Clinical Validity of Prototype Personality Disorder Ratings in Adolescents

A growing body of research shows that personality pathology in adolescents is clinically distinctive and frequently stable into adulthood. A reliable and useful method for rating personality pathology in adolescent patients has the potential to enhance conceptualization, dissemination, and treatment effectiveness. The aim of this study is to examine the clinical validity of a prototype matching approach (derived from the Shedler Westen Assessment Procedure–Adolescent Version) for quantifying personality pathology in an adolescent inpatient sample. Sixty-six adolescent inpatients and their parents or legal guardians completed forms of the Child Behavior Checklist (CBCL) assessing emotional and behavioral problems. Clinical criterion variables including suicide history, substance use, and fights with peers were also assessed. Patients’ individual and group therapists on the inpatient unit completed personality prototype ratings. Prototype diagnoses demonstrated substantial reliability (median intraclass correlation coefficient =.75) across independent ratings from individual and group therapists. Personality prototype ratings correlated with the CBCL scales and clinical criterion variables in anticipated and meaningful ways. As seen in prior research with adult samples, prototype personality ratings show clinical validity across independent clinician raters previously unfamiliar with the approach, and they are meaningfully related to clinical symptoms, behavioral problems, and adaptive functioning.     

Dimensions of Normal and Abnormal Personality: Elucidating DSM‐IV Personality Disorder Symptoms in Adolescents

ABSTRACT The present study aimed to elucidate dimensions of normal and abnormal personality underlying DSM‐IV personality disorder (PD) symptoms in 168 adolescents referred to mental health services. Dimensions derived from the Big Five of normal personality and from Livesley's (2006) conceptualization of personality pathology were regressed on interview‐based DSM‐IV PD symptom counts. When examined independently, both models demonstrated significant levels of predictive power at the higher order level. However, when added to the higher order Big Five dimensions, Livesley's higher and lower order dimensions afforded a supplementary contribution to the understanding of dysfunctional characteristics of adolescent PDs. In addition, they contributed to a better differentiation between adolescent PDs. The present findings suggest that adolescent PDs are more than extreme, maladaptive variants of higher order normal personality traits. Adolescent PDs seem to encompass characteristics that may be more completely covered by dimensions of abnormal personality. Developmental issues and implications of the findings are discussed.     

The Relationships among Word Association Test,Objective Personality Test Scores and Ratings of Clinical Behavior in Psychiatric Patients

A 50-item word association test, selected personality scales and behavior ratings on the MACC scale were collected on 46 psychiatric in-patients. The internal structure of the word association test as well as correlations with personality inventories and behavior ratings were studied. Intra-test analysis of the association test indicates two independent dimensions, cognitive-memory disorganization and disturbances in reaction time. The cognitive-memory disturbance indices correlate with the Pa scale of the MMPI but not with the Pt, K, and MAS and only slightly with Hy. The degree of social isolation of a patient is predictable from the word association scores of cognitive-memory disruption while the personality inventory scales are better at predicting patients' arousal or tension level as rated by staff.     

青少年自我描述归类与人格维度特点

对青少年自我描述的内容进行归类时发现,依据不同的归类标准会得到不同的人格结构。500多名青少年学生提供了620个不同的对自我的描述,除9个项目属于对身体和家庭状况的描述外,所有的人格特征既可以归属到中国青少年人格结构的19个二级因素,又可以归属到西方大五人格结构的30个层面。这一结果表明,外显的人格特征分类无法准确表达人格结构的实际构成,人格结构的确定还需要实证评定及对内隐结构的探索。文中还讨论了心理学研究中国化（本土化）的思路与策略。     

Predicting DSM-IV Cluster B Personality Disorder Criteria From MMPI-2 and Rorschach Data: A Test of Incremental Validity

Despite their frequent conjoint clinical use, the incremental validity of Rorschach (Rorschach, 1921/1942) and MMPI (Hathaway & McKinley, 1943) data has not been adequately established, nor has any study to date explored the incremental validity of these tests for predicting Diagnostic and Statistical Manual of Mental Disorders (4th ed. [DSM-IV]; American Psychiatric Association, 1994) personality disorders (PDs). In a reanalysis of existing data, we used select Rorschach variables and the MMPI PD scales to predict DSM-IV antisocial, borderline, histrionic, and narcissistic PD criteria in a sample of treatment-seeking outpatients. The correlational findings revealed a limited relation between Rorschach and MMPI-2 (Butcher, Dahlstrom, Graham, Tellegen, & Kaemmer, 1989) variables, with only 5 of 30 correlations reaching significance (p < .05). Hierarchical regression analyses showed that both the MMPI and Rorschach data add incrementally in the prediction of DSM-IV borderline and narcissistic PD total criteria scores. The findings were less clear for the incremental value of Rorschach and MMPI-2 data in predicting the total number of DSM-IV histrionic PD criteria, which were best predicted by Rorschach data, and antisocial PD criteria, which were best predicted by MMPI-2 data. In addition to providing evidence of the incremental validity of Rorschach data, these findings also shed light on the psychological characteristics of the DSM-IV Cluster B PDs.     

