Top

Optie A:

Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
Optie B:

Deel de link per e-mail
Link delen

vorige artikel Clarifying Fearlessness in Psychopathy: an Exam...

volgende artikel Examining Reactive and Proactive Aggression thr...

Tip

Swipe om te navigeren naar een ander artikel

20-05-2020 | Uitgave 1/2021

Identity Impairment as a Central Dimension in Personality Pathology

Tijdschrift:: Journal of Psychopathology and Behavioral Assessment > Uitgave 1/2021

Auteurs:: Annabel Bogaerts, Koen Luyckx, Tim Bastiaens, Erin A. Kaufman, Laurence Claes

» Toegang tot de volledige tekst krijgen

Belangrijke opmerkingen

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Abstract

Section III of the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) includes an alternative model for diagnosing personality disorders (PDs). This model highlights identity impairment as a potential criterion of all PDs, which has stimulated researchers to characterize identity functioning across PD presentations. Accordingly, the present study examined associations between dimensions of identity functioning and PD symptomatology among 242 Flemish community adults (49.2% female; M_age = 42.76, SD = 14.42). Participants completed the Self-Concept and Identity Measure (Kaufman, Cundiff, & Crowell, 2015) to assess identity functioning and the Assessment of DSM-IV Personality Disorders (Schotte, De Doncker, Vankerckhoven, Vertommen, & Cosyns, 1998) to assess dimensionally measured PDs. A correlational analysis yielded negative associations between the consolidated identity subscale and all PDs, whereas scores on both disturbed identity and lack of identity scales were positively associated with PDs. A multivariate regression analysis indicated that the consolidated identity scale did not account for unique variance in PD dimensions. Disturbed identity and lack of identity scale scores positively predicted variance in all PDs, with the lack of identity scale being the stronger predictor of symptoms of paranoid, schizotypal, and borderline PDs. Study findings generally support identity impairment as a central dimension in PD symptomatology in a Flemish community sample.

Log in om toegang te krijgen

Hier inloggen

Met onderstaand(e) abonnement(en) heeft u direct toegang:

BSL Psychologie Totaal

Met BSL Psychologie Totaal blijf je als professional steeds op de hoogte van de nieuwste ontwikkelingen binnen jouw vak. Met het online abonnement heb je toegang tot een groot aantal boeken, protocollen, vaktijdschriften en e-learnings op het gebied van psychologie en psychiatrie. Zo kun je op je gemak en wanneer het jou het beste uitkomt verdiepen in jouw vakgebied.

Meer informatie

Achenbach, T. M., McConaughy, S. H., & Howell, C. T. (1987). Child/adolescent behavioral and emotional problems: Implications of cross-informant correlations for situational specificity. Psychological Bulletin, 101, 213–232. https://doi.org/10.1037/0033-2909.101.2.213. CrossRefPubMed

American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: American Psychiatric Association.

American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: American Psychiatric Association.

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Association. CrossRef

Bogaerts, A., Claes, L., Verschueren, M., Bastiaens, T., Kaufman, E. A., Smits, D., & Luyckx, K. (2018). The Dutch self-concept and identity measure (SCIM): Factor structure and associations with identity dimensions and psychopathology. Personality and Individual Differences, 123, 56–64. https://doi.org/10.1016/j.paid.2017.11.007. CrossRef

Clarkin, J. F., Cain, N. M., & Lenzenweger, M. F. (2018). Advances in transference-focused psychotherapy derived from the study of borderline personality disorder: Clinical insights with a focus on mechanism. Current Opinion in Psychology, 21, 80–85. https://doi.org/10.1016/j.copsyc.2017.09.008. CrossRefPubMed

Côté, J. E., & Schwartz, S. J. (2002). Comparing psychological and sociological approaches to identity: Identity status, identity capital, and the individualization process. Journal of Adolescence, 25, 571–586. https://doi.org/10.1006/jado.2002.0511. CrossRefPubMed

Courjaret, J., Schotte, C. K. W., Wijnants, H., Moorkens, G., & Cosyns, P. (2009). Chronic fatigue syndrome and DSM-IV personality disorders. Journal of Psychosomatic Research, 66, 13–20. https://doi.org/10.1016/j.jpsychores.2008.07.001. CrossRefPubMed

Cumming, G. (2009). Inference by eye: Reading the overlap of independent confidence intervals. Statistics in Medicine, 28, 205–220. https://doi.org/10.1002/sim.3471. CrossRefPubMed

De Doncker, D., Schotte, C. K. W., & Cosyns, P. (2000). ADP-IV questionnaire: Aspects of reliability and validity. European Psychiatry, 15, 73–73.

