Clinical validity of a dimensional assessment of self- and interpersonal functioning in adolescent inpatients

Journal of Personality Assessment

Volumn 97, Issue 1, 2015, Pages 3-12

  Haggerty, Greg ^a   Blanchard, Mark ^a   Baity, Matthew R ^b   Defife, Jared A ^c   Stein, Michelle B ^d   Siefert, Caleb J ^e   Sinclair, Samuel J ^d   Zodan, Jennifer ^a  

^a NASSAU UNIVERSITY MEDICAL CENTER   (United States)

^b ALLIANT INTERNATIONAL UNIVERSITY   (United States)

^c EMORY UNIVERSITY SCHOOL OF MEDICINE   (United States)

^d MASSACHUSETTS GENERAL HOSPITAL   (United States)

^e UNIVERSITY OF MICHIGAN DEARBORN   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADOLESCENT; FEEDING AND EATING DISORDERS; FEMALE; HOSPITAL PATIENT; HUMAN; HUMAN RELATION; MALE; MENTAL HOSPITAL; PEER GROUP; PERSONALITY ASSESSMENT; PERSONALITY DISORDERS; PSYCHOLOGY; REPRODUCIBILITY; SELF CONCEPT; SELF-INJURIOUS BEHAVIOR; STANDARDS; STATISTICAL MODEL; UNITED STATES; VALIDATION STUDY;

ADOLESCENT; FEEDING AND EATING DISORDERS; FEMALE; HOSPITALS, PSYCHIATRIC; HUMANS; INPATIENTS; INTERPERSONAL RELATIONS; LINEAR MODELS; MALE; NEW ENGLAND; PEER GROUP; PERSONALITY ASSESSMENT; PERSONALITY DISORDERS; PROFESSIONAL-PATIENT RELATIONS; REPRODUCIBILITY OF RESULTS; SELF CONCEPT; SELF-INJURIOUS BEHAVIOR;

EID: 84924711686     PISSN: 00223891     EISSN: None     Source Type: Journal    
DOI: 10.1080/00223891.2014.930744     Document Type: Article

References (97)

