Clinical Validity of a Personality Inventory for Children (PIC) Profile Typology

We evaluated the validity of a profile typology for the Personality Inventory for Children (PIC), a parent-informant measure of child psychiatric status. For referred children, we studied (a) the convergence of PIC profile types with diagnoses according to the Diagnostic and Statistical Manual of Mental Disorders (3rd ed., American Psychiatric Association, 1980) and (b)the incremental validity of the PIC over diagnoses in the prediction of symptom ratings completed by teachers and clinicians. We found a high diagnosis-PIC correspondence only for developmentally disordered children: the overlap for children with emotional-conduct problems was poor. For the latter group, however, the correlation of diagnoses with symptom ratings was low, but the incremental validity of the PIC over diagnoses was high. We discuss the use of this profile typology in the clinical evaluation of children and present a case example.     

Clinical validity of a Personality Inventory for Children (PIC) profile typology.

We evaluated the validity of a profile typology for the Personality Inventory for Children (PIC), a parent-informant measure of child psychiatric status. For referred children, we studied (a) the convergence of PIC profile types with diagnoses according to the Diagnostic and Statistical Manual of Mental Disorders (3rd ed., American Psychiatric Association, 1980) and (b) the incremental validity of the PIC over diagnoses in the prediction of symptom ratings completed by teachers and clinicians. We found a high diagnosis-PIC correspondence only for developmentally disordered children; the overlap for children with emotional-conduct problems was poor. For the latter group, however, the correlation of diagnoses with symptom ratings was low, but the incremental validity of the PIC over diagnoses was high. We discuss the use of this profile typology in the clinical evaluation of children and present a case example.     

Detecting back irrelevant responding on the Personality Assessment Inventory in a psychiatric inpatient setting

The present studies focus on strategies for detecting back irrelevant responding (BIR) on the Personality Assessment Inventory (PAI; L. C. Morey, 1991). Moderate BIR levels can greatly affect the clinical scales of the PAI. Further, the PAI's Inconsistency and Infrequency validity scales are less than optimal for detecting BIR. L. C. Morey and C. J. Hopwood (2004) developed an alternative strategy for detecting BIR that involves comparison of 2 scales from the PAI short-form with the same 2 scales from the PAI full-instrument. The present study examines how different BIR levels affect the clinical, treatment, and interpersonal scales of the PAI in 2 psychiatric inpatient samples. The effectiveness of various strategies for detecting BIR in an inpatient setting is also discussed. Consistent with previous research, moderate rates of BIR impacted several PAI scales in a meaningful way. The Inconsistency and Infrequency validity scales of the PAI were relatively ineffective for detecting low-to-moderate BIR levels. Conversely, the short-form full-instrument comparison strategy was much more sensitive to BIR. Finally, a new BIR detection indicator is presented that improves sensitivity rates for detecting all BIR levels in an acute setting. The implications of these results for detecting BIR in inpatient settings are discussed.     

DIStance-from-the PROtotype (DISPRO) personality assessment for children

We examined a children's version of Broughton's (1990) DISPRO (DIStance-From-the-PROtotype), a multidimensional scaling approach to personality assessment. In this system, a score on a given trait dimension is derived from a subject's judgment about his or her similarity to or distance from a prototype - a hypothetical character who acts in trait-consistent or prototypical ways. The DISPRO assessment model employs eight equidistant trait categories from Wiggins's (1979) interpersonal circumplex. In this study, 74 children (M age = 7.3 years) were told stories about four same-sex characters who performed prototypical acts from a single trait category randomly selected from the circumplex. Results show the structure of children's ratings is remarkably similar to that obtained from adults, but children's ratings show a developmental trend. A sample of younger children (M age = 6) provided a unidimensional solution along a "good-bad" or nurturance continuum. Analysis of an older sample (M age = 8.5) revealed use of the two dimensions of dominance and nurturance commonly found in adult solutions. Significant validity coefficients for parent and teacher criterion measures (average r = .40) and adequate test-retest reliability (average r(tt)= .78) were found. Benefits unique to DISPRO, such as its ease of use and standardization of trait stimuli, are discussed.     

Image of God and personality pathology: An exploratory study among psychiatric patients

The associations between personality pathology according to DSM-IV, symptomatology and God image were examined among a group of 46 psychiatric patients. Features of personality disorders were assessed using the 'Questionnaire to Assess Personality Pathology', a self-report screener. God image was measured by means of the 'Questionnaire God Image'. Symptomatology was assesed by means of the SCL-90. The more personality pathology present, the more negative the image of God. The negative image of God appeared to be associated with personality pathology, in particular with pathology from the DSM-IV A- and C-cluster, even after controlling for the influence of symptomatology, suggesting that the association between symptomatology and the God image is mediated by personality pathology. When symptoms of the A-cluster are present God is experienced as detached and passive. When C-cluster symptoms prevail, God is experienced as a harsh judge. Results are discussed both from a psychodynamic object-relational as well as from a cognitive schema focused perspective.     

