The construct validity of the Dutch personality inventory for DSM-5 personality disorders (PID-5) in a clinical sample

The factor structure and the convergent validity of the Personality Inventory for DSM-5 (PID-5), a self-report questionnaire designed to measure personality pathology as advocated in the fifth edition, Section III of Diagnostic and Statistical Manual of Mental Disorders (DSM-5), are already demonstrated in general population samples, but need replication in clinical samples. In 240 Flemish inpatients, we examined the factor structure of the PID-5 by means of exploratory structural equation modeling. Additionally, we investigated differences in PID-5 higher order domain scores according to gender, age and educational level, and explored convergent and discriminant validity by relating the PID-5 with the Dimensional Assessment of Personality PathologyBasic Questionnaire and by comparing PID-5 scores of inpatients with and without a DSM-IV categorical personality disorder diagnosis. Our results confirmed the original five-factor structure of the PID-5. The reliability and the convergent and discriminant validity of the PID-5 proved to be adequate. Implications for future research are discussed

Sobre el valor del «darrer Bion» per a la teoria i la pràctica psicoanalítiques

En aquest treball Vermote planteja que Bion desplaça el focus de la psicoanàlisi des del contingut de les manifestacion sinconscients al seu processament psíquic. Després de fer unrecorregut per l’evolució del pensament de Bion, focalitza enel controvertit «darrer Bion», centrat en el procé sd’exploració d’un nivell indiferenciat no representat, i planteja cóm poden iniciar-se els canvis a aquest nivell o almenys no ser inhibits per l’analista

Psychoanalytically Informed Hospitalization-Based Treatment of Personality Disorders. A Process-Outcome Study.

Part I. Psychic change in personality diorders: Ch.1 Three dimensions in the treatment of personality disorders. Ch.2 Two sides of mentalization: comparing the Bion and the Fonagy approach Part II. Instruments to measure psychic change in personality disorders Ch.1 Measuring the psychoanalytic process on the Object Relations Inventory: Felt Safety Scale, Reflective Functioning Sacle, Differentiation Relatedness Scale, Bion Grid Scale Ch.2 The Louvain Psychotherapy Scale Ch.3 The Psychoanalytic Process Rating Scale Part III Outcome, Outcome trajectories, Drop -out Ch.1 Outcome and outcome trajectories of personality disordered patients in a hospitalisation based treatment on psychoanalytic lines Ch.2 Patient attrition in a psychoanalytically informed hospitalisation for persoanlity disordered patients Part IV. The relationship between process and outcome Ch.1 The Kortenberg-Leuven Process- Outcome Study on patients with personality disorders in psychoanalytically oriented hospitalisation Part V.Patterns of psychic change Ch. 9 Patterns of inner change and their relation with patient characteristics and outcome in a psychoanalytically informed treatment of patients with personality disorders. Conclusion: Pointers in psychoanalytically hospitalisation based treatment of personality disordersstatus: publishe

Bijna wezig maar bovenal ‹af›. Poëzie als therapie bij mentalisatieproblemen en psychose

The authors discuss their experience with weekly poetry therapy groups, illustrating the therapeutic use of poetry from a psychodynamic point of view, first in a population of patients with personality disorders, and secondly in a population of psychotic patients. It is found that working with poetry can open up a space to think, and reduce the delirious rigidity in psychotic patients who are not acutely psychotic. Looking at the effect on mentalization in the broad sense of the word, the authors found a clear difference between the works of both groups. Poems of patients with personality disorders were more rigid and clichéd, but showed more reflection compared to the poems of patients who had suffered a psychosis. Poems of the psychotic group however were less rigid and some of them touched what can be described as a formless level of psychic functioning, a quality they seemed to share with art. These findings are put into a theoretical frame of reference.status: publishe

Clinical psychotherapy for Personality Disordered Patients: What makes it work?

status: publishe

The inventory of personality organization-revised: Construction of an abridged version