1. Ackerman, S. J., Clemence, A. J., Weatherill, R., & Hilsenroth, M. J. (1999). Use of theTAT in assessment of DSM-IV cluster B personality disorders. Journal of Personality Assessment, 73, 422-448.
2. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington, DC: Author.
3. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
4. Bacon, S. F., Collins, M. J., & Plake, E. V. (2002). Does the Global Assessment of Functioning (GAF) assess functioning? Journal of Mental Health Counseling, 24, 202-212.
5. Bambery, M., & Porcerelli, J. M. (2006). Psychodynamic therapy for oppositional defiant disorder: Changes in personality, object relations, and adaptive function after six months of treatment. Journal of the American Psychoanalytic Association, 54, 1334-1339.
6. Bargh, J. A., Bond, R. N., Lombardi, W. J., & Tota, M. E. (1986). The additive nature of chronic and temporary sources of construct accessibility. Journal of Personality and Social Psychology, 50, 869-878.
7. Beck, A. (1999). Cognitive aspects of personality disorders and their relation to syndromal disorders: A psychoevolutionary approach. In C. R. Cloninger (Ed.), Personality and psychopathology (pp. 411-429). Washington, DC: American Psychiatric Association.
8. Bender, D. S., Farber, B. A., Sanislow, C. A., Dyck, I. R., Geller, J. D., & Skodol, A. E. (2003). Representations of therapists by patients with personality disorders. American Journal of Psychotherapy, 57, 219-236.
9. Bender, D. S., Morey, L. C., & Skodol, A. E. (2011). Toward a model for assessing level of personality functioning in DSM-5, Part I: A review of theory and methods. Journal of Personality Assessment, 93, 332-346.
10. Bender, D. S., & Skodol, A. E. (2007). Borderline personality as a self-other representational disturbance. Journal of Personality Disorders, 21, 500-517.
11. Benjamin, L. S. (1996). Interpersonal diagnosis and treatment of personality disorders. New York, NY: Guilford.
12. Benjamin, L. S. (2003). Interpersonal reconstructive therapy: Promoting change in nonresponders. New York, NY: Guilford.
13. Bernstein, D. P., Cohen, P., Skodol, A., Bezirganian, S., & Brook, J. S. (1996). Childhood antecedents of adolescent personality disorders. American Journal of Psychiatry, 153, 907-913.
14. Blatt, S. J. (2008). Polarities of experience: Relatedness and self-definition in personality development, psychopathology, and the therapeutic process. Washington, DC: American Psychological Association.
15. Blatt, S. J., & Lerner, H. (1983). The psychological assessment of abject representation. Journal of Personality Assessment, 47, 7-28.
16. Bornovalova, M. A., Hicks, B. M., Iacono, W. G., & McGue, M. (2009). Stability, change, and heritability of borderline personality disorder traits from adolescence to adulthood: A longitudinal twin study. Development and Psychopathology, 21, 1335-1353. doi:10.1017/S0954579409990186
17. Bornstein, R. F. (2003). Behaviorally referenced experimentation and symptom validation: A paradigm for 21st century personality disorder research. Journal of Personality Disorders, 17, 1-18.
18. Bornstein, R. F. (2011). From symptom to process: How the PDM alters goals and strategies in psychological assessment. Journal of Personality Assessment, 93, 142-150.
19. Caspi, A., Roberts, B. W., & Shiner, R. L. (2005). Personality development: Stability and change. Annual Review of Psychology, 56, 453-484.
20. Cloninger, C. R. (1998). The genetics and psychobiology of the seven-factor model of personality. In K. R. Silk (Ed.), Biology of personality disorders (pp. 63-84). Washington, DC: American Psychiatric Press.
21. Cohen, P., Crawford, T., Johnson, J., & Kasen, S. (2005). The children in the community study of developmental course of personality disorder. Journal of Personality Disorders, 19, 466-486.
22. Conway, F., Oster, M., & McCarthy, J. (2010). Exploring object relations in hospitalized children with caregiver loss. Journal of Infant, Child, and Adolescent Psychotherapy, 9, 108-117.
23. Crawford, T., & Cohen, P. (2008). Comorbid Axis I and Axis II disorders in early adolescence: Outcomes 20 years later. Archives of General Psychiatry, 65, 641.
24. Cross, D., Westen, D., & Bradley, B. (2011). Personality subtypes of adolescents who attempt suicide. Journal of Nervous and Mental Disease, 199, 750-756.
25. de Clercq, B., van Leeuwen, K., van den Noortgate, W., de Bolle, M., & de Fruyt, F. (2009). Childhood personality pathology: Dimensional stability and change. Development and Psychopathology, 21, 853-869. doi:10.1017/S0954579409000467
26. Defife, J. A. (2014). [Adolescent personality pathology]. Unpublished raw data.
