Relationship between clinician assessment and self-assessment of personality disorders using the SWAP-200 and PAI

The relation between self- and peer-informant reports of personality using psychometric instruments has been the focus of considerable research. The quantified judgments of clinically experienced observers such as treating clinicians have also been studied. The focus of the present article is on the measurement of 3 personality disorders (borderline, antisocial, and obsessive-compulsive) using the Shedler-Westen Assessment Procedure (SWAP-200), an instrument designed to quantify personality ratings made by clinically experienced informants, and the self-report Personality Assessment Inventory (PAI). SWAP-200 personality disorder scales showed small to medium correlations with borderline and antisocial personality disorder scales from the PAI. As predicted, SWAP-200 obsessive-compulsive personality disorder correlated negatively with these scales, suggesting discriminant validity.     

Distress and aggression during dating conflict: A test of the coercion hypothesis

Research with clinically depressed and maritally discordant couples suggests that women's distressed behaviors function to suppress their partners' subsequent aggressive responses. We applied this coercion hypothesis to a nonclinical sample of dating couples (N = 288). We further examined whether these effects were gender‐specific, and whether distressed and aggressive behaviors differ within physically violent versus nonviolent relationships. Women but not men reported engaging in elevated rates of distress in response to partner aggression during past dating conflicts. However, both women and men expected distressed behavior to suppress partner aggression during future conflicts. Expectations about the functional effects of distressed behavior did not differ for participants with physically violent partners versus nonviolent partners. However, participants in violent relationships reported enacting more distressed behaviors and had greater expectations for partner verbal aggression during future conflicts than did participants in nonviolent relationships. Future research may identify the early onset of dysfunctional interaction patterns in couples and concomitant psychological distress.     

Empathic accuracy of intimate partners in violent versus nonviolent relationships

This study compared the empathic accuracy of men and women who had perpetrated physical intimate partner violence with that of partners in nonviolent but distressed and nonviolent and nondistressed relationships. Examined was the empathic accuracy (a) of partners for one another’s thoughts and feelings during a relationship problem discussion in the laboratory, (b) of partners’ empathic accuracy for each other with the empathic accuracy of objective observers who watched the couples’ interactions, and (c) the males’ empathic accuracy for their female partner to their empathic accuracy for female strangers. No significant group differences were found among women’s empathic accuracy, but the data suggest that violent men exhibit poor empathic accuracy when attempting to understand their female partner’s thoughts and feelings.     

The Shedler and Westen Assessment Procedure from the perspective of general personality structure

The Shedler and Westen Assessment Procedure (SWAP-200; J. Shedler & D. Westen, 2004) has received increasing support as a dimensional model of personality pathology. However, only 1 prior study has related empirically the SWAP-200 with any other measure of personality or personality disorder. The purpose of the current study was to determine whether the SWAP-200 personality disorder and personality dimension scales relate meaningfully to the domains and facets of the five-factor model (FFM; J. M. Digman, 1990) of general personality structure. Individuals (n = 94) with significant personality pathology were described on instruments of general personality and personality pathology. The results of the current study suggest that most of the SWAP-200 personality and personality disorder scales relate to the domains and facets of the FFM in a manner consistent with FFM theory and previous FFM personality disorder research. Inconsistent findings and limitations are discussed, along with suggestions for future research.     

The prediction of violent and nonviolent criminal behavior in a methadone maintenance population

The utility of traits associated with Antisocial Personality Disorder in making risk assessments of violent and nonviolent crimes was examined in 254 subjects sampled from a methadone maintenance population. A factor analysis of a number of baseline measures resulted in five factors measuring hostility, insecure attachment, impaired reality testing, antisocial personality, and empathy. These factors were used in logistic regression analysis to predict charges for violent and nonviolent crimes over a 2-year period. Individuals with high scores on the antisocial personality factor had an increased risk of both violent and nonviolent criminal charges. Individuals with low scores on the empathy factor were at high risk for violent crimes. In an analysis using the factor components rather than the factors, the measures of perspective-taking and a socialization were associated with violent criminal charges, and the measure of psychopathy, but not antisocial behavior, was associated with nonviolent criminal charges. The results support the use of measures of personality traits in addition to measures of a history of antisocial behavior in making violence risk assessments in substance-dependent patients. The DSM construct and diagnosis of Antisocial Personality Disorder may be enhanced by greater emphasis on personality traits associated with antisocial behavior.     