An Examination of the Validity and Incremental Value of Needed‐at‐Entry Ratings for a Customer Service Job

We examined needed‐at‐entry ratings of knowledge, skills, abilities, and other characteristics (KSAOs) provided by job experts (N= 285) during a job analysis for a customer service manager position. To serve as an external referent, a group of industrial and organisational psychologists (N= 31) rated the perceived trainability of each KSAO. Analyses revealed only limited support for the validity of inferences drawn from job experts' needed‐at‐entry ratings. Consistent with our hypotheses, less validity evidence was found for ratings of the more person‐oriented and abstract “AO” attributes than for the more job‐oriented and concrete “KS” attributes. In general, job experts tended to rate attributes as needed‐at‐entry that psychologists thought could be developed on the job. We also found that failing to collect needed‐at‐entry ratings, and relying on only the more common importance‐to‐the‐job ratings, would have resulted in a rather different set of critical KSAOs identified for assessment during the selection process.     

Assessing Level of Personality Organization With the Psychodiagnostic Chart: A Validity Study

Heterogeneity within diagnostic types and comorbidity across diagnostic groups render a specific personality disorder anything but specific, leading researchers and clinicians to increasingly focus on the general severity of personality pathology. Personality pathology severity is reflected in one's level of personality organization (LPO) and research has demonstrated that LPO is a significant predictor of treatment response. This investigation examined the reliability and validity of the Psychodiagnostic Chart (PDC) in assessing the LPO dimension of the Psychodynamic Diagnostic Manual (PDM; PDM Task Force, 2006). Among a sample of 88 urban-dwelling women seeking primary medical care, the LPO dimension of the PDC received fair to good interrater reliability among 6 psychodynamic psychologists. Convergent validity was demonstrated with contrast analysis and individual correlations that yielded statistically significant associations between LPO scores and conceptually related psychodynamic variables (e.g., defensive functioning, object relations) and self-reported personality pathology scores. Support for discriminant validity was limited by the modest power associated with the sample size. Exploratory analyses examining LPO scores and measures of physical health and intimate partner violence were conducted. Our results supported the reliability, validity, and practical use of the LPO dimension of the PDC.     

Factor Structure and Criterion Validity of Secondary School Teacher Ratings of ADHD and ODD

Attention-Deficit Hyperactivity Disorder (ADHD) is currently viewed as a heterogeneous disorder with two factors: inattention and impulsivity–hyperactivity. This conceptualization of ADHD is based primarily on research with children or samples that mix children and adolescents. To examine if the 2-factor ADHD model is appropriate for adolescents and if the ADHD factors are distinct from Oppositional Defiant Disorder (ODD) in adolescents, teacher rating data were collected for 2 samples of adolescents. The results of a confirmatory factor analysis supported the convergent and divergent validity of a model with separate but correlated factors for inattention, impulsivity–hyperactivity, and defiant behavior. Further evidence of construct validity was found when factor scores were examined relative to the criterion variables of academic performance and rule-breaking behavior. The results support the utility of teacher ratings of ADHD and ODD in the assessment of adolescents, and the applicability of the DSM-IV conceptualization of these disorders to adolescents.     

The Validity of Task Coverage Ratings by Incumbents and Supervisors: Bad News

In this study incumbents from three different jobs were asked to rate lists of their job tasks on various constructs (e.g., time, importance) and then estimate the percentage of their job tasks (task coverage) included in the task list. Incumbents made these ratings under one of two conditions. In two instances, two months after making an initial task coverage rating for the entire list of tasks, the same incumbents were asked to estimate the task coverage of a reduced list of tasks (i.e., half to two-thirds of the tasks were removed from the list presented for rating). In a third instance one group of incumbents completed an entire inventory while a second group completed a reduced inventory. The average task coverage rating for the entire inventories were high (percent estimates ranging in the 80's–90's) and the average of the reduced inventories was much higher than expected (percent estimates in the 70's). It was concluded that incumbents and supervisors were not able to accurately estimate task coverage.     

