The assessment of personality function in adolescents.

Sharp, Carla; Cano, Kiana; Bo, Sune; Hutsebaut, Joost

doi:10.1037/0000310-006

Cited by 5 publications

(4 citation statements)

References 61 publications

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“…To our knowledge, this is the first empirical validation of Kernberg’s ( 1967 ) system for identifying personality pathology in adolescents – that is, that a borderline level of mental functioning associates with borderline and/or narcissistic personality types and that a neurotic level of mental functioning associates with depressive and anxious avoidant subtypes. This organization of psychopathology was recently adapted in a developmental framework to explain how personality pathology in adolescence indicates a higher level of general psychopathology between neurotic and psychotic disorders (Sharp et al ., 2022 ; Sharp & Wall, 2018 , 2021 ), thereby privileging intrapsychic and interpersonal areas of functioning for the diagnosis of personality disorder. These ideas are consistent with new dimensional models of psychopathology as represented in the alternative model of personality disorder (American Psychiatric Association, 2013 ) and the ICD-11 (World Health Organization, 2019).…”

Section: Discussionmentioning

confidence: 99%

Patient personality and therapist responses in the psychotherapy of adolescents with depressive disorders: toward the <i>Psychodynamic Diagnostic Manual</i> - third edition

Tanzilli,

Fiorentino,

Liotti

et al. 2024

RES PSYCHOTHER-PSYCH

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Depressive disorders in adolescence pose unique challenges for assessment and treatment, particularly due to their high comorbidity with various personality disorders. Moreover, young depressed patients may elicit very intense and difficult-to-manage emotional responses in therapists (in this context, countertransference). This study aimed at empirically identifying specific personality disorders (or subtypes) among adolescents with depressive pathology and exploring distinct countertransference patterns emerging in their psychotherapy: 100 adolescents (58 with depressive disorders; 42 with other clinical conditions) were assessed by their respective clinicians (n=100) using the psychodiagnostic chart-adolescent of the Psychodynamic Diagnostic Manual (PDM) - second edition, and the therapist response questionnaire for adolescents. Results showed that depressed adolescent patients exhibited marked traits of four personality subtypes (i.e., depressive, anxious-avoidant, narcissistic, and borderline) characterized by different levels of mental functioning and personality organization. These subtypes were predictably related to specific clinicians’ emotional responses, even when controlling for the intensity of depressive symptomatology. Patients with depressive or anxious-avoidant personality subtypes evoked more positive countertransference responses, whereas patients with narcissistic or borderline subtypes elicited strong and hard-to-face emotional responses in therapists. Consistent with the next edition of the PDM, the study emphasizes the importance of comprehensive psychodynamic assessment in the developmental age, which frames depressive disorders in the context of accurate emerging personality and mental functioning profiles. This approach, which also relies heavily on the clinician’s subjective experience in therapy, provides crucial information on how to specifically tailor interventions that more effectively meet the needs of adolescents with these heterogeneous and complex clinical conditions.

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Section: Discussionmentioning

confidence: 99%

Patient personality and therapist responses in the psychotherapy of adolescents with depressive disorders: toward the <i>Psychodynamic Diagnostic Manual</i> - third edition

Tanzilli,

Fiorentino,

Liotti

et al. 2024

RES PSYCHOTHER-PSYCH

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“…In light of the recent consensus that PD is prevalent and often onsets in adolescence (Dalsgaard et al, 2020; Winsper et al, 2020), the ICD-11 and DSM-5 have removed PD diagnosis age limits (American Psychiatric Association, 2022; World Health Organization, 2019). Therefore, the ability to assess maladaptive self and interpersonal functioning will be of great importance in facilitating early diagnosis and intervention efforts for personality pathology in adolescence (Chanen et al, 2017; Sharp et al, 2022; Weekers et al, 2021), a neurocognitively sensitive developmental period (Blakemore, 2008) where self and interpersonal processing can often go amiss to give rise to personality dysfunction (Sharp, 2020).…”

