The DSM-5 Alternative Model of Personality Disorders: Integrating multiple paradigms of personality assessment

The DSM-5 Alternative Model for Personality Disorders reviews and advances this innovative and increasingly popular scheme for diagnosing and evaluating personality disorders. The authors identify the multiple clinical, theoretical, and research paradigms that co-exist in the Alternative Model for Personality Disorders (AMPD) and show how the model can aid the practicing mental health professional in evaluating and treating patients as well as its importance in stimulating research and theoretical understanding of this domain. This work explores and summarizes methods of personality assessment and psychiatric evaluation, research findings, and clinical applications of the AMPD, highlighting its usefulness to clinical teaching and supervision, forensic application, and current research. It is a go-to reference for experienced professionals and researchers, those who wish to learn this new diagnostic system, and for clinicians in training. Foreword Preface Contributors Chapter 1 Construct and Paradigm in the DSM-5 Alternative Model for 1Personality Disorders Chapter 2 Paradigms of Personality Assessment and Level of 61 Personality Functioning (Criterion A) in the DSM-5 Alternative Model for Personality Disorders Chapter 3 Criterion B of the DSM-5 Alternative Model for Personality Disorders 74 and the Interpersonal, Multivariate, and Empirical Paradigms of Personality Assessment Chapter 4 Research and Assessment with the DSM-5 Alternative 96 Model for Personality Disorders Chapter 5 Clinical Utility and Application of the DSM-5 Alternative Model for 116Personality Disorders Chapter 6 DSM-5 Alternative Model for Personality Disorders Descriptions of 176 Three Well-Known Cases Chapter 7 DSM-5 Alternative Model for Personality Disorders Descriptions of Three 193 Well-Known Literary Characters Chapter 8 The DSM-5 Alternative Model for Personality Disorders 226 in Assessment, Treatment Planning, and Clinical Supervision Chapter 9 Forensic Applications of the DSM-5 Alternative Model for 257 Personality Disorders and Case Illustration Chapter 10 Concluding Comments: The Value of the DSM-5 Alternative Model 273 for Personality Disorders for Personality Disorder Diagnosis Inde

Contemporary MMPI-2 personality disorder spectra scales

Objectives: We describe updated and revised MMPI-2 scales for personality disorder (PD) using Loevinger’s (1957) integrated construct validation (CV) approach to guide scale development. Method: Dimensionalized PD “Spectra” scales were constructed out of the item pool of all previous MMPI-2 PD scales using content validity, item-analytic, and external criterion comparisons. Relationships between MMPI-2 PD Spectra scales and known marker variables and other self-report PD scales were studied in multiple, international data sets. We also examined the scale properties when scored from the MMPI-2-RF. PD Spectra scale items were cross-walked with the DSM-5 Alternative Model of Personality Disorder (AMPD) pathological personality traits, permitting convergent and discriminant validation with published PD prototypes. Results: PD Spectra scales demonstrate strong substantive, structural, and external CV, including convergent and divergent correlations with external PD variables, incremental validity, and correspondences with dimensional PD prototypes. We also provide normative data for clinical and community populations. Conclusions: The PD Spectra scales enhance contemporary MMPI-2 assessment of PD, retain the clinical utility of familiar PD categories, and show meaningful correspondences with the AMPD. Keywords: MMPI-2, personality disorder scales, personality disorder, DSM-5, AMP

Personality constructs and paradigms in the Alternative DSM-5 Model of Personality Disorder