Screening of personality disorders among chinese college students by Personality Diagnostic Questionnaire-4+

Four thousand eight hundred and eleven students were sampled from 26 universities in 21 cities of China and evaluated using the Personality Diagnostic Questionnaire-4+(PDQ-4+). Results showed that male students obtained significantly higher scores than female students on paranoid, schizotypal, antisocial, narcissistic, passive-aggressive, and depressive personality disorder scales, and lower scores on the borderline scale. Students from rural areas scored higher than those from urban areas on the schizoid, schizotypal, narcissistic, avoidant, compulsive-obsessive, passive-aggressive, and depressive personality disorder scales, and lower on the paranoid and dependent scales. Singleton students obtained significantly higher scores than nonsingletons on paranoid, antisocial and dependent scales, and lower on schizoid, avoidant, compulsive-obsessive, passive-aggressive, depressive scales. Students from single-parent families scored significantly higher on the schizotypal scales; and students from foster families scored significantly higher on the antisocial, passive-aggressive, and depressive scales. Students from poor families scored significantly higher than those from average or wealthy families on schizoid, schizotyal, antisocial, borderline, narcissistic, avoidant, obsessive-compulsive, passive-aggressive, and depressive personality disorders. The results suggest that low family income, low social status, and parental style contribute to the development of personality disorders.     

Comparative validity of the Shedler and Westen Assessment Procedure-200

A predominant dimensional model of general personality structure is the five-factor model (FFM). Quite a number of alternative instruments have been developed to assess the domains of the FFM. The current study compares the validity of 2 alternative versions of the Shedler and Westen Assessment Procedure (SWAP-200) FFM scales, 1 that was developed on the basis of items identified by J. Shedler and D. Westen (2004) and 1 that used items identified by R. R. McCrae, C. E. Lokenhoff, and P. T. Costa (2005). The comparative validity of both measures was examined in a sample of persons who evidenced personality-related problems in living (N = 94). The McCrae et al. Neuroticism, Agreeableness, and Openness scales were superior to their respective Shedler and Westen scales. Both research teams developed comparably valid Extraversion and Conscientiousness scales. Implications of the results for future SWAP-200 research are discussed.     

Development of personality disorder symptoms and the risk for partner violence

In a community sample (N = 543) followed over 20 years, the authors studied associations among childhood family violence exposure, personality disorder (PD) symptoms, and adult partner violence. PD symptoms (DSM-III-R Clusters A, B, and C) in early adulthood partially mediated the effect of earlier childhood risks on the odds of perpetrating partner violence. The authors tested whether stability of PD symptoms from adolescence to the early 20s differs for individuals who later perpetrated partner violence. Cluster A ("Odd/Eccentric") symptoms declined less with age among partner violent versus nonviolent men and women. Cluster B ("Dramatic/Erratic") symptoms were more stable through late adolescence in partner violent men, compared with nonviolent men and violent women. Cluster C ("Anxious") symptoms were most stable among partner violent men.     

Working models of attachment and reactions to different forms of caregiving from romantic partners

Inspired by attachment theory, the authors tested a series of theoretically derived predictions about connections between attachment working models (attachment to one's parents assessed by the Adult Attachment Interview; M. Main & R. Goldwyn, 1994) and the effectiveness of specific types of caregiving spontaneously displayed by dating partners during a stressful conflict-resolution discussion. Each partner first completed the Adult Attachment Interview. One week later, each couple was videotaped while they tried to resolve a current problem in their relationship. Trained observers then rated each interaction for the degree to which (a) emotional, instrumental, and physical caregiving behaviors were displayed; (b) care recipients appeared calmed by their partners' caregiving attempts; and (c) each partner appeared distressed during the discussion. Individuals who had more secure representations of their parents were rated as being more calmed if/when their partners provided greater emotional care, especially if they were rated as more distressed. Conversely, individuals who had more insecure (dismissive) representations of their parents reacted more favorably to instrumental caregiving behaviors from their partners, especially if they were more distressed. The broader theoretical implications of these findings are discussed.     