Debast, I., Rossi, G., Van Alphen, S. P. J., Pauwels, E., Claes, L., Dierckx, E., et al. (2015). Age neutrality of categorically and dimensionally measured DSM-5 section II personality disorder symptoms. Journal of Personality Assessment, 97, 321–329. https://doi.org/10.1080/00223891.2015.1021814. CrossRefPubMed

Erikson, E. H. (1950). Childhood and society. New York: Norton.

Erikson, E. H. (1968). Identity, youth and crisis. New York: Norton.

Feenstra, D. J., Hutsebaut, J., Verheul, R., & van Limbeek, J. (2014). Changes in the identity integration of adolescents in treatment for personality disorders. Journal of Personality Disorders, 28, 101–112. https://doi.org/10.1521/pedi.2014.28.1.101. CrossRefPubMed

Few, L. R., Miller, J. D., Rothbaum, A. O., Meller, S., Maples, J., Terry, D. P., Collins, B., & MacKillop, J. (2013). Examination of the section III DSM-5 diagnostic system for personality disorders in an outpatient clinical sample. Journal of Abnormal Psychology, 122, 1057–1069. https://doi.org/10.1037/a0034878. CrossRefPubMedPubMedCentral

Fonagy, P., & Luyten, P. (2009). A developmental, mentalization-based approach to the understanding and treatment of borderline personality disorder. Development and Psychopathology, 21, 1355–1381. https://doi.org/10.1017/S0954579409990198. CrossRefPubMed

Grilo, C. M., McGlashan, T. H., & Skodol, A. E. (2000). Stability and course of personality disorders: The need to consider comorbidities and continuities between axis I psychiatric disorders and axis II personality disorders. Psychiatric Quarterly, 71, 291–309. https://doi.org/10.1023/A:1004680122613. CrossRef

Hentschel, A. G., & Livesley, W. J. (2013). The general assessment of personality disorder (GAPD): Factor structure, incremental validity of self-pathology, and relations to DSM-IV personality disorders. Journal of Personality Assessment, 95, 479–485. https://doi.org/10.1080/00223891.2013.778273. CrossRefPubMed

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 DSM-5: Empirical support for rating severity, style, and traits. Journal of Personality Disorders, 25, 305–320. https://doi.org/10.1521/pedi.2011.25.3.305. CrossRefPubMed

Jørgensen, C. R. (2009). Identity style in patients with borderline personality disorder and normal controls. Journal of Personality Disorders, 23, 101–112. https://doi.org/10.1521/pedi.2009.23.2.101. CrossRefPubMed

Jørgensen, C. R. (2010). Identity and borderline personality disorder. Journal of Personality Disorders, 24, 344–364. https://doi.org/10.1521/pedi.2010.24.3.344. CrossRefPubMed

Kaufman, E. A., & Crowell, S. E. (2018). Biological and behavioral mechanisms of identity pathology development: An integrative review. Review of General Psychology., 22, 245–263. https://doi.org/10.1037/gpr0000138. CrossRef

Kaufman, E. A., Cundiff, J. M., & Crowell, S. E. (2015). The development, factor structure, and validation of the self-concept and identity measure (SCIM): A self-report assessment of clinical identity disturbance. Journal of Psychopathology and Behavioral Assessment, 37, 122–133. https://doi.org/10.1007/s10862-014-9441-2. CrossRef

Kaufman, E. A., Montgomery, M. J., & Crowell, S. E. (2014). Identity-related dysfunction: Integrating clinical and developmental perspectives. Identity, 14, 297–311. https://doi.org/10.1080/15283488.2014.944699. CrossRef

Kaufman, E. A., Puzia, M. E., Crowell, S. E., & Price, C. J. (2019). Replication of the self-concept and identity measure (SCIM) among a treatment-seeking sample. Identity, 19, 18–28. https://doi.org/10.1080/15283488.2019.1566068. CrossRefPubMed

Kempke, S., Van Den Eede, F., Schotte, C., Claes, S., Van Wambeke, P., Van Houdenhove, B., & Luyten, P. (2013). Prevalence of DSM-IV personality disorders in patients with chronic fatigue syndrome: A controlled study. International Journal of Behavioral Medicine, 20, 219–228. https://doi.org/10.1007/s12529-012-9273-y. CrossRefPubMed

Kenan, M. M., Kendjelic, E. M., Molinari, V. A., Williams, W., Norris, M., & Kunik, M. E. (2000). Age-related differences in the frequency of personality disorders among inpatient veterans. International Journal of Geriatric Psychiatry, 15, 831–837. https://doi.org/10.1002/1099-1166(200009)15:9<831::AID-GPS208>3.0.CO;2-H.

