Using the SWAP-200 in a personality-disordered forensic population: is it valid, reliable and useful?

Marin-Avellan, Luisa E.; McGauley, Gill; Campbell, Colin; Fonagy, Peter

doi:10.1002/cbm.35

Cited by 53 publications

(43 citation statements)

References 28 publications

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“…In a sample of 24 outpatients, personality syndromes calculated from independent interviewer ratings had a median correlation of 0.80 with the same SWAP dimensions calculated from the treating clinicians' assessments of the patients [24,25]. In other research, in a sample of 90 inpatients, 12 SWAP-based personality disorder scales derived from researchers' ratings of attachment interviews and chart records correlated highly with the interpersonal circumplex ratings of patients' personalities provided by their nurses [26,27]. In a study of 47 outpatients [28], SWAP dimensions of borderline, antisocial, and obsessive-compulsive personality disorders based on ratings by the treating clinicians showed a strong pattern of concurrent and discriminant validity with relevant dimensions of the Personality Assessment Inventory [29], a self-report measure of personality pathology completed by the patients.…”

Section: Methodsmentioning

confidence: 99%

Empirically Derived Relational Pattern Prototypes in the Treatment of Personality Disorders

Colli

Tanzilli²,

Gualco³

et al. 2016

Psychopathology

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Background: Patient transference patterns play a central role in the psychotherapy of personality disorders. Objective: The aims of this study were to: (1) explore the relationship between patients' personality disorders and specific relational patterns and (2) construct empirically derived prototypes of relational patterns for each personality disorder. Sampling and Methods: A random national sample of 314 clinicians completed the Psychotherapy Relationship Questionnaire, which evaluates patients' relational patterns, and the Shedler-Westen Assessment Procedure-200, which assesses personality disorders in a randomly selected patient currently in the clinician's care and with whom the clinician has worked for a minimum of 8 sessions and a maximum of 6 months (1 session per week). Results: The avoidant/counterdependent transference pattern was associated with all cluster A personality disorders; the angry/entitled transference pattern was strongly positively associated with all cluster B personality disorders, and the anxious/preoccupied transference pattern was positively associated in a significant way with all cluster C personality disorders. Moreover, our empirically derived prototypes showed how the transference phenomena characteristic of each personality disorder are strongly coherent with the personality traits and mental and relational functioning of each specific disorder. Conclusions: The results strongly support a fundamental hypothesis that the patterns emerging in the therapeutic relationship are not arbitrary, and they clearly reflect patterns seen elsewhere in patients' lives that can be crucial to address. Regarding limitations, the same clinician provided data on both the personality pathology and the transference phenomena for each patient.

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Section: Methodsmentioning

confidence: 99%

Empirically Derived Relational Pattern Prototypes in the Treatment of Personality Disorders

Colli

Tanzilli²,

Gualco³

et al. 2016

Psychopathology

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“…For example, the 12-factor solution's "dissociation" dimension does not appear elsewhere; "histrionic sexualization" in the 11-and 12-factor solutions may map onto the DSM and/or factoranalytic histrionic diagnoses, but these empirical relations are not reported. Although a few small-sample studies have reported promising results with the seven factors (Diener & Hilsenroth 2004) or DSM prototypes (Martin-Avellan et al 2005), additional studies of the 12 factors have not been reported. Accordingly, whether the SWAP-200 structure is robust or relatively sampledependent, or why different structures have emerged, is unknown.…”

Section: Alternative Conceptualizationsmentioning

confidence: 99%

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

Clark

2007

Annu. Rev. Psychol.

701

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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“…The preliminary results of a small sample study (n = 30) of forensic PD patients detained in high security conducted by the current authors were promising in terms of the SWAP-200 offering a more parsimonious classification of DSM PD categories compared with the SCID-II and improving the convergent validity of the PD categories when both SWAP-200 and SCID-II were assessed against other instruments assessing interpersonal functioning and attachment (Marin-Avellan, McGauley, Campbell, & Fonagy, 2005). It seems important to investigate whether the SWAP-200 Antisocial PD category can be useful in differentiating forensic psychiatric patients in a way that is both clinically meaningful and efficient at predicting violence, unlike the DSM diagnosis of Antisocial PD.…”

mentioning

confidence: 83%

The Validity and Clinical Utility of Structured Diagnoses of Antisocial Personality Disorder With Forensic Patients

Marin-Avellan¹,

McGauley²,

Campbell³

et al. 2014

Journal of Personality Disorders

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Current DSM-based instruments for personality disorders (PDs) limit the investigation of the course and outcome of treatment of these disorders. This study examined the validity of the Shedler-Westen Assessment and the Structured Clinical Interview for DSM-IV Axis II PD (SCID-II) in a sample of forensic PD patients. Results based on 66 participants indicated that the SWAP-200 Q-factors reduced the frequency of diagnostic comorbidity of PD categories by half compared with the SCID-II. Only the SWAP-200's Antisocial PD category showed good convergent and discriminant validity with respect to other instruments describing aspects of PD. The validity of the cutoff score for severe antisocial PD was confirmed, and this category predicted severe incidents in the hospital at 1 year of follow-up. A violence risk scale was constructed, which differentiated violent and nonviolent offenders. The results support the validity of the SWAP-200 and its potential clinical utility with forensic PD patients.The prevalence and complexity of personality disorders (PDs) are particularly high in forensic populations in both the criminal justice and health systems. In the UK, up to 73% of prisoners awaiting sentencing, 64% of sentenced males, and 50% of female prisoners are estimated to meet criteria for the diagnosis of PD (Meltzer, 2008). For violent prisoners and PD

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Using the SWAP-200 in a personality-disordered forensic population: is it valid, reliable and useful?

Cited by 53 publications

References 28 publications

Empirically Derived Relational Pattern Prototypes in the Treatment of Personality Disorders

Empirically Derived Relational Pattern Prototypes in the Treatment of Personality Disorders

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

The Validity and Clinical Utility of Structured Diagnoses of Antisocial Personality Disorder With Forensic Patients

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