Distribution of DSM-II diagnoses in a child psychiatric setting

While DSM-II contains more diagnostic categories related specifically to children than did the earlier DSM-I, clinical utilization studies of the various categories have not been extensive. The present study reports data on the distribution of diagnoses of childhood disorders and analyzes relationships among several diagnostic categories and subject variables. Results indicate that clinicians are using a wide range of DSM-II diagnoses for childhood disorders, including some which were intended for use with adults as well as those which were designed specifically for children. Transient Situational Disorders and Behavior Disorders are assigned almost equally to two-thirds of the sample. Chi-square analyses revealed a relationship between diagnostic categories and subject variables of age and sex. These data suggest that boys, particularly between the ages of 6 and 13, are more frequently than girls categorized as Behavior Disorder, and that the Transient Situational Disorder category is overutilized for adolescents, both male and female.The authors are indebted to James H. Johnson for his valuable contributions in all phases of this study and to Peggy Louro for her assistance in data collection.     

Pathological gambling and personality disorders: an exploratory study with the IPDE

This article describes the most frequent personality disorders related to pathological gambling. Participants included 50 pathological gamblers assessed with the IPDE, and 50 normative subjects from the general population with the same demographic features (age, sex, and socioeconomic level). Thirty-two percent of the clinical sample (vs. the 8% of the normative sample) showed at least one personality disorder. The most prevalent disorders were Borderline (16%), followed by Antisocial, Paranoid, Narcissistic, and Non-specified (8% each). Gamblers with personality disorders presented an average of 1.5 disorders and they reported higher gambling severity and more severe symptoms of anxiety, depression and alcohol abuse. The implications of this study for clinical practice and research are discussed.     

Resourcing single parents in a South African community rural setting: an exploratory study

This study investigated the resource needs of single parents as child carers. Participants were a purposive sample of 40 single parents (female?=?70%, Black?=?95%, rural 80%; age range 30 to 55 years old). Data on resource needs of single parents were collected using semi-structured individual interviews. The data were thematically analyzed. The findings indicated that single parents need relationship and socio-emotional, material and time use supports to be successful in their carer roles. Resourcing single parents in their child care roles requires a holistic approach addressing both material and socio-relational support needs.     

Correlates of the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) Personality Psychopathology Five (PSY-5) scales in a forensic assessment setting

Empirical correlates of the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) Personality Psychopathology Five (PSY-5) scales in a forensic assessment setting were identified. Archival extratest data, including demographics, psychosocial history, criminal behavior history, and current mental status and psychodiagnosis, were extracted from the case files of 593 men and women referred to a forensic assessment clinic for criminal court-ordered evaluations. Zero-order and multiple correlations were calculated between the MMPI-2 PSY-5 scales and relevant criterion variables. Findings indicated that the PSY-5 scales' empirical correlates in a forensic setting are similar to and consistent with those found in general mental health settings. Linear combinations of MMPI-2 PSY-5 Scale scores accounted for moderate proportions of variance in the collateral indicators.     

Perceptions of the utility of personality assessment for personnel selection in the South African context: An exploratory study

This study explored South African industrial psychologists’ perceptions of the utility of personality assessment for personnel selection. Eleven industrial psychologists (2 male, 9 female) from the Johannesburg area, South Africa were the participants. They participated in semi-structured interviews exploring their understanding of the place of personality assessment in personnel selection within organisational settings in South Africa and the common practices employed. Thematic analysis was used to analyse the data. Four dominant themes emerged from the data: person-environment fit; specific uses of personality tests; commonly used tests and validity and ethical concerns. Based on the findings, personality assessment use in South African industry settings appears multi-layered and consistently evolving.     

On the usefulness of measures of normal personality for clinical assessment: evidence of the incremental validity of the Revised NEO Personality Inventory

As a means of examining the incremental validity of a normal personality measure in the prediction of selected Axis I and II diagnoses, 1,342 inpatient substance abusers completed the Revised NEO Personality Inventory (NEO-PI-R) and the Minnesota Multiphasic Personality Inventory--2 (MMPI-2) and were assessed with structured clinical interviews to determine diagnostic status. Results demonstrated that scores from the NEO-PI-R (a) were substantially related to the majority of diagnoses, accounting for between 8% and 26% of the variance in the diagnostic criteria; (b) explained an additional 3% to 8% of the variability beyond 28 selected MMPI-2 scale scores; (c) increased diagnostic classification an additional 7% to 23% beyond MMPI-2 scale scores; and (d) were significantly more useful when examined at the facet trait level than at the domain trait level. Implications for incorporating measures of normal personality into clinical assessment batteries are discussed.     

When a child comes out in the latter-days: an exploratory case study of Mormon parents

Under the modern gay rights movement, cultural and societal values regarding sexuality, marriage, and family have rapidly evolved while the fundamental doctrine of monogamous, heterosexual marriage espoused by The Church of Jesus Christ of Latter-day Saints has not. Questions arise as to how orthodox Mormon families come to terms with their child coming out in light of the Church’s policy on same-sex marriage and families. This article employs an exploratory case-study method to examine the experience of one such orthodox Mormon family whose child came out as gay. The findings herein suggest that it is possible for families and individuals in these circumstances to develop and maintain loving and supportive relationships in spite of religious differences. These findings better equip academics, professionals, clergy, and families to address the mental health concerns of and create inclusive spaces in families, congregations, and communities for youth who identify as sexual minorities.     