Kernberg, O. F. (1984). Object-relations theory and clinical psychoanalysis. New Haven: Yale University Press.

Kernberg, O. F. (2006). Identity: Recent findings and clinical implications. The Psychoanalytic Quarterly, 75, 969–1004. https://doi.org/10.1002/j.2167-4086.2006.tb00065.x. CrossRefPubMed

Kernberg, O. F., & Caligor, E. (2005). A psychoanalytic theory of personality disorders. In M. F. Lenzenweger & J. F. Clarkin (Eds.), Major theories of personality disorder (2nd ed., pp. 114–156). New York: Guilford press.

Linehan, M. M. (1993). Cognitive-behavioral treatment of borderline personality disorder. New York: Guilford press.

Livesley, W. J. (1998). Suggestions for a framework for an empirically based classification of personality disorder. Canadian Journal of Psychiatry, 43, 137–147. https://doi.org/10.1177/070674379804300202. CrossRefPubMed

Marcia, J. E. (2006). Ego identity and personality disorders. Journal of Personality Disorders, 20, 577–596. https://doi.org/10.1521/pedi.2006.20.6.577. CrossRefPubMed

McWilliams, N. (1994). Developmental levels of personality organization. In Psychoanalytic diagnosis: Understanding personality structure in the clinical process (pp. 40–66). New York; London: The Guilford press.

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-5, part II: Empirical articulation of a core dimension of personality pathology. Journal of Personality Assessment, 93, 347–353. https://doi.org/10.1080/00223891.2011.577853. CrossRefPubMed

Neacsiu, A. D., Herr, N. R., Fang, C. M., Rodriguez, M. A., & Rosenthal, M. Z. (2015). Identity disturbance and problems with emotion regulation are related constructs across diagnoses. Journal of Clinical Psychology, 71, 346–361. https://doi.org/10.1002/jclp.22141. CrossRefPubMed

Paris, J. (2004). Gender differences in personality traits and disorders. Current Psychiatry Reports, 6, 71–74. https://doi.org/10.1007/s11920-004-0042-8. CrossRefPubMed

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. https://doi.org/10.1037/0021-9010.88.5.879. CrossRef

Rossouw, T. I., & Fonagy, P. (2012). Mentalization-based treatment for self-harm in adolescents: A randomized controlled trial. Journal of the American Academy of Child & Adolescent Psychiatry, 51, 1304–1313. https://doi.org/10.1016/j.jaac.2012.09.018. CrossRef

Samuels, J., Eaton, W. W., Bienvenu, O., Brown, C., Costa, P., & Nestadt, G. (2002). Prevalence and correlates of personality disorders in a community sample. British Journal of Psychiatry, 180, 536–542. https://doi.org/10.1192/bjp.180.6.536. CrossRef

Schmeck, K., Goth, K., & Schluter-Muller, S. (2015). The role of identity in the DSM5-classification of personality disorders. European Child and Adolescent Psychiatry, 24, 1–11.

Schotte, C. K. W., De Doncker, D., Vankerckhoven, C., Vertommen, H., & Cosyns, P. (1998). Self-report assessment of the DSM-IV personality disorders, measurement of trait and distress characteristics: The ADP-IV. Psychological Medicine, 28, 1179–1188. https://doi.org/10.1017/S0033291798007041. CrossRefPubMed

Schwartz, S. J., Beyers, W., Luyckx, K., Soenens, B., Zamboanga, B. L., Forthun, L. F., Hardy, S. A., Vazsonyi, A. T., Ham, L. S., Kim, S. Y., Whitbourne, S. K., & Waterman, A. S. (2011). Examining the light and dark sides of emerging adults’ identity: A study of identity status differences in positive and negative psychosocial functioning. Journal of Youth and Adolescence, 40, 839–859. https://doi.org/10.1007/s10964-010-9606-6. CrossRefPubMed

Schwartz, S. J., Zamboanga, B. L., Luyckx, K., Meca, A., & Ritchie, R. A. (2013). Identity in emerging adulthood: Reviewing the field and looking forward. Emerging Adulthood, 1, 96–113. https://doi.org/10.1177/2167696813479781. CrossRef