Section: Discussionmentioning

confidence: 99%

“…Although there has been progress in AMPD measure development in the past decade, there is a noticeable lack of research and measures developed for adolescents and youth (Fossati & Somma, 2021; Shiner, 2022). In addition to improving upon aforementioned issues of the categorical system, a major benefit of shifting toward a dimensional model involves early detection of personality disorder (PD) onset in youth (Sharp et al, 2022). While early detection and prevention efforts were hindered due to controversy about the validity of PD diagnosis in youth, there is now wide consensus that PD onsets in adolescence and can continue to affect mental health well into adulthood and beyond (Dalsgaard et al, 2020; Winsper et al, 2020).…”

mentioning

confidence: 99%

First psychometric evaluation of the Level of Personality Functioning Scale—Brief Form 2.0 in adolescents.

Wu,

Allman,

Balzen

et al. 2024

Personality Disorders: Theory, Research, and Treatment

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Reflecting the recent consensus that challenges in personality functioning often onsets in adolescence, and the move toward dimensional models of personality pathology such as the level of personality functioning (LPF) of the alternative model for personality disorders, it is important to have validated measures that can assess LPF in young people. The Level of Personality Functioning Scale-Brief Form 2.0 (LPFS-BF 2.0) is the briefest measure of LPF and may be particularly well suited for assessing LPF in youth; however, it has yet to be formally validated in youth. Therefore, the current investigation evaluated the psychometric properties of the LPFS-BF 2.0 in adolescents drawn from a community sample of ethnically diverse North American youth (N = 194, age 12-18; 58% female). Factor structure, gender invariance, reliability, convergent validity, incremental validity, and criterion validity were evaluated. Results demonstrated support for the LPFS-BF 2.0's unidimensional factor structure, as well as high internal consistency. Configural, metric, and scalar measurement invariance was supported across male and female genders, as well as convergent validity. Relative to the Personality Inventory for the DSM-5 Brief Form and Levels of Personality Functioning Questionnaire 12-18, the LPFS-BF 2.0 demonstrated additional variance in predicting borderline personality features, and internalizing and externalizing problems. Study findings support the English version of the LPFS-BF 2.0 as a brief and psychometrically sound instrument for assessing LPF in youth and adolescents.

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“…A recent comprehensive overview has been conducted on instruments designed for assessing personality functioning in adolescents [100]. This review and other attempts to measure the DSM-5-AMPD styles in adolescence [101] might provide the assessment safety and decrease the related controversy.…”

Section: Developmental Perspectives and Implicationsmentioning

confidence: 99%

Practical implications of ICD-11 personality disorder classifications

Pan,

Wang

2024

BMC Psychiatry

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Personality disorders (PDs) are associated with an inferior quality of life, poor health, and premature mortality, leading to heavy clinical, familial, and societal burdens. The International Classification of Diseases-11 (ICD-11) makes a thorough, dramatic paradigm shift from the categorical to dimensional diagnosis of PD and expands the application into adolescence. We have reviewed the recent literature on practical implications, and severity and trait measures of ICD-11 defined PDs, by comparing with the alternative model of personality disorders in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), by mentioning the relevance in forensic and social concerns, and by referencing the developmental implication of life span, especially in adolescence. Study results strongly support the dimensional utility of ICD-11 PD diagnosis and application in adolescence which warrants early detection and intervention. More evidence-based research is needed along the ICD-11 PD application, such as its social relevance, measurement simplification, and longitudinal design of lifespan observation and treatment.

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The assessment of personality function in adolescents.

Cited by 5 publications

References 61 publications

Patient personality and therapist responses in the psychotherapy of adolescents with depressive disorders: toward the <i>Psychodynamic Diagnostic Manual</i> - third edition

Patient personality and therapist responses in the psychotherapy of adolescents with depressive disorders: toward the <i>Psychodynamic Diagnostic Manual</i> - third edition

First psychometric evaluation of the Level of Personality Functioning Scale—Brief Form 2.0 in adolescents.

Practical implications of ICD-11 personality disorder classifications

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