The criterion validity of the Borderline Personality Features Scale for Children in an adolescent inpatient setting

The purpose of the current study was to examine the criterion validity of the Borderline Personality Features Scale for Children (BPFS-C) by assessing the performance of the self-report and a newly developed parent report version of the measure (BPFS-P) in detecting a borderline personality disorder (BPD) diagnosis in adolescent inpatients. This study also examined parent-child agreement and the internal consistency of the BPFS subscales. An inpatient sample of adolescents (n = 51) ranging from ages 12-18 completed the BPFS and were administered the Child Interview for DSM-IV Borderline Personality Disorder (CI-BPD) by trained clinical research staff. ROC analyses revealed that the BPFS-C has high accuracy (AUC = .931; Se = .856; Sp = .840) in discriminating adolescents with a diagnosis of BPD, as measured by the CI-BPD, while the BPFS-P has moderate accuracy (AUC = .795; Se = .733; Sp = .720). Parent-child agreement on total scores was significant (r = .687; p < .005). Cronbach's alphas suggested internal consistency for the four subscales of the BPFS. These findings support the criterion validity of this measure, particularly the self-report version, in adolescent inpatient settings.     

Zuckerman-Kuhlman-Aluja Personality Questionnaire (ZKA-PQ) and Cloninger's Temperament and Character Inventory Revised (TCI-R): a comparative study

The aim of this study was to compare the psychometric properties (normal distribution values, reliabilities and factor structure) of the Zuckerman-Kuhlman-Aluja Personality Questionnaire (ZKA-PQ) and the Temperament and Character Inventory revised (TCI-R). The total sample consisted of 482 subjects (53.1% men and 46.9% women) from diverse age. Results showed somewhat better psychometric properties, like reliability and facet-factor structure, for the ZKA-PQ than the TCI-R. The expected five-factor facet structure of the ZKA-PQ was clear found. However, the seven-factor structure of TCI-R was not clear and it did not show a clear distinction between Temperament and Character factors. When ZKA-PQ and TCI-R variables are analyzed together, the ZKA-PQ factors are related to the Character as well as the Temperament factors. In some cases they represent the opposite poles of ZKA-PQ factors; for example, Neuroticism versus Self-Directiveness and Aggression versus Cooperativeness. Some are directly and highly related to ZKA-PQ factors; for example, Sensation Seeking and Novelty Seeking, Extraversion and Reward Dependence, Neuroticism and Harm Avoidance, and Activity and Persistence.     

Development and first results of the Borderline Personality Inventory: a self-report instrument for assessing borderline personality organization.

This article reports the development of a short 53-item true-false self-report instrument, the Borderline Personality Inventory (BPI). The BPI is based on Kernberg's (1984) concept of borderline personality organization. However, the diagnostic criteria are compatible with both the Diagnostic and Statistical Manual of Mental Disorders (4th ed.; American Psychiatric Association, 1994) and Gunderson's (Gunderson & Kolb, 1978) concept of borderline personality disorder (BPD). The BPI contains scales for assessing identity diffusion, primitive defense mechanisms, and reality testing. Another scale refers to the fear of closeness. The construction of the scales is based on the results of a factor analysis. As a result of several studies, a cutoff score is proposed to make the diagnosis of a BPD. Thus, the BPI combines dimensional and categorical models of BPD. The BPI was tested in several studies. According to the results, internal consistency and retest reliability are satisfactory (Cronbach's alpha = .68-.91, rtt = .73-.89). Results for sensitivity are .85 to .89, and results for specificity .78 to .89. The BPI identifies borderline patients in high agreement with Kernberg's criteria of borderline personality organization, Diagnostic and Statistical Manual of Mental Disorders (3rd ed., rev.; American Psychiatric Association, 1987) criteria of BPD and Gunderson's criteria of BPD. The BPI is recommended as a screening instrument for borderline personality organization and BPD and for dimensional research of borderline features in Axis I and Axis II disorders.     

Constructions of Mexican American family grief after the death of a child: an exploratory study

Using a collective case study ethnographic approach, nine individuals comprising three Mexican American families were interviewed about their family bereavement experiences after the death of a child. All families were Catholic, had surviving siblings, and had had three or more years to grieve their loss when interviewed. The deceased children ranged in age from 3 to 14, and all experienced sudden, traumatic, nonsuicide deaths. To provide a broader, contextual picture of their grief experiences, four individuals who supported these family members after the loss were also interviewed. Unique grief experiences were identified, and eight common themes emerged, reflecting the ways in which family members maintained their bond to the deceased: dreams, storytelling, keepsakes, sense of presence, faith-based connections, proximity connections, ongoing rituals, and pictorial remembrances. The cultural implications of family bereavement are highlighted.