Interpersonal Diagnosis of Psychopathology

Pincus, Aaron L.; Wright, Aidan G.C.

doi:10.1002/9781118001868.ch22

Cited by 70 publications

(56 citation statements)

References 94 publications

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“…These studies have utilized the pathoplasticity paradigm for understanding psychopathologies in the context of individuals' interpersonal functioning. Pathoplasticity assumes that psychopathology and personality affect one another but one does not exclusively cause the other (Pincus & Wright, 2011; Widiger & Smith, 2008). Therefore, the psychopathology of PD for any individual cannot be understood by focusing only on heterogeneity at the symptom level (PD with versus without agoraphobia), but necessitates consideration of the individuals' personality and of their tendencies for perceiving and reacting to the world (Widiger & Smith, 2008).…”

mentioning

confidence: 99%

Are there subtypes of panic disorder? An interpersonal perspective.

Zilcha‐Mano¹,

McCarthy

Dinger

et al. 2015

Journal of Consulting and Clinical Psychology

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Objective Panic disorder (PD) is associated with significant personal, social, and economic costs. However, little is known about specific interpersonal dysfunctions that characterize the PD population. The current study systematically examined these interpersonal dysfunctions. Method The present analyses included 194 patients with PD out of a sample of 201 who were randomized to cognitive-behavioral therapy, panic-focused psychodynamic psychotherapy, or applied relaxation training. Interpersonal dysfunction was measured using the Inventory of Interpersonal Problems–Circumplex (Horowitz, Alden, Wiggins, & Pincus, 2000). Results Individuals with PD reported greater levels of interpersonal distress than that of a normative cohort (especially when PD was accompanied by agoraphobia), but lower than that of a cohort of patients with major depression. There was no single interpersonal profile that characterized PD patients. Symptom-based clusters (with versus without agoraphobia) could not be discriminated on core or central interpersonal problems. Rather, as revealed by cluster analysis based on the pathoplasticity framework, there were two empirically derived interpersonal clusters among PD patients which were not accounted for by symptom severity and were opposite in nature: domineering-intrusive and nonassertive. The empirically derived interpersonal clusters appear to be of clinical utility in predicting alliance development throughout treatment: While the domineering-intrusive cluster did not show any changes in the alliance throughout treatment, the non-assertive cluster showed a process of significant strengthening of the alliance. Conclusions Empirically derived interpersonal clusters in PD provide clinically useful and non-redundant information about individuals with PD.

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mentioning

confidence: 99%

Are there subtypes of panic disorder? An interpersonal perspective.

Zilcha‐Mano¹,

McCarthy

Dinger

et al. 2015

Journal of Consulting and Clinical Psychology

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“…Personality disorders and psychiatric symptoms are embedded within the context of interpersonal functioning (for review, see Pincus & Wright, 2011). Research has found that personality disorders associated with aggression (i.e.…”

Section: Hostile-dominance and Mental Disorder And Illnessmentioning

confidence: 99%

“…To discriminate adaptive from maladaptive interpersonal functioning, interpersonal behavior can be quantified in four ways: moderation versus intensity (i.e., enacting behaviors in intense forms), flexibility versus rigidity (i.e., displaying a limited repertoire of interpersonal behaviors), stability versus oscillation (i.e., inconsistency in interpersonal behavior), and accuracy versus inaccuracy (i.e., the fit or match of behavior to a given situation; Pincus & Wright, 2011). Psychiatric inpatients with an HD interpersonal style rigidly approach interpersonal interactions with an intense hostile attitude and a need for dominance; they fail to adapt their behavior to the particular demands of the inpatient routine.…”

Section: Interpersonal Stylementioning

confidence: 99%

Characteristics of Interpersonal Hostile-Dominance in Psychiatric Inpatients

Podubinski¹,

Lee²,

Hollander

et al. 2014

Psychiatry: Interpersonal and Biological Processes

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“…The interpersonal circumplex (IPC) model conveys a more interpersonal explanation of psychopathology and places normality and abnormality on a continuum using the same dimensions and constructs of motivation, self-efficacy and behavior, to delineate them (Pincus & Wright, 2011). This model complements CBASP and helps to reposition the maladaptive functioning and possible personality psychopathology of chronically depressed patients within their present interpersonal environment and to observe their manifestations in the group setting.…”

Section: The Interpersonal Circumplex As a Psycho-educational Toolmentioning

confidence: 99%

“…Patients are given some basic information regarding the structure of the group, such as: (1) each group accepts a maximum of six patients, (2) group sessions are two-hours long, and (3) the group meets for 20 consecutive weeks. Participants undergo a semistructured interview with another team member who administers the Hamilton Rating Scales for depression (HAM-D-21; Hamilton, 1967) and anxiety (HAM-A; Hamilton, 1959), the Inventory of Depressive Symptoms (IDS-C; Rush, Carmody, & Reimitz, 2000;Rush, Gullion, Basco, Jarrett, & Trivedi, 1996a) and the Life-RIFT (Leon et al, 1999), which is a brief semi-structured interview designed to assess functional impairment. The Life-RIFT is derived from the Longitudinal Interval Follow-up Evaluation (LIFE; Keller et al, 1987).…”

Section: Contra-indications To Group-cbaspmentioning

confidence: 99%