Assessing personality in the DSM-5: the utility of bipolar constructs

All previous editions of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM) have described and assessed personality solely in terms of pathological categories. Nonetheless, there is compelling evidence that normal-range personality traits also provide clinically useful information, emphasizing the importance of thoroughly assessing both adaptive and maladaptive aspects of personality within a clinical context. The proposed inclusion of a dimensional trait model in the upcoming DSM-5 represents an important shift in the understanding of personality pathology and provides an ideal opportunity to integrate the assessment of normal personality into clinical practice. Building on research conceptualizing personality disorders as maladaptive, extreme variants of general personality traits, it is proposed that both normal and abnormal personality can be assessed within the same dimensional model using bipolar constructs. The inclusion of bipolar traits, such as a continuum ranging from introversion to extraversion, would hold numerous advantages for a dimensional model. These benefits include a strong foundation of existing validity research, comprehensive coverage of personality pathology, and the ability to provide useful information about all individuals. Despite potential complexities, the adoption of bipolar constructs within DSM-5's dimensional model presents the greatest opportunity to maximize efficiency, validity, and clinical utility.     

区分适应性自恋和非适应性自恋:多视角的证据

近40年来, 正常人的自恋得到了越来越多的关注.日益增加的证据显示正常人的自恋可以按照适应功能进一步区分为适应性自恋和非适应性自恋两类.本文对揭示两类自恋差异的证据进行了全面梳理, 包括二者的成分构成,适应功能,人格基础,发展规律和遗传基础.这些结果促进了对自恋复杂性的认识, 加深了对现有研究的理解, 同时也突出了未来区分二者的重要性.将来需要从理论上进一步澄清二者的差异, 编制相应的量表, 探讨二者在其它方面的不同, 特别是二者是否具有不同的神经基础.     

A comparison of the construct validity of two alternative approaches to the assessment of psychopathy in the community

This study compared the validity of 2 different self-report approaches to the assessment of psychopathy in nonforensic samples: the Psychopathy Resemblance Index (PRI), derived from a measure of normal personality functioning, and the Self-Report Psychopathy Scale (SRP), developed specifically to assess the maladaptive traits associated with psychopathy. In 2 adult samples (n (1) = 260, n(2) = 250), the PRI and the SRP were positively correlated with each other and with measures of maladaptive personality traits related to Machiavellianism and narcissism. However, unlike the SRP, the PRI was independent of trait empathy and general psychopathology and was positively associated with trait emotional intelligence. These results suggest that the PRI captures a more adaptive variant of psychopathy than does the SRP.     

Examination of the Relationship Between Perfectionism and Religiosity as Mediated by Psychological Inflexibility

A relationship between perfectionism and religiosity has been suggested in the literature, and this relationship is clarified further when the adaptive and maladaptive dimensions of both constructs are compared. Literature in both areas implicates the idea of a rigid and inflexible personality style that may explain why well meaning high standards can be associated with negative outcomes such as perfectionism. This investigation examined the relationship of perfectionism and religiosity, using adaptive and maladaptive dimensions, as mediated by psychological inflexibility. Validated measures of perfectionism, religiosity, and psychological inflexibility were given to 376 undergraduate college students in an anonymous online survey. Adaptive perfectionism (high standards) was found to be significantly correlated (r = .26, p < .01, two-tailed) with adaptive religiosity (intrinsic orientation). Maladaptive perfectionism (discrepancy) was found to be significantly correlated (r = .13, p < .05, two-tailed) with maladaptive religiosity (extrinsic orientation). Psychological inflexibility was found to be significantly correlated with the maladaptive dimensions of both perfectionism and religiosity. It was also shown to mediate the relationship between maladaptive (extrinsic) religiosity and maladaptive (discrepancy) perfectionism. Implications and future directions are discussed.     

The five-factor narcissism inventory: a five-factor measure of narcissistic personality traits

This study provides convergent, discriminant, and incremental validity data for a new measure of narcissistic personality traits created from the perspective of the Five-factor model (FFM) of general personality structure. Fifteen scales were constructed as maladaptive variants of respective facets of the FFM (e.g., Reactive Anger as a narcissistic variant of angry hostility), with item selection made on the basis of a criterion-keying approach using results from 167 undergraduates. On the basis of data from 166 additional undergraduates, the convergent validity of these 15 scales was tested with respect to 8 established measures of narcissism (including measures of both grandiose and vulnerable narcissism) and the respective facets of the FFM. Discriminant validity was tested with respect to facets from other FFM domains. Incremental validity was tested with respect to the ability of the FFM narcissism trait scales to account for variance in 2 alternative measures of narcissism, after variance accounted for by respective NEO PI-R facet scales and other established measures of narcissism were first removed. The findings support the validity of these new scales as measures of narcissistic personality traits and as maladaptive variants of the FFM.     