Predictive Criterion-Related Validity of Observer Ratings of Personality and Job-Related Competencies Using Multiple Raters and Multiple Performance Criteria

The purpose of this study was to assess the predictive validity of observer ratings of personality and job-related competencies in a selection setting. Based on ratings from multiple raters of both the predictors and the criteria in a sample of MBA students, results indicated that observer ratings of Conscientiousness, Emotional Stability, leadership, and interpersonal skills predicted work performance, team performance, and academic performance. For work performance and team performance, a composite of the four predictors had incremental predictive validity over general mental ability, even after controlling for how well the rater knew the ratee.     

Expanding and Reconceptualizing Aberrant Personality at Work: Validity of Five‐Factor Model Aberrant Personality Tendencies to Predict Career Outcomes

This study proposes and tests an alternative methodology to conceptualize and assess aberrant personality tendencies at work beyond the dark triad. A sample of college alumni (N= 247) were administered the NEO PI‐R prior to entering the labor market and 15 years later when their professional careers had unfolded. Drawing on the dimensional perspective on personality functioning, 6 five‐factor model (FFM) aberrant compounds were computed as indicators of aberrant personality tendencies. As expected, FFM aberrant personality tendencies were highly stable across time, with test–retest correlations ranging from .61 (Narcissistic) to .73 (avoidant). With regard to predictive validity, borderline, schizotypal, and avoidant tendencies were negatively associated with extrinsic and intrinsic career outcomes. The obsessive‐compulsive tendency was largely unrelated to career outcomes, whereas individuals with antisocial and narcissistic characteristics tended toward higher hierarchical and financial attainment. In addition, relative importance analyses indicated that (a) FFM aberrant personality tendencies showed incremental validity in the prediction of career outcomes beyond FFM general traits, and that (b) both FFM general and FFM aberrant personality tendencies are important predictors when considered jointly. It is concluded that FFM aberrant personality tendencies suggest interesting avenues for personnel psychologists to form new linear combinations of FFM facets, complementing FFM general domains.     

The Structure of Self-Consciousness in Children and Young Adolescents and Relations to Social Anxiety

Decades of research have examined the structure of self-consciousness in adults and its relationship to social anxiety. This study examined the structure of self-consciousness via the Self-Consciousness Scales (Fenigstein et al., J. Consult. Clin. Psychol. 43:522–527, 1975) in a school sample of 175 children and young adolescents (92 girls; mean age = 11.5). Confirmatory factor analysis best supported a five-factor solution (Internal State Awareness, Self-Reflectiveness, Appearance Consciousness, Style Consciousness and Social Anxiety). Although some factor based subscales evidenced low internal consistencies, convergent and discriminant correlations with self-report measures of social phobia, negative affect, and positive affect as well as parent-report measures of internalizing and externalizing problems provided additional support for the five-factor model. Future studies should further examine the multidimensional nature as well as the developmental course of self-consciousness and its relation to social anxiety longitudinally.

Parent Ratings of Attention-Deficit/Hyperactivity Disorder Symptoms: Factor Structure and Normative Data

Changes in the diagnostic criteria for attention-deficit/hyperactivity disorder (ADHD) have necessitated the creation of new measures for clinical assessment. The factor structure of a parent rating scale containing the 18 symptoms of ADHD was examined in this study. Factor analyses and assessment of differences in ADHD ratings across sex, age, and ethnic group were conducted using a sample of 4666 participants ranging in age from 4 to 20 years old who attended kindergarten through 12th grade in 22 school districts across the United States. Two factors (Inattention and Hyperactivity–Impulsivity) were derived and normative data for a nationally representative sample are presented. A higher frequency of ADHD symptoms was found for boys, younger children, and African-American participants. Potential uses of this scale in clinical practice and research are discussed.     

Understanding and Combating School‐Based Bullying From an Individual‐Level Perspective: A Review

Bullying is an ongoing problem in our schools with a significant psychological impact on young people. Despite evidence that school‐based bullying is related to a range of individual, social and environmental factors, the majority of interventions are focused on a “whole of school” approach. Whole‐school interventions have been shown to be successful in reducing rates of bullying, but it is argued that a focus on individual factors, specifically those that are amenable to change, will add to these “whole of school” effects. It is argued that interventions that target factors such as internalising symptoms, externalising behaviours, friendship quality and self‐esteem will help children to build resilience against the bullying behaviours of their peers, and further reduce the incidence of bullying, when applied both at a preventative and treatment intervention level.     

