Prototype Models of Personality Disorders: Prototype Convergence and Association With Pathological Traits

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical psychology & psychotherapy Pub Date : 2025-02-11 DOI:10.1002/cpp.70034

Steven K. Huprich, Callie Jowers, Emily Dowgwillo, Hannah Ethridge, Sharon M. Nelson, John H. Porcerelli

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Abstract

The goal of this study was to evaluate whether personality disorder prototypes derived from three different models have similar pathological trait profiles within the Alternative Model of Personality Disorders (AMPD). Trainee clinicians (N = 329) rated a patient they were currently treating using the Shedler–Westen Assessment Procedure, the DSM-5 hybrid model prototype match (modified from the original prototype DSM-5 proposal) and the Psychodynamic Diagnostic Manual prototype match. Correlations among each PD prototype model with the DSM-5 traits were assessed. Theoretically similar prototypes across the SWAP-II, DSM-5 hybrid model and PDM were correlated with several traits across models, ranging from small-to-large effect sizes. Similar prototypes also appeared to display similar trait profiles with some exceptions. Results suggest that the SWAP-II, DSM-5 and PDM prototype models tend to assess similar constructs overall, even though the methods are theoretically distinct. Implications of these findings for PD diagnosis are discussed.

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人格障碍的原型模型：原型趋同及其与病理特征的关联

本研究的目的是评估来自三种不同模型的人格障碍原型在人格障碍替代模型（AMPD）中是否具有相似的病理特征。实习临床医生（N = 329）使用shedler - western评估程序、DSM-5混合模型原型匹配（从最初的DSM-5原型提案修改）和心理动力学诊断手册原型匹配对他们目前正在治疗的患者进行评分。评估PD原型模型与DSM-5特征的相关性。在SWAP-II、DSM-5混合模型和PDM模型中，理论上相似的原型与模型中的几个特征相关，从小到大的效应大小不等。除了一些例外，相似的原型似乎也显示出相似的特征。结果表明SWAP-II、DSM-5和PDM原型模型总体上倾向于评估相似的构象，尽管方法在理论上是不同的。讨论了这些发现对PD诊断的意义。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

6.30

自引率

5.60%

发文量

106

期刊介绍： Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.