Disorder ◽  
Personality Disorders ◽  
Self Report ◽  
Dsm 5 ◽  
Prototype Matching ◽  
Semistructured Interviews ◽  
Assessment Techniques ◽  
Dsm Iv ◽  
The Many ◽  
Diagnostic Criterion

The assessment of personality disorders and related traits is at an important crossroads with the imminent release of DSM-5. In this chapter we first review assessment techniques and measures as they pertain to the DSM-IV-TR personality disorders and pathological personality traits, focusing in particular on the many self-report inventories and semistructured interviews that have been developed. Second, we discuss the proposed changes to the diagnosis of personality disorder in DSM-5, which are substantial, and their ramifications for the assessment of personality disorder, including the (now abandoned) proposal to replace explicit diagnostic criterion sets with a prototype matching technique, the proposal to delete and/or shift a number of diagnoses from the personality disorders section, the provision of a new dimensional trait model of personality pathology, and the provision of new rating of impairment pertaining to self and interpersonal functioning.

Social Cognition in Personality Disorders

2018 ◽  
Author(s):  
Stefanie Lis ◽  
Nicole E. Derish ◽  
M. Mercedes Perez-Rodriguez
Keyword(s):  
Social Cognition ◽  
Personality Disorder ◽  
Personality Disorders ◽  
Cognitive Processing ◽  
Social Cognitive ◽  
Schizotypal Personality ◽  
The Social ◽  
Social Cognitive Processing ◽  
Interpersonal Dysfunction ◽  
Significant Disability

Changes in social cognition are increasingly recognized as core illness features in the personality disorders with a broad impact on social functioning. Despite the significant disability caused by social cognitive dysfunction, treatments for this symptom dimension tailored to the specific deficits of a disorder are still missing. This chapter characterizes the different domains of social cognitive processing and describes different approaches and instruments for measuring impairments. It provides a short overview of the evidence demonstrating changes in social cognition in schizotypal personality disorder, borderline personality disorder, and antisocial and avoidant personality disorder, as well as the neurobiology of social cognition. During the recent past the number of studies addressing this topic increased tremendously. Nevertheless, research in this area is still young and requires approaches that study these functions while emphasizing the social context and associate deficits observed in experimental paradigms with interpersonal dysfunction during every-day life.

scholarly journals Boredom in Borderline Personality Disorder: A Lost Criterion Reconsidered

2020 ◽  
Vol 53 (5-6) ◽  
pp. 239-253
Author(s):  
Sara R. Masland ◽  
Tanya V. Shah ◽  
Lois W. Choi-Kain
Keyword(s):  
Clinical Practice ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Personality Disorders ◽  
Diagnostic Criteria ◽  
Empirical Research ◽  
Borderline Personality ◽  
Cascade Model ◽  
Identity Disturbance ◽  
Behavioral Dysregulation

Difficulty with boredom was eliminated from the formal diagnostic criteria for borderline personality disorder (BPD) in 1994 based on significantly limited, unpublished data. However, it is apparent in clinical practice that boredom remains relevant to BPD. This review synthesizes empirical research, with consideration of theoretical accounts, to critically examine the relevance of boredom to BPD. We first briefly review issues in defining and measuring boredom and offer an expanded conceptualization for BPD, which includes the notion of boredom reactivity, before turning to boredom’s differentiation from and overlap with feelings of emptiness, with which it was paired prior to its removal from the DSM. We then discuss perspectives on boredom’s significance in BPD, briefly touching on its relevance in other personality disorders. We propose a Boredom Cascade Model that articulates how boredom and boredom reactivity interact with identity disturbance and chronic emptiness to create escalating patterns of behavioral dysregulation and make recommendations for research and treatment.

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