The Hierarchical Structure and Construct Validity of the PID‐5 Trait Measure in Adolescence

The DSM‐5 may be the first edition that enables a developmental perspective on personality disorders because of its proposal to include a trait assessment in the Axis II section. The current study explores the reliability, structure, and construct validity of the Personality Inventory for DSM‐5 (PID‐5; Krueger, Derringer, Markon, Watson, & Skodol, 2012) in adolescents, a measure that assesses the proposed DSM‐5 traits. A community sample of Flemish adolescents (N = 434; 44.7% male) provided self‐reports on the PID‐5 and the Dimensional Personality Symptom Itempool (DIPSI; De Clercq, De Fruyt, Van Leeuwen, & Mervielde, 2006). Results indicate an acceptable reliability for the majority of the PID‐5 facets and a tendency toward structural convergence of the adolescent PID‐5 structure with the adult proposal. Convergent validity with age‐specific facets of personality pathology was generally supported, but discriminant validity appeared to be low. Beyond the findings that support the applicability of the PID‐5 in adolescents, developmental issues may be responsible for specific differences in the adolescent PID‐5 structure, the rather poor discriminant validity of the PID‐5, and the lower reliability of a small number of PID‐5 facets. These results indicate that further research on the validity of the PID‐5 in younger age groups is required.     

Age and Assessments of Professional Expertise: The Relationship between Higher Level Employees’ Age and Self‐assessments or Supervisor Ratings of Professional Expertise

In this article the relationship between higher level employees’ age and assessments of professional expertise is described. Hypotheses have been tested with original survey data from 417 higher level employees and 224 direct supervisors. Concerning the analyses of the effects of age, our hypotheses have for the greater part been confirmed. In our study, we have found that age‐related stereotyping is an important phenomenon where assessments concerning professional expertise are made by supervisors. As regards the self‐ratings, there is no relationship between age and professional expertise. Further research is needed to understand the pattern of differences between the two types of ratings. Some speculations concerning improvements of the measurements are discussed.     

Assessment of Personality Organization in Couple Relationships: Factorial Structure of the Inventory of Personality Organization and Incremental Validity Over Neuroticism

Summary: Creative thinking was explored from several approaches to further understanding of the interrelationship of perception, personality, and cognition. College students (N = 45) were administered the Group Embedded Figures Test (GEFT), the Remote Associates Test (RAT), a questionnaire concerning RAT strategy, and two self-report scales. Field independent subjects were found to be significantly (p < .001) more creative than field dependents. Correlations between the RAT and GEFT and the self-report measures of conformity and creativity, while largely nonsignificant, were in the predicted directions. Results demonstrated that advanced strategy levels and insightful responses were significantly related to high performance on the RAT. Theoretical links between cognitive style and Piagetian concepts were discussed in regard to creative thought. Overall, these findings support the contention that the creative processes should be studied, not as isolated structures, but with relational and multifaceted emphasis.     

History Matters: Effects of Culture‐specific Symbols on Political Attitudes and Intergroup Relations

A theory of the historical anchoring and mobilization of political attitudes is proposed, arguing that culture‐specific symbols, configured by historical charters, are an important resource in defining nationhood and legitimizing public opinion in a way that makes some political attitudes difficult to change. Five studies in New Zealand and Taiwan using diverse methods converged to show that historical events with “charter status” have an additive effect in explaining variance in political attitudes regarding biculturalism in New Zealand and independence in Taiwan even after controlling for the effects of Social Dominance Orientation, Right‐Wing Authoritarianism, relevant social identities, and collective guilt. Field and lab experiments showed that the impact of historical symbols did not depend on the mobilization of social identity (e.g., increasing mean scores and indirect effects), but the historical anchoring of political attitudes in representations was resistant to change. Manipulations of the salience of historical events changed levels of social identification, but did not change mean levels of support for New Zealand biculturalism or Taiwanese independence. Even an intense and immersive pretest/posttest design taking high school students on a national museum tour failed to change attitudes towards biculturalism in New Zealand.     

The Structure of Life History: Implications for the Construct Validity of Background Data Scales

Background data measures have proven to be effective predictors of a variety of criteria. Little attention, however, has been given to the substantive princi- ples underlying their application. In this article, we present a model for un- derstanding the structure of differential life history. This model was used subsequently to generate a substantial framework for applying background data measures. These principles were used then to address various issues bear- ing on construct definition, item generation, and performance prediction. It was concluded that systematic application of construct validation principles may do much to enhance the utility of background data scales.