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Measuring disordered personality functioning: to love and to work reprised.

G Parker1, D Hadzi-Pavlovic, L Both

  • 1School of Psychiatry, University of New South Wales, Mood Disorders Unit, Black Dog Institute, Syndey, Australia. g.parker@unsw.edu.au

Acta Psychiatrica Scandinavica
|July 31, 2004
PubMed
Summary

This study introduces a new self-report measure for assessing disordered personality function, identifying key limitations in cooperativeness and coping. This approach offers a more dimensional strategy for personality disorder assessment.

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Area of Science:

  • Psychiatry
  • Psychology
  • Clinical Assessment

Background:

  • Current methods for diagnosing and measuring personality disorders have limitations.
  • There is a need for alternative approaches to model and measure disordered personality function.

Purpose of the Study:

  • To develop and validate an alternative approach to modeling and measuring disordered personality function.
  • To provide a more dimensional strategy for personality disorder assessment.

Main Methods:

  • Factor analysis of self-reported descriptors of disordered personality function in patients with diagnosed personality dysfunction.
  • Assessment of personality styles in subjects and non-clinical controls.
  • Validation of a refined self-report (SR) measure in an independent sample of patients with personality disorder.

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Main Results:

  • Two higher-order constructs, 'cooperativeness' and 'coping', were identified as defining disordered personality function.
  • The derived 20-item SR measure demonstrated validity in assessing disordered personality function.
  • Limitations in clinician-based assessment were exposed through comparative analyses.

Conclusions:

  • Findings support a multi-axial strategy for measuring personality disorder.
  • This strategy involves separate dimensional assessment of disordered personality function and personality style.
  • The refined SR measure offers a viable tool for clinical assessment.