Depression, Marital Satisfaction and Communication in Couples: Investigating Gender Differences

The correlation between depression and dysfunctional marital interaction is well documented, but only a few studies have examined gender-related differences in marital interaction patterns of couples with a depressed partner. In this paper we examined differences in observed marital communication in a sample of 62 Swiss couples presenting for treatment of depression. There were 16 maritally distressed couples with a depressed wife, 21 maritally nondistressed couples with a depressed wife, 18 maritally distressed couples with a depressed husband, and 7 maritally nondistressed couples with a depressed husband. Marital interaction behavior was found to depend on gender, depression, marital distress, as well as gender of the depressed partner. Our results suggest the need for a gender-sensitive model of the link between marital interaction and depression.     

Verläufe bei sexuellen Tötungen

This article summarizes main results of studies on forensic psychiatric court reports on 166 men who had been persecuted between 1963 and 1991 for a sexual offence leading to the death of the victim. Comparing perpetrators with a single victim and those with multiple victims we found similar results as in two previous studies with smaller samples: Multiple sexual homicide perpetrators showed more often sexual sadism and other paraphilias, as well as antisocial, schizoid and sadistic personality disorders. Follow-up data from the federal criminal records could be obtained for 139 offenders. Ninety perpetrators had been released after a mean detention of 12.2 years, whereas the 49 offenders who were still in prison or forensic psychiatric hospitals had been detained for a mean period of 20.6 years. The non-released offenders showed more often paraphilias as well as antisocial and sadistic personality disorders than the released perpetrators. Paraphilias and antisocial personality traits are empirically well proven risk factors for criminal recidivism with sexual reoffences. In addition, the non-released sexual homicide perpetrators had higher scores in all applied risk assessment instruments (PCL-R, HCR-20, SVR-20, Static-99). Among the released offenders only 1.1% (n=1) reoffended with a completed homicide and 2.2% (n=2) with attempted homicide. The recidivism rates with sexual and other violent reoffences in this sample of sexual homicide perpetrators were similar to those in a large meta-analysis on recidivism in sexual offenders by Hanson and Morton-Bourgon (4). Since well established risk factors had apparently been “used-up” for the decisions about release or non-release, in the follow-up data about the released offenders only age at the sexual homicide and age at the time of release were found as risk factors for recidivism with any violent (sexual or non-sexual) reoffence, i.e. the younger the offender at the time of the homicide and the younger at the time of release, the more likely is the risk of violent reoffending.     

Attachment and anger in an anxiety-provoking situation.

In this study, women were told they would engage in an anxiety-provoking activity. Women then waited with their dating partner for the activity to begin. During this 5-min "stress" period, each couple's interaction was videotaped unobtrusively. Each couple was then told that the woman would not have to do the stressful activity, and each couple was unobtrusively videotaped again during a 5-min "recovery" period. The behavior of both partners was then coded during both periods. The major results revealed that more-avoidant men displayed greater anger during the stress period, especially if their partners were more anxious or distressed or sought more support from them. More-avoidant women also displayed greater anger, particularly if they were highly anxious or distressed and received little support or encountered anger from their partners. During the recovery period, highly ambivalent women behaved more negatively toward their partners if they had been more anxious in the stress period or had sought more support from their partners. These results are discussed in terms of attachment theory.     

Intimate partner aggression reporting concordance and correlates of agreement among men with alcohol use disorders and their female partners

This study examined relationship aggression reporting concordance among 303 men with alcohol use disorders and their female partners enrolled in couples-based alcohol abuse treatment. Agreement for physical and psychological aggression was generally consistent with, or higher than, concordance rates reported among other populations. Men's antisocial personality disorder characteristics were the strongest predictor of higher concordance for male- and female-perpetrated aggression. Higher alcohol problem severity, poorer relationship adjustment, and higher psychopathic personality features were associated with better concordance in some analyses. Women reported experiencing more physical aggression than men reported perpetrating, and women reported perpetrating more psychological aggression than men reported experiencing. Findings highlight the importance of obtaining aggression reports from both partners and the need for research investigating methods for improving concordance.     