27. Defife, J. A., Drill, R., Nakash, O., & Westen, D. (2010). Agreement between clinician and patient ratings of adaptive functioning and developmental history. American Journal of Psychiatry, 167, 1472-1478.
28. Defife, J. A., Goldberg, M., & Westen, D. (2013). Dimensional assessment of self- and interpersonal functioning in adolescents: Implications for DSM-5's general definition of personality disorder. Journal of Personality Disorders, 2(11), 1-13.
29. Defife, J. A., & Westen, D. (2014). [Adolescent personality pathology]. Unpublished raw data.
30. DeMarree, K. G., Wheeler, S. C., & Petty, R. E. (2005). Priming a new identity: Self-monitoring moderates the effects of nonself primes on self-judgments and behavior. Journal of Personality and Social Psychology, 89, 657-671.
31. Donegan, N. H., Sanislow, C. A., Blumberg, H. P., Fulbright, R. K., Lacadie, C., Skudlarski, P., Wexler, B. E. (2003). Amygdala hyperactivity in borderline personality disorder: Implications for emotional dysregulation. Biological Psychiatry, 54, 1284-1293.
32. Dutra, L., Campbell, L., & Westen, D. (2004). Quantifying clinical judgment in the assessment of adolescent psychopathology: Reliability, validity, and factor structure of the ChildBehavior Checklist for clinician-report. Journal of Clinical Psychology, 60, 65-85.
33. Ferguson, C. J. (2010). A meta-analysis of normal and disordered personality across the life span. Journal of Personality and Social Psychology, 98, 659-667.
34. Ferguson, G. A., & Takane, Y. (1989). Statistical analysis in psychology and education (6th ed.). New York, NY: McGraw-Hill.
35. Field, A. P. (2001). Meta-analysis of correlation coefficients: A Monte Carlo comparison of fixed- and random-effects methods. Psychological Methods, 6, 161-180.
36. Gamache, D., Diguer, L., Laverdiere, O., & Rousseau, J.-P. (2012). Development of an object relation-based typology of adolescent sex offenders. Bulletin of the Menninger Clinic, 76, 329-364.
37. Ganellen, R. J. (2007). Assessing normal and abnormal personality functioning: Strengths and weaknesses of self-report, observer, and performancebased methods. Journal of Personality Assessment, 89, 30-40.
38. Greeno, C. G., Anderson, C. M., Shear, M. K., & Mike, G. (1999). Initial treatment engagement in a rural community mental health center. Psychiatric Services, 50, 1634-1636.
39. Gregory, R. J., & Mustata, G. T. (2012). Magical thinking in narratives of adolescent cutters. Journal of Adolescence, 25, 1045-1051.
40. Hall, G. S. (1904). Adolescences: Its psychology and its relation to physiology, anthropology, sociology, sex, crime, religion, and education (Vols. I & II). Englewood Cliffs, NJ: Prentice-Hall.
41. Hall, R. (1995). Global Assessment of Functioning: A modified scale. Psychosomatics, 36, 267-275.
42. Hilsenroth, M., Ackerman, S., Blagys, M., Baumann, B., Baity, M., Smith, S., Holdwick, D. (2000). Reliability and validity of the DSM-IV Axis V. American Journal of Psychiatry, 157, 1858-1863.
43. Hopwood, C. J., Malone, J. C., Ansell, E. B., Sanislow, C. A., Grilo, C. M., McGlashan, T. H., Morey, L. C. (2011). Personality assessment in the DSM-5: Empirical support for the rating severity, style, and traits. Journal of Personality Disorders, 25, 305-320.
44. Hull, J. G., Slone, L. B., Meteyer, K. B., & Matthews, A. R. (2002). The nonconsciousness of self-consciousness. Journal of Personality and Social Psychology, 83, 406-424.
45. Huprich, S. K., Bornstein, R. F., & Schmitt, T. A. (2011). Self-report methodology is insufficient for improving the assessment and classification of Axis II personality disorders. Journal of Personality Disorders, 25, 557-570.
46. Huprich, S. K., & Greenberg, R. P. (2003). Advances in the assessment of object relations in the 1990s. Clinical Psychology Review, 23, 665-698.
47. Johnson, J. G., Cohen, P., Skodol, A. E., Oldham, J. M., Kasen, S., & Brook, J. S. (1999). Personality disorders in adolescence and risk of major mental disorders and suicidality during adulthood. Archives of General Psychiatry, 56, 805-811.
48. Jones, S. H., Thornicroft, G., Coffey, M., & Dunn, G. (1995). A brief mental health outcome scale: Reliability and validity of the Global Assessment of Functioning (GAF). British Journal of Psychiatry, 166, 654-659.
49. Kernberg, O. (1984). Severe personality disorders: Psychotherapeutic strategies. New Haven, CT: Yale University Press.
50. Kernberg, O. (2006). Identity: Recent findings and clinical implications. Psychoanalytic Quarterly, 75, 969-1004.