Schwartz, S. J., Zamboanga, B. L., Wang, W., & Olthuis, J. V. (2009). Measuring identity from an Eriksonian perspective: Two sides of the same coin? Journal of Personality Assessment, 91, 143–154. https://doi.org/10.1080/00223890802634266. CrossRefPubMed

Skodol, A. E. (2012). Personality disorders in DSM-5. Annual Review of Clinical Psychology, 8, 317–344. https://doi.org/10.1146/annurev-clinpsy-032511-143131. CrossRefPubMed

Torgersen, S., Kringlen, E., & Cramer, V. (2013). The prevalence of personality disorders in a community sample. In The Science of Mental Health: Volume 7: Personality and Personality Disorder (Vol. 7, pp. 132–138). Taylor and Francis.

Verheul, R., Bartak, A., & Widiger, T. (2007). Prevalence and construct validity of personality disorder not otherwise specified (PDNOS). Journal of Personality Disorders, 21, 359–370. https://doi.org/10.1521/pedi.2007.21.4.359. CrossRefPubMed

Verschueren, M., Rassart, J., Claes, L., Moons, P., & Luyckx, K. (2017). Identity statuses throughout adolescence and emerging adulthood: A large-scale study into gender, age, and contextual differences. Psychologica Belgica, 57, 32–42. https://doi.org/10.5334/pb.348. CrossRefPubMedPubMedCentral

Westen, D., Betan, E., & Defife, J. A. (2011). Identity disturbance in adolescence: Associations with borderline personality disorder. Development and Psychopathology, 23, 305–313. https://doi.org/10.1017/S0954579410000817. CrossRefPubMed

Widiger, T. A., Bach, B., Chmielewski, M., Clark, L. A., DeYoung, C., Hopwood, C. J., Kotov, R., Krueger, R. F., Miller, J. D., Morey, L. C., Mullins-Sweatt, S. N., Patrick, C. J., Pincus, A. L., Samuel, D. B., Sellbom, M., South, S. C., Tackett, J. L., Watson, D., Waugh, M. H., Wright, A. G. C., Zimmermann, J., Bagby, R. M., Cicero, D. C., Conway, C. C., de Clercq, B., Docherty, A. R., Eaton, N. R., Forbush, K. T., Haltigan, J. D., Ivanova, M. Y., Latzman, R. D., Lynam, D. R., Markon, K. E., Reininghaus, U., & Thomas, K. M. (2018). Criterion a of the AMPD in HiTOP. Journal of Personality Assessment, 101, 1–11. https://doi.org/10.1080/00223891.2018.1465431. CrossRef

Titel: Identity Impairment as a Central Dimension in Personality Pathology
Auteurs:: Annabel Bogaerts
Koen Luyckx
Tim Bastiaens
Erin A. Kaufman
Laurence Claes
Publicatiedatum: 20-05-2020
DOI: https://doi.org/10.1007/s10862-020-09804-9
Uitgeverij: Springer US
Tijdschrift: Journal of Psychopathology and Behavioral Assessment
Uitgave 1/2021
Print ISSN: 0882-2689
Elektronisch ISSN: 1573-3505

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Tip

Swipe om te navigeren naar een ander artikel

Identity Impairment as a Central Dimension in Personality Pathology

Publisher’s Note

Abstract

Log in om toegang te krijgen

Met onderstaand(e) abonnement(en) heeft u direct toegang:

BSL Psychologie Totaal

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Tip

Swipe om te navigeren naar een ander artikel

Publisher’s Note

Abstract

Log in om toegang te krijgen

Met onderstaand(e) abonnement(en) heeft u direct toegang:

BSL Psychologie Totaal

Andere artikelen Uitgave 1/2021

Face Memory Deficits in Children and Adolescents with Autism Spectrum Disorder

Poor Mnemonic Discrimination Predicts Overgeneralization of Fear

The Efficacy of Intolerance of Uncertainty Intervention on Anxiety and its Mediating Role by Multilayer Linear Model Analysis

Portuguese Validation of the Brief Peer Conflict Scale: Validity, Reliability and Invariance across Gender

Discrepancies Between Teacher- and Child- Reports of Proactive and Reactive Aggression: Does Prosocial Behavior Matter?

I’m Not Being Critical, You’re Just Too Sensitive: Pediatric Bipolar Disorder and Families