Male Partner Abusers' Perceptions of Family Relationship Functioning: A Comparison of Clinically Derived Abuser Types

Research has explored the differences between types of male partner abusers on various variables and yet little research has examined family experiences, such as family of origin structure and relationship patterns. The present study compared 4 male partner abuser types derived from profile interpretation of the Minnesota Multiphasic Personality Inventory 2 (MMPI-2) and a group of nonintimately violent men on family of origin and current partner relationship functioning using two family scales from the MMPI-2, the Locke-Wallace Marital Adjustment Test, and the Family Adaptation and Cohesion Evaluation Scale III. Results indicated that male partner abusers with more severe psychopathology (i.e., borderline and antisocial) reported greater relationship distress, discord, conflict, and emotional disengagement than those men with less psychopathology (i.e., nonpathological). Clinical implications are discussed.     

The association of childhood trauma with perceptions of self and the partner in adult romantic relationships

In this study, the association of childhood trauma with perceptions of self and the partner was explored. Using a large sample of more than 5,400 couples who completed the RELATE inventory, couples in which neither partner experienced childhood physical abuse were compared on personality and communication scales with couples where only the female experienced abuse, only the male experienced abuse, and both partners experienced abuse. The primary question of interest was to evaluate whether childhood trauma was associated with selection effects of romantic partners, perceptual effects of partners, or reciprocal negativity with partners. The evidence from the analysis of variance and path analysis indicates that trauma is more likely to be associated with perceptual effects than selection effects. Individuals who were traumatized rated both themselves and their partners as more neurotic and conflictual, even when controlling for overall levels of relationship satisfaction. However, the partners of traumatized persons do not consider themselves more neurotic or conflictual than partners in relationships where neither partner was abused.     

The use of the MacAndrew Alcoholism Scale in detecting substance abuse and antisocial personality

We evaluated the hypothesis that characterological factors, particularly antisocial personality, influence scores on the MacAndrew Alcoholism Scale (MAC). Using the Washington University research criteria to establish diagnoses, the following subgroups were defined: subjects who received no psychiatric diagnoses; subjects who received diagnoses other than alcoholism, drug dependence, or antisocial personality; and subjects who received a diagnosis of alcoholism, drug dependence, and/or antisocial personality, alone or in combination with other psychiatric diagnoses. The highest MAC scores were obtained by subjects diagnosed as having antisocial personality without alcoholism or drug dependence and subjects diagnosed with antisocial personality, drug dependence, and alcoholism. Alcoholics without antisocial personality or drug dependence, and subjects with other psychiatric diagnoses scored lowest. Although higher MAC scores were obtained by males, MAC scores greater than 24 correctly classified the greatest number of males and females as alcoholic, drug dependent and/or antisocial. These findings are interpreted as consistent with MacAndrew's reinterpretation of the scale as assessing a dimension of personality, rather than solely a tendency to addiction.     

The Use of the MacAndrew Alcoholism Scale in Detecting Substance Abuse and Antisocial Personality

We evaluated the hypothesis that characterological factors, particularly antisocial personality, influence scores on the MacAndrew Alcoholism Scale (MAC). Using the Washington University research criteria to establish diagnoses, the following subgroups were defined: subjects who received no psychiatric diagnoses; subjects who received diagnoses other than alcoholism, drug dependence, or antisocial personality; and subjects who received a diagnosis of alcoholism, drug dependence, and/or antisocial personality, alone or in combination with other psychiatric diagnoses. The highest MAC scores were obtained by subjects diagnosed as having antisocial personality without alcoholism or drug dependence and subjects diagnosed with antisocial personality, drug dependence, and alcoholism. Alcoholics without antisocial personality or drug dependence, and subjects with other psychiatric diagnoses scored lowest. Although higher MAC scores were obtained by males, MAC scores greater than 24 correctly classified the greatest number of males and females as alcoholic, drug dependent and/or antisocial. These findings are interpreted as consistent with MacAndrew's reinterpretation of the scale as assessing a dimension of personality, rather than solely a tendency to addiction.     

Aggression toward female partners by at-risk young men: the contribution of male adolescent friendships

Deviancy training was examined as a risk factor for physical and psychological aggression toward a female partner among boys and young men in the Oregon Youth Study. Hostile talk about women during videotaped male friendship interactions was hypothesized to indicate a process by which aggression toward women is reinforced within male peer networks. Both antisocial behavior and hostile talk were predicted to be associated with later aggression toward a female partner. Prospective developmental models were tested from 9-10 years of age through young adulthood. Findings indicated that the relation of deviant peer association in adolescence and later aggression toward a partner was mediated by antisocial behavior; observed hostile talk about women with male peers explained additional variance in aggression toward a partner.