51. Kihlstrom, J. F., & Klein, S. B. (1997). Self-knowledge and self-awareness. In J. G. Snodgrass & R. L. Thompson (Eds.), The self across psychology: Selfrecognition, self-awareness, and the self concept (pp. 5-17). New York, NY: New York Academy of Science.
52. Klonsky, E. D., Oltmanns, T. F., & Turkheimer, E. (2002). Informant reports of personality disorder: Relation to self-reports, and future research directions. Clinical Psychology: Science and Practice, 9, 300-311.
53. Kunda, Z., & Thagard, P. (1996). Forming impression from stereotypes, traits, and behaviors: A parallel-constraint-satisfaction theory. Psychological Review, 103, 284-308.
54. Linehan, M. (1993). Cognitive-behavioral treatment of borderline personality disorder. New York, NY: Guilford.
55. Livesley, W. J. (2007). A framework for integrating dimensional and categorical classifications of PD. Journal of Personality Disorders, 21, 199-224.
56. Livesley, W. J., Jang, K., & Vernon, P. (2003). Genetic basis of personality structure. In T. Millon & M. Lerner (Eds.), Handbook of psychology: Personality and social psychology (Vol. 5, pp. 59-83). New York, NY: Wiley.
57. Loevdahl, H., & Friis, S. (1996). Routine evaluation of mental health: Reliability information or worthless "guesstimates"? Acta Psychiatrica Scandinavica, 3, 125-128.
58. Markman, K. D., & McMullen, M. N. (2003). A reflection and evaluation model of comparative thinking. Personality and Social Psychology Review, 7, 244-267.
59. McNamara, T. P. (2005). Semantic priming: Perspectives from memory and word recognition. New York, NY: Psychology Press/Taylor & Francis.
60. Meyer, G. J., Finn, S. E., Eyde, L. D., Kay, G. G., Moreland, K. L., Dies, R. R., Reed, G.M. (2001). Psychological testing and psychological assessment: A review of evidence and issues. American Psychologist, 56, 128-165.
61. Michels, R., Siebel, U., Freyberger, H. J., Stieglitz, R. D., Schaub, R. T., & Dilling, H. (1996). The multiaxial system of the ICD-10: Evaluation of a preliminary draft in a multicentric field trial. Psychopathology, 29, 347-356.
62. Morey, L. C., Berghuis, H., Bender, D. S., Verheul, R., Krueger, R. F., & Skodol, A. E. (2011). Toward a model for assessing level of personality functioning in DSM-%, Part II: Empirical articulation of a core dimension of personality pathology. Journal of Personality Assessment, 93, 347-353.
63. Murray, H. A. (1943). Thematic Apperception Test. Cambridge, MA: Harvard University Press.
64. Mussweiler, T. (2003). Comparison processes in social judgment: Mechanisms and consequences. Psychological Review, 110, 472-489.
65. Nock, M. K. (2010). Self-injury. Annual Review of Clinical Psychology, 6, 339-363.
66. Peters, E. J., Hilsenroth, M. J., Eudell-Simmons, E. M., Blagys, M. D., & Handler, L. (2006). Reliability and validity of the Social Cognition and Object Relations Scale in clinical use. Psychotherapy Research, 16, 617-626.
67. Pinsker-Aspen, J., Stein, M., & Hilsenroth, M. (2007). The clinical utility of early memories as predictors of therapeutic alliance. Psychotherapy, 44, 96-109.
68. Podsakoff, P. M., MacKenzie, S. B., Lee, J. Y., & Podsakoff, N. P. (2003). Common method biases in behavioral research: A critical review of the literature and recommended remedies. Journal of Applied Psychology, 88, 879-903.
69. Porcerelli, J. H., Cogan, R., & Bambery, M. (2011). The mental functioning axis of the psychodynamic diagnostic manual: An adolescent case study. Journal of Personality Assessment, 93, 177-184.
70. Price, J. L., Hilsenroth, M. J., Callahan, K. L., Petretic Jackson, P. A., & Bonge, D. (2004). A pilot study of psychodynamic psychotherapy for adult survivors of childhood sexual abuse. Clinical Psychology & Psychotherapy, 11, 378-391.
71. Shevrin, H., & Dickman, S. (1980). The psychological unconscious: A necessary assumption for all psychological theory. American Psychologist, 35, 421-434.
72. Shiner, R. L. (2009). The development of personality disorders: Perspectives from normal personality development in childhood and adolescence. Development and Psychopathology, 21, 715-734. doi:10.1017/S0954579409000406
73. Shiner, R. L., & Allen, T. A. (2013). Assessing personality disorders in adolescents: Seven guiding principles. Clinical Psychology: Science and Practice, 20, 361-377.
74. Shiner, R. L., & Tackett, J. L. (2014). Personality disorders in children and adolescents. In E. J. Mash & R. A. Barkley (Eds.), Child psychopathology (3rd ed., pp. 848-896).
75. Shrout, P. E., & Fleiss, J. L. (1979). Interclass correlations: Uses in assessing rater reliability. Psychological Bulletin, 86, 420-428.
76. Skodol, A. E. (2012). PDs in DSM-5. Annual Review of Clinical Psychology, 8, 317-334.