The Inventory of Personality Organization (IPO, Kernberg & Clarkin, 1995; Lenzenweger, Clarkin, Kernberg, & Foelsch, 2001) is a self-report instrument intended to measure a patient's level of personality organization. This manuscript describes the development of a shortened version of the IPO (the IPO-R). Construct validity of the IPO-R is determined by investigating (a) its latent structure, (b) the equivalence of this latent structure in a normal and a clinical sample (structural validity), and (c) differences between mean scores of the IPO-R scales for a normal population, axis-I disordered and axis-II disordered patients (concurrent validity). The IPO-R showed adequate construct validity in a normal and a clinical sample. © 2009 Hogrefe Publishing.status: publishe

Self-Critical Perfectionism, Dependency, and Symptomatic Distress in Patients with Personality Disorders During Hospitalization-based Psychodynamic Treatment: A Parallel Process Growth Modeling Approach

There is growing evidence for the efficacy and effectiveness of psychotherapy in patients with personality disorder (PD), but very little is known about the factors underlying these effects. Two-polarities models of personality development provide an empirically supported approach to studying therapeutic change. Briefly, these models argue that personality pathology is characterized by an imbalance between development of the capacity for self-definition and for relatedness, with an exaggerated emphasis on issues regarding selfdefinition and relatedness being expressed in high levels of self-critical perfectionism (SCP) and dependency, respectively. This study used data from a study of 111 patients with PD who received long-term hospitalization-based psychodynamic treatment to investigate whether (a) treatment was related to changes in SCP, dependency, and symptomatic distress; (b) these changes could be explained by pretreatment levels of SCP, dependency, and/or symptomatic distress; and (c) changes in these personality dimensions over time were associated with symptomatic improvement. SCP, dependency, and symptomatic distress were assessed at admission (baseline), at 12 and 24 weeks into treatment, and at discharge. Parallel process multilevel growth modeling showed that (a) treatment was associated with a significant decrease in levels of SCP, dependency, and symptomatic distress, whereas (b) pretreatment levels of each of these three factors did not predict the decreases observed, and (c) changes in SCP, but not dependency, were associated with the rate of decrease in symptomatic distress over time. Implications of these findings for our understanding of therapeutic change in the treatment of PD are discussed.status: publishe

Levels of personality functioning and their association with clinical features and interpersonal functioning in patients with personality disorders

Recently, the DSM-5 Personality and Personality Disorders Work Group has proposed a multiple level approach toward the classification and diagnosis of personality disorders (PDs), with the first level entailing a rating of impairments in levels of personality functioning. Although a number of measures that assess levels of personality functioning have been validated, given its prominent status in the DSM-5 proposal and contemporary theories of personality pathology, the Work Group has called for more research in this area (e.g., Bender, Morey, & Skodol, 2011). In response to this call, this study investigates the relationship between two major, well-validated dimensional measures of levels of personality functioning, that is, the Differentiation-Relatedness Scale (DR-S; Diamond, Blatt, Stayner, & Kaslow, 1991), as scored on the Object Relations Inventory (ORI; Blatt, Wein, Chevron, & Quinlan, 1979), and the Inventory of Personality Organization (IPO; Lenzenweger, Clarkin, Kernberg, & Foelsch, 2001), a self-report instrument, and their relationship with different measures of clinical and interpersonal functioning in 70 patients with a PD. First, results showed that higher levels of differentiation and relatedness of descriptions of self and significant others, and of the self in particular, were negatively related to indices of personality functioning as assessed by the IPO. Lower levels of personality functioning, as measured with both the DR-S and the IPO, were positively related to severity of depression, symptomatic distress, self-harm, and interpersonal problems. Finally, results showed that the DR-S and the IPO independently predicted clinical features and interpersonal functioning. Hence, this study lends further support for the concurrent and predictive validity of the DR-S and the IPO in assessing levels of personality functioning. However, more research concerning the validity of these measures in assessing levels of personality functioning is needed. Suggestions for further research are formulated.status: publishe

Het verband tussen DSM-IV-as-II en de anaclitische en introjectieve persoonlijkheidsdimensies

status: publishe

Het Brusselse nachthospitaal, een follow-up onderzoek

status: publishe