The DSM–5 Section III alternative model for personality disorders (AMPD) is a personality disorder (PD) nosology based on severity of personality dysfunction and pathological traits. We examined the degree to which the personality constructs identified by McAdams and Pals (2006; dispositional traits, characteristic adaptations, narrative identity) and the paradigms of personality assessment described by Wiggins (2003; psychodynamic, interpersonal, personological, multivariate, empirical) are represented within the AMPD. Nine raters expert with the AMPD and personality evaluated elements of Criterion A and the 25 trait facets of Criterion B for presence of type and degree of personality constructs and paradigms, as well as level of inference. Criterion B showed higher rater agreement compared to Criterion A. Criteria A and B reflect different configurations of construct, paradigm, and level of inference. The characteristic adaptation construct and interpersonal paradigm were strongly reflected in both Criteria A and B. The psychodynamic and personological paradigms and the narrative identity construct were highly correlated, and the multivariate, empirical, and dispositional traits variables were highly correlated. Results illustrate differential conceptual emphases as well as areas of overlap with Criteria A and B. This characterization highlights that PD nosology rests on personality theory and suggests implications for integrative PD assessment

Personality Constructs and Paradigms in the Alternative DSM-5 Model of Personality Disorder.

The DSM-5 Section III alternative model for personality disorders (AMPD) is a personality disorder (PD) nosology based on severity of personality dysfunction and pathological traits. We examined the degree to which the personality constructs identified by McAdams and Pals (2006; dispositional traits, characteristic adaptations, narrative identity) and the paradigms of personality assessment described by Wiggins (2003; psychodynamic, interpersonal, personological, multivariate, empirical) are represented within the AMPD. Nine raters expert with the AMPD and personality evaluated elements of Criterion A and the 25 trait facets of Criterion B for presence of type and degree of personality constructs and paradigms, as well as level of inference. Criterion B showed higher rater agreement compared to Criterion A. Criteria A and B reflect different configurations of construct, paradigm, and level of inference. The characteristic adaptation construct and interpersonal paradigm were strongly reflected in both Criteria A and B. The psychodynamic and personological paradigms and the narrative identity construct were highly correlated, and the multivariate, empirical, and dispositional traits variables were highly correlated. Results illustrate differential conceptual emphases as well as areas of overlap with Criteria A and B. This characterization highlights that PD nosology rests on personality theory and suggests implications for integrative PD assessment

Personality Constructs and Paradigms in the AlternativeDSM-5Model of Personality Disorder

The DSM-5 Section III alternative model for personality disorders (AMPD) is a personality disorder (PD) nosology based on severity of personality dysfunction and pathological traits. We examined the degree to which the personality constructs identified by McAdams and Pals (2006; dispositional traits, characteristic adaptations, narrative identity) and the paradigms of personality assessment described by Wiggins (2003; psychodynamic, interpersonal, personological, multivariate, empirical) are represented within the AMPD. Nine raters expert with the AMPD and personality evaluated elements of Criterion A and the 25 trait facets of Criterion B for presence of type and degree of personality constructs and paradigms, as well as level of inference. Criterion B showed higher rater agreement compared to Criterion A. Criteria A and B reflect different configurations of construct, paradigm, and level of inference. The characteristic adaptation construct and interpersonal paradigm were strongly reflected in both Criteria A and B. The psychodynamic and personological paradigms and the narrative identity construct were highly correlated, and the multivariate, empirical, and dispositional traits variables were highly correlated. Results illustrate differential conceptual emphases as well as areas of overlap with Criteria A and B. This characterization highlights that PD nosology rests on personality theory and suggests implications for integrative PD assessment

Borderline personality disorder diagnosis in a new key

Raters of varied professional backgrounds possessing substantial knowledge of PDs (N = 20) characterized BPD criteria with the four domains of the Level of Personality Functioning Scale (LPFS) and 25 pathological personality trait facets. Mean AMPD values of each BPD criterion were used to support a nosological cross-walk of the individual BPD criteria and study various combinations of BPD criteria in their AMPD translation. The grand mean AMPD profile generated from the experts was compared to published BPD prototypes that used AMPD trait ratings and the DSM-5-III hybrid categorical-dimensional algorithm for BPD. Divergent comparisons with DSM-5-III algorithms for other PDs and other published PD prototypes were also examined.U.S, Department of EnergyUnited States Department of Energy (DOE) [DE-AC05-00OR22725]Open access journalThis item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at [email protected]