77. Skodol, A. E., Clark, L. A., Bender, D. S., Krueger, R. F., Morey, L. C., Verheul, R., Oldham, J. M. (2011). Proposed changes in personality and personality disorder assessment and diagnosis for DSM-5 Part I: Description and rationale. Personality Disorders; Theory, Research, and Treatment, 2 (1), 4-22.
78. Soderberg, P., Tungstrom, S., & Armelius, B. A. (2005). Reliability of the Global Assessment of Functioning ratings made by clinical psychiatric staff. Psychiatric Services, 56, 434-438.
79. Stein, M. B., Hilsenroth, M., Pinsker-Aspen, J. H., & Primavera, L. (2009). Validity of DSM-IV Axis V Global Assessment of Relational Functioning Scale: A multimethod assessment. Journal of Nervous and Mental Disease, 197, 50-55.
80. Stein, M., Hilsenroth, M., Slavin-Mulford, J., & Pinsker, J. (2011). Social Cognition and Object Relations Scale: Global Rating Method (SCORS-G). Unpublished manuscript, Massachusetts General Hospital and Harvard Medical School, Boston, MA. Retrieved from www.psychsystems.net/Manuals
81. Tackett, J. L., Balsis, S., Oltmanns, T. F., & Krueger, R. F. (2009). A unified perspective on personality pathology across the life span: Developmental considerations for the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders. Development and Psychopathology, 21, 687-713.
82. Tracy, K., Adler, L. A., Rotrosen, J., Edson, R., & Lavori, P. (1997). Interrater reliability issues in multicenter trials, part 1: Theoretical concepts and operational procedures used in Department of Veterans Affairs Cooperative Study #394. Psychopharmacology Bulletin, 33, 53-57.
83. Turner, M. A., Boden, J. M., & Mulder, R. T. (2013). Predictors of hospitalization two years after treatment for first-episode psychosis. Psychiatric Services, 64, 1230-1235.
84. Wagner, A. W., & Linehan, M. M. (1999). Facial expression recognition ability among women with borderline personality disorder: Implications for emotion regulation? Journal of Personality Disorders, 13, 329-344.
85. Westen, D. (1991). Clinical assessment of object relations using the TAT. Journal of Personality Assessment, 56, 56-74.
86. Westen, D. (1995). Social Cognition and Object Relations Scale: Q-Sort for Projective Stories (SCORS-Q). Unpublished manuscript, Department of Psychiatry, The Cambridge Hospital and Harvard Medical School, Cambridge, MA.
87. Westen, D., Betan, E., & Defife, J. A. (2011). Identity disturbance in adolescence: Associations with borderline personality disorder. Development and Psychopathology, 23, 305-313.
88. Westen, D., & Gabbard, G. O. (2002). Developments in cognitive neuroscience: I. Conflict, compromise, and connectionism. Journal of the American Psychoanalytic Association, 50, 53-98.
89. Westen, D., Lohr, N., Silk, K., Gold, L., & Kerber, K. (1990). Object relations and social cognition in borderlines, major depressives, and normals: A TAT analysis. Psychological Assessment: A Journal of Consulting and Clinical Psychology, 2, 355-364.
90. Westen, D., Ludolph, P., Lerner, H., Ruffins, S., & Wiss, F. C. (1990). Object relations in borderline adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 29, 338-348.
91. Westen, D., Muderrisoglu, S., Fowler, C., Shedler, J., & Koren, D. (1997). Affect regulation and affective experience: Individual differences, group differences, and measurement using a Q-sort procedure. Journal of Consulting and Clinical Psychology, 65, 429-439.
92. Westen, D., Shedler, J., Durrett, C., Glass, S., & Martens, A. (2003). Personality diagnosis in adolescence: DSM-IV Axis II diagnoses and an empirically derived alternative. American Journal of Psychiatry, 160, 952-966.
93. Wheeler, S. C., DeMarree, K. G., & Petty, R. E. (2005). The roles of the self in priming-to-behavior effects. In A. Tesser, J. V. Wood, & D. A. Stapel (Eds.), On building, defending and regulating the self: A psychological perspective (pp. 245-271). New York, NY: Psychology Press.
94. Whipple, R., & Fowler, J. C. (2011). Affect, relationship schemas, and social cognition: Self-injuring borderline personality disorder inpatients. Psychoanalytic Psychology, 28, 183-185.
95. Winters, N. C., Collett, B. R., & Myers, K. M. (2005). Ten year review of rating scales, VII: Scales assessing functional impairment. Journal of the American Academy of Child and Adolescent Psychiatry, 44, 309-338.
96. Young, J. (1990). Cognitive therapy for personality disorders: A schemafocused approach. Sarasota, FL: Professional Resources Exchange.
97. Zeeck, A., Hartmann, A., & Orlinsky, D. E. (2006). Internalization of the therapeutic process: Differences between borderline and neurotic patients. Journal of Personality Disorders, 20, 22-41.