A Comparison of the Construct Validity of Two Alternative Approaches to the Assessment of Psychopathy in the Community

This study compared the validity of 2 different self-report approaches to the assessment of psychopathy in nonforensic samples: the Psychopathy Resemblance Index (PRI), derived from a measure of normal personality functioning, and the Self-Report Psychopathy Scale (SRP), developed specifically to assess the maladaptive traits associated with psychopathy. In 2 adult samples (n ₁ = 260, n₂ = 250), the PRI and the SRP were positively correlated with each other and with measures of maladaptive personality traits related to Machiavellianism and narcissism. However, unlike the SRP, the PRI was independent of trait empathy and general psychopathology and was positively associated with trait emotional intelligence. These results suggest that the PRI captures a more adaptive variant of psychopathy than does the SRP.     

A Five-Factor Measure of Dependent Personality Traits

This study provides convergent, discriminant, and incremental validity data for a new measure of dependent personality traits from the perspective of the five-factor model (FFM). Dependent personality trait scales were constructed as maladaptive variants of FFM facets (e.g., Gullibility as a maladaptive variant of FFM trust). Based on responses from 383 undergraduates, the convergent validity of the Five-Factor Dependency Inventory (FFDI) scales was tested with respect to 2 measures of the FFM, 6 dependency trait scales, and 4 measures of dependent personality disorder. Discriminant validity was tested with respect to FFM facets from alternative domains. Incremental validity was tested with respect to the ability of the FFM dependent personality trait scales to account for variance in 2 established measures of dependency, after variance accounted for by respective FFM facet scales and other measures of DPD was first removed. The results of this study provided support for the validity of the FFDI assessment of dependency from the perspective of the FFM.     

A five-factor measure of dependent personality traits

This study provides convergent, discriminant, and incremental validity data for a new measure of dependent personality traits from the perspective of the five-factor model (FFM). Dependent personality trait scales were constructed as maladaptive variants of FFM facets (e.g., Gullibility as a maladaptive variant of FFM trust). Based on responses from 383 undergraduates, the convergent validity of the Five-Factor Dependency Inventory (FFDI) scales was tested with respect to 2 measures of the FFM, 6 dependency trait scales, and 4 measures of dependent personality disorder. Discriminant validity was tested with respect to FFM facets from alternative domains. Incremental validity was tested with respect to the ability of the FFM dependent personality trait scales to account for variance in 2 established measures of dependency, after variance accounted for by respective FFM facet scales and other measures of DPD was first removed. The results of this study provided support for the validity of the FFDI assessment of dependency from the perspective of the FFM.     

Identifying Personality Pathology Associated With Major Depressive Episodes: Incremental Validity of Informant Reports

Major limitations are associated with the use of a single source of information to assess personality pathology. The construct validity of standardized interviews and informant reports on personality pathology has been established relative to other measures of personality pathology, but it is also important to consider these measures in relation to other constructs that should be related to personality pathology. One example is major depression. In this study, we evaluated whether less common clinical methods of assessment for measuring the same personality pathology constructs, including semistructured interviews and informant reports, demonstrate unique validity, using major depressive episode (MDE) as the external criterion. This analysis focuses on a representative, community-based sample of 1,437 participants and informants. We conducted a hierarchical logistic regression analysis and determined the order of entering the predictor variables based on likelihood of being used in a clinical setting as well as empirical recommendations. Each step of our regression model significantly increased our ability to predict lifetime MDE, including self, interviewer, and informant reports of personality pathology. Overall, these findings indicate that multiple sources of personality assessment provide unique information about the relationship between maladaptive personality traits and a history of MDE. Thus, semistructured diagnostic interviews and informant reports can be used as a resource to improve the validity of personality assessments.     

A five-factor measure of obsessive-compulsive personality traits

This study provides convergent, discriminant, and incremental validity data for the Five-Factor Obsessive-Compulsive Inventory (FFOCI), a newly developed measure of traits relevant to obsessive-compulsive personality disorder (OCPD) from the perspective of the Five-factor model (FFM). Twelve scales were constructed as maladaptive variants of specific FFM facets (e.g., Perfectionism as a maladaptive variant of FFM competence). On the basis of data from 407 undergraduates (oversampled for OCPD symptoms) these 12 scales demonstrated convergent correlations with established measures of OCPD and the FFM. Further, they obtained strong discriminant validity with respect to facets from other FFM domains. Most important, the individual scales and total score of the FFOCI obtained incremental validity beyond existing measures of the FFM and OCPD for predicting a composite measure of obsessive-compulsive symptomatology. The findings support the validity of the FFOCI as a measure of obsessive-compulsive personality traits, as well as of maladaptive variants of the FFM.     

Experimental manipulation of NEO-PI-R items.

