Defining Disordered Personality Functioning

Parker, Gordon; Both, Lindsay; Olley, Amanda; Hadži-Pavlović, Dušan; Irvine, Penelope; Jacobs, George M.

doi:10.1521/pedi.16.6.503.22139

Cited by 56 publications

(42 citation statements)

References 58 publications

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“…(b) Describing the individual's personality traits, organized in four (FFM minus O) broad dimensions (Livesley 2005), but with particular focus on lower-order dimensions. Parker et al (2000) replicated Livesley's dimensions with an independent set of descriptors and, as noted above, reported promising results for a two-component (dysfunction, traits) diagnostic process (Parker et al 2002(Parker et al , 2004. Both Livesley and Parker drew parallels between their models of functioning and Freud's definition of psychological health, "lieben und arbeiten" (to love and to work).…”

Section: New Models For Assessing Pdmentioning

confidence: 71%

Assessment and Diagnosis of Personality Disorder: Perennial Issues and an Emerging Reconceptualization

Clark

2007

Annu. Rev. Psychol.

702

718

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This chapter reviews recent (2000)(2001)(2002)(2003)(2004)(2005) personality disorder (PD) research, focusing on three major domains: assessment, comorbidity, and stability. (a) Substantial evidence has accrued favoring dimensional over categorical conceptualization of PD, and the five-factor model of personality is prominent as an integrating framework. Future directions include assessing dysfunction separately from traits and learning to utilize collateral information. (b) To address the pervasiveness and extent of comorbidity, researchers have begun to move beyond studying overlapping pairs or small sets of disorders and are developing broader, more integrated common-factor models that cross the Axis I-Axis II boundary. (c) Studies of PD stability have converged on the finding that PD features include both more acute, dysfunctional behaviors that resolve in relatively short periods, and maladaptive temperamental traits that are relatively more stable-similar to normal-range personality traits-with increasing stability until after 50 years of age. A new model for assessing PDand perhaps all psychopathology-emerges from integrating these interrelated reconceptualizations.

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Section: New Models For Assessing Pdmentioning

confidence: 71%

Assessment and Diagnosis of Personality Disorder: Perennial Issues and an Emerging Reconceptualization

Clark

2007

Annu. Rev. Psychol.

702

718

View full text Add to dashboard Cite

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“…As mentioned previously, the DSM-IV defines dysfunction as ''…clinically significant distress or impairment in social, occupational, or other important areas of functioning'' (italics added). Examples of other important areas of functioning may include family functioning (e.g., Langley et al 2004), criminal involvement (e.g., Lahey et al 2004), physical functioning, and the impact of one's behavior on others (see also Parker et al 2002). In addition, the measurement of social impairment, academic/occupational impairment, and personal distress could be specified further by assessing various types of emotional distress (e.g., anxiety, despondency, irritability, hostility, etc.)…”

Section: Discussionmentioning

confidence: 99%

Impairment and Distress Judgments of Symptoms Composing Childhood Externalizing and Internalizing Syndromes

Howell

Watson

2008

J Child Fam Stud

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The pattern of perceived dysfunction associated with symptoms composing the externalizing childhood disorder syndrome was compared to the pattern characterizing the internalizing syndrome. In Study 1, undergraduate students (N = 205) judged the social impairment, academic/ occupational impairment and personal distress associated with symptoms from the child and adolescent psychopathology scale (Lahey et al. 2004) related to externalizing and internalizing syndromes. As predicted, symptoms composing the externalizing syndrome were judged as involving less personal distress and more impairment than those composing the internalizing syndrome. Converging findings emerged in Study 2 when undergraduates (N = 183) judged DSM-IV symptoms composing externalizing and internalizing disorders. This research reveals systematic differences in perceptions of impairment and distress related to the symptoms that compose the externalizing and internalizing syndromes.

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“…The rationale for the first version of the LPFS was based mainly on theoretical considerations about the nature of personality functioning (Livesley, 1998;Parker et al, 2002;Skodol, Clark, et al, 2011). The specific combinations of domains and levels of the current version were subsequently developed with regard to a review of clinician-rated measures as well as secondary data analyses of two self-report measures of personality functioning .…”

Section: Levels Of Personality Functioning Scalementioning

confidence: 99%

Assessing the Level of Structural Integration Using Operationalized Psychodynamic Diagnosis (OPD): Implications forDSM–5

Zimmermann

Ehrenthal

Cierpka

et al. 2012

Journal of Personality Assessment

143

111

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A key ingredient in the current proposal of the DSM-5 Work Group on Personality and Personality Disorders is the assessment of overall severity of impairment in personality functioning: the Levels of Personality Functioning Scale (LPFS). The aim of this article is to contribute a conceptual and empirical discussion of the LPFS from the perspective of the Operationalized Psychodynamic Diagnosis (OPD) system (OPD Task Force, 2008 ). First, we introduce the OPD Levels of Structural Integration Axis (OPD-LSIA), a measure of individual differences in severity of personality dysfunction that is rooted in psychodynamic theory. We show that the OPD-LSIA is reliable, valid, and highly associated with observer ratings of personality disorders. In the second part, we present results from an OPD expert consensus study exploring potential limitations of the current LPFS item set from the perspective of the OPD-LSIA. We conclude with highlighting implications for future revisions of the DSM-5 proposal.

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Defining Disordered Personality Functioning

Cited by 56 publications

References 58 publications

Assessment and Diagnosis of Personality Disorder: Perennial Issues and an Emerging Reconceptualization

Assessment and Diagnosis of Personality Disorder: Perennial Issues and an Emerging Reconceptualization

Impairment and Distress Judgments of Symptoms Composing Childhood Externalizing and Internalizing Syndromes

Assessing the Level of Structural Integration Using Operationalized Psychodynamic Diagnosis (OPD): Implications forDSM–5

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