DSM-5 Assessments of the Level of Personality Functioning: Intrapersonal and Interpersonal Functioning

Beheydt, Lieve; Schrijvers, Didier; Sabbe, Bernard; Jansen, Bart; Grave, Carmen De; Luyten, Patrick

doi:10.1080/00332747.2019.1650411

Cited by 3 publications

(4 citation statements)

References 12 publications

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“…The IPO assesses ORs through one of its scales, but it is not a specific measure. It is generally used to evaluate personality organization in general (e.g., Beheydt et al, 2020).…”

Section: Resultsmentioning

confidence: 99%

Knowing me, knowing you: A systematic review of object relations assessment.

Felici¹,

Madeddu²,

Doering³

et al. 2023

Psychoanalytic Psychology

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Tools for assessing object relations (ORs) are fundamental for psychodynamic theory, research, and practice. ORs play an important role in diagnostic and therapeutic processes, helping therapists to better understand and manage complex relational functioning in their patients. The clinical relevance of OR is also recognized by the first criterion of the Diagnostic and Statistical Manual of Mental Disorders, fifth edition Alternative Model for Personality Disorders. Our goal is to provide clinicians and researchers with an updated review of the available empirical tools to assess OR. We conducted a systematic search on APA PsycInfo and Pubmed and retrieved 42 instruments from the existing literature. Some of these assessment tools are well established in the scientific community. Among the less popular ones, we identified some instruments that show good potential and may be granted a further round of validation. We encourage the development of existing and new instruments within the framework of Kernberg's theory of personality organization, and a further inquiry into qualitative aspects of ORs dyads, which may help therapists obtain more sophisticated information on their patients' relational functioning.

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“…The IPO assesses ORs through one of its scales, but it is not a specific measure. It is generally used to evaluate personality organization in general (e.g., Beheydt et al, 2020).…”

Section: Resultsmentioning

confidence: 99%

Knowing me, knowing you: A systematic review of object relations assessment.

Felici¹,

Madeddu²,

Doering³

et al. 2023

Psychoanalytic Psychology

View full text Add to dashboard Cite

show abstract

“…As many studies have illustrated that the course of therapy is often complicated by unrecognized underlying PDs [ 207 ], and that patients with PDs have functional impairments [ 75 ••, 182 , 187 ], it becomes clear that not only categorical PDs but also dimensional personality pathology should be carefully examined. In sum, a differentiated and dimensional diagnosis, combining a symptom-oriented approach and a dimensional approach focusing on the functional abilities and impairments of personality, can provide a broad basis for a therapeutic plan.…”

Section: Discussionmentioning

confidence: 99%

“…While all PDs were associated with a reduced quality of object relations, cluster A PDs mainly correlated with the use of primitive defenses and reality testing distortions, cluster B PDs additionally with lack of moral values, and cluster C PDs with maladaptive coping and character rigidity, identity, and reality testing impairment [ 186 ••]. When controlled for clinical distress, correlations between personality organization and cluster C PDs showed to be merely state-dependent, whereas correlations between personality organization and cluster A and B PDs remained strong [ 187 ].…”

Section: Personality Organizationmentioning

confidence: 99%

Three Dimensional Approaches to Personality Disorders: a Review on Personality Functioning, Personality Structure, and Personality Organization

Hörz-Sagstetter

Ohse

Kampe

2021

Curr Psychiatry Rep

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Purpose of Review The concept of personality functioning (Alternative DSM-5 Model of Personality Disorders) has led to increased interest in dimensional personality disorder diagnosis. While differing markedly from the current categorical classification, it is closely related to the psychodynamic concepts of personality structure and personality organization. In this review, the three dimensional approaches, their underlying models, and common instruments are introduced, and empirical studies on similarities and differences between the concepts and the categorical classification are summarized. Additionally, a case example illustrates the clinical application. Recent Findings Numerous studies demonstrate the broad empirical basis, validated assessment instruments and clinical usefulness of the dimensional concepts. Their advantages compared to the categorical approach, but also the respective differences, have been demonstrated empirically, in line with clinical observations. Summary Evidence supports the three dimensional concepts, which share conceptual overlap, but also entail unique aspects of personality pathology, respectively.

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“…Garcia et al (2021) showed that SCORS-G dimensions are highly correlated with the LPFS as well as several maladaptive traits (see also Stein et al, 2018). Performance-based assessment methods have been more often used in study of Criterion A rather than the Criterion B maladaptive traits (e.g., Beheydt et al, 2020;Zettl et al, 2020). However, empirically validated performance assessment indicators of constructs highly relevant to maladaptive traits, such as Anxiousness, Depressivity, Suspiciousness, Cognitive and Perceptual Dysfunction, and others (e.g., dependency), are available with the Rorschach Performance Assessment System (Meyer et al, 2011).…”

Section: Performance-based Assessmentmentioning

confidence: 99%

The alternative DSM Model for Personality Disorders in psychological assessment and treatment.

Waugh¹,

Ridenour²,

Lewis³

2022

Personality Disorders and Pathology: Integrating Clinical Assessment and Practice in the DSM-5 and ICD-11 Era.

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E valuating and treating personality disorder (PD) begins with an understanding of personality. However, since the third edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-III; American Psychiatric Association, 1980), the modern editions of the DSM have defined PD syndromes by a symptom criterion-count method rather than by explicit focus on personality functioning. In contrast, the Alternative DSM-5 Model for Personality Disorders (AMPD; 5th ed.; DSM-5; American Psychiatric Association, 2013) organizes features of personality into a hybrid categorical-dimensional framework for PD diagnosis. With the emphasis on personality, the complementary lenses of different paradigms of personality theory and personality science become inherent in AMPD diagnosis. But, we ask, what is personality?Theorists from Allport (1937) to Kernberg (2016) have viewed personality as a dynamic (nonstatic) synthesis of aptitude, belief, temperament and trait, and implicit habit of mind that participate in expressing core life themes associated with personal history. Genetics and constitutional givens, experience and history, and personal agency are woven into a sense of self and identity. The personologist Dan McAdams (1995) asked, "What do we know when we know a person?" (p. 365). For McAdams ( 2015), the answer is plural, as he relies on the metaphors of actor, agent, and author to define qualities needed to know a person; these include (a) observable actions reflecting temperament and trait, (b) characteristic adaptations expressing internalized patterns or schemas of agentic coping and adapting, and (c) guiding self-reflexive themes

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DSM-5 Assessments of the Level of Personality Functioning: Intrapersonal and Interpersonal Functioning

Cited by 3 publications

References 12 publications

Knowing me, knowing you: A systematic review of object relations assessment.

Knowing me, knowing you: A systematic review of object relations assessment.

Three Dimensional Approaches to Personality Disorders: a Review on Personality Functioning, Personality Structure, and Personality Organization

The alternative DSM Model for Personality Disorders in psychological assessment and treatment.

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