Research assessing the relationship of the Five-factor model (FFM) of personality to personality disorder symptomatology has generally been consistent with theoretical expectations. Three exceptions, however, have been failures to confirm predicted associations of the NEO-Personality Inventory-Revised (NEO-PI-R) Conscientiousness scale with obsessive-compulsive personality disorder symptomatology, the NEO-PI-R Agreeableness scale with dependent symptomatology, and the NEO-PI-R Openness scale with schizotypal symptomatology. It was the hypothesis of this study that these findings might be due in part to a relative emphasis on adaptive rather than maladaptive variants of these domains of personality functioning within the NEO-PI-R. This hypothesis was tested by experimentally altering NEO-PI-R items to reverse their implications for maladaptiveness. The predicted correlations of the FFM were confirmed with the experimentally altered items in a sample of 86 adult psychiatric outpatients.     

On the incremental validity of irrational beliefs to predict subjective well-being while controlling for personality factors

This research examines the incremental validity of irrational thinking as conceptualized by Albert Ellis to predict diverse aspects of subjective well-being while controlling for the influence of personality factors. Rational-emotive behavior therapy (REBT) argues that irrational beliefs result in maladaptive emotions leading to reduced well-being. Although there is some early scientific evidence for this relation, it has never been investigated whether this connection would still persist when statistically controlling for the Big Five personality factors, which were consistently found to be important determinants of well-being. Regression analyses revealed significant incremental validity of irrationality over personality factors when predicting life satisfaction, but not when predicting subjective happiness. Results are discussed with respect to conceptual differences between these two aspects of subjective well-being.     

Neediness and connectedness and the five‐factor model of personality

This study examined maladaptive and relatively more adaptive forms of dependency, as measured by the neediness and connectedness factors of the Depressive Experiences Questionnaire (DEQ; Blatt, D'Afflitti, & Quinlan, 1976 ), within a comprehensive scheme of personality provided by the revised NEO Personality Inventory (NEO‐PI‐R; Costa & McCrae, 1992 ). University students (n = 475) completed the DEQ, NEO‐PI‐R, and a measure of depressive symptoms. Results indicated that neediness reflected anxiety, self‐consciousness, vulnerability, unassertiveness, and inactivity, whereas connectedness reflected anxiety, warmth, agreeableness, and valuing of relationships. Neediness demonstrated stronger relations than connectedness with depressive symptoms. These results support the validity of DEQ neediness and connectedness as measures of maladaptive and relatively more adaptive forms of dependency. Copyright © 2006 John Wiley & Sons, Ltd.     

Is short-term mating the maladaptive result of insecure attachment? A test of competing evolutionary perspectives

Different evolutionary perspectives offer competing views on short-term mating and attachment. Some theories argue that short-term mating results from insecure attachment, particularly the maladaptive attachment features of low self-esteem, interpersonal distrust, social avoidance, and emotional instability. Other theories posit that short-term mating is adaptive, having evolved as an ecologically contingent reproductive strategy. In this view, short-term mating has multiple origins-developmental, heritable, and situational-and may not be associated with the maladaptive traits of insecure attachment. Across several different cultures, short-term mating was moderately associated with insecure attachment, and insecure attachment was strongly related to maladaptive personality. However, short-term mating was largely independent of maladaptive personality. In some cases, especially among young men, short-term mating was associated with adaptive personality traits, especially higher self-esteem. It is argued that although insecure romantic attachment is somewhat associated with short-term mating, the causal links between early parent-child attachment and short-term mating are rather limited.     

Experimental Manipulation of NEO-PI-R Items

Research assessing the relationship of the Five-factor model (FFM) of personality to personality disorder symptomatology has generally been consistent with theoretical expectations. Three exceptions, however, have been failures to confirm predicted associations of the NEO-Personality Inventory-Revised (NEO-PI-R; Costa & McCrae, 1992b) Conscientiousness scale with obsessive-compulsive personality disorder symptomatology, the NEO-PI-R Agreeableness scale with dependent symptomatology, and the NEO-PI-R Openness scale with schizotypal symptomatology. It was the hypothesis of this study that these findings might be due in part to a relative emphasis on adaptive rather than maladaptive variants of these domains of personality functioning within the NEO-PI-R. This hypothesis was tested by experimentally altering NEO-PI-R items to reverse their implications for maladaptiveness. The predicted correlations of the FFM were confirmed with the experimentally altered items in a sample of 86 adult psychiatric outpatients.     

Making Rorschach interpretation as good as it can be

This article delineates six guidelines for enhancing the quality and utility of interpretations derived from the Rorschach inkblot method. These include (a) using all of the available structural, thematic, and behavioral data in arriving at interpretations; (b) focusing interpretive statements primarily on personality processes and drawing clinical conclusions and recommendations secondarily on the basis of identified personality processes; (c) addressing interpretations to both personality strengths and personality weaknesses to attend equally to adaptive capacities and maladaptive tendencies; (d) formulating and conveying interpretations at appropriate levels of certainty to distinguish clearly between probable fact and possible conjecture; (e) pursuing and expressing both nomothetic and idiographic implications of interpretations to the fullest possible extent, recognizing that personality is best described by considering both how people resemble and how they differ from each other; and (f) grounding the implications of interpretations in each respondent's cultural context to take adequate account of the mediation of cultural relativism between personality characteristics and their adaptive consequences.