Clinical Psychology in Europe最新文献

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Competency-Based Training and Assessment of Listening Skills: A Waitlist-Controlled Study in European Telephone Emergency Services. 基于能力的倾听技能培训与评估:欧洲电话急救服务中的候补名单对照研究》。
Clinical Psychology in Europe Pub Date : 2022-12-22 eCollection Date: 2022-12-01 DOI: 10.32872/cpe.7933
Simone Jennissen, Stefan Schumacher, Diana Rucli, Melinda Hal, András Székely, Derek de Beurs, Ulrike Dinger
{"title":"Competency-Based Training and Assessment of Listening Skills: A Waitlist-Controlled Study in European Telephone Emergency Services.","authors":"Simone Jennissen, Stefan Schumacher, Diana Rucli, Melinda Hal, András Székely, Derek de Beurs, Ulrike Dinger","doi":"10.32872/cpe.7933","DOIUrl":"10.32872/cpe.7933","url":null,"abstract":"<p><strong>Background: </strong>Telephone emergency services (TES) provide an essential part of suicide prevention and emotional support services across different health care settings. TES are usually provided by paraprofessional counselors, who need specific training in listening skills to meet the demands of callers.</p><p><strong>Method: </strong>This project developed a competency-based training for listening skills which was then evaluated in a randomized controlled waitlist study across four EU countries (Germany, Hungary, Italy, and the Netherlands). Each country provided one training group and one waitlist group. Across countries, a total of 71 (trained: n = 36, waiting: n = 35) counselor trainees were assessed in a standardized, simulated emergency call with an actor client either before or after training participation. Calls were audiotaped and competencies in listening skills were evaluated by external raters using a standardized rating form.</p><p><strong>Results: </strong>Trained counselors showed significantly better listening skills than participants from the waitlist condition.</p><p><strong>Conclusion: </strong>Results provide support for the efficacy of a competency-based training for listening skills in the field of TES across Europe. Furthermore, results demonstrated that a standardized competency-based assessment with an actor client is suitable to assess listening skills.</p>","PeriodicalId":34029,"journal":{"name":"Clinical Psychology in Europe","volume":"4 4","pages":"e7933"},"PeriodicalIF":0.0,"publicationDate":"2022-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9881125/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10689469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Influence of Alcohol on Rumination and Metacognitions in Major Depressive Disorder. 酒精对重度抑郁症患者反刍和元认知的影响。
Clinical Psychology in Europe Pub Date : 2022-12-22 eCollection Date: 2022-12-01 DOI: 10.32872/cpe.5615
Lana Gawron, Anna Pohl, Alexander L Gerlach
{"title":"The Influence of Alcohol on Rumination and Metacognitions in Major Depressive Disorder.","authors":"Lana Gawron, Anna Pohl, Alexander L Gerlach","doi":"10.32872/cpe.5615","DOIUrl":"10.32872/cpe.5615","url":null,"abstract":"<p><strong>Background and objectives: </strong>Comorbidity between major depressive disorder (MDD) and alcohol use disorder (AUD) is highly prevalent but reasons for this association are unclear. Rumination may activate metacognitive beliefs that contribute to the development and maintenance of rumination and depression. Negative metacognitions can further lead to other dysfunctional coping strategies (i.e., consumption of alcohol). We examined whether alcohol reduces (state) metacognitions, rumination and other disorder-specific processes in a group of individuals suffering from MDD.</p><p><strong>Method: </strong>In an experiment with three randomized conditions we investigated whether the consumption of alcohol, placebo or no alcohol (orange juice) affects (meta-)cognitions, depressive symptoms and / or psychophysiological variables while participants ruminate.</p><p><strong>Results: </strong>Voluntary rumination increased self-reported sadness, tension and rumination, tensed facial muscles and increased heart rate, but did not affect (state) metacognitions and heart rate variability. The consumption of alcohol did not influence rumination, metacognitions, depressive or psychophysiological measures.</p><p><strong>Limitations: </strong>We recruited a depressed population but excluded pathological alcohol use due to ethical considerations.</p><p><strong>Conclusions: </strong>We found no evidence that alcohol consumption affects rumination, metacognitions and other disorder-specific processes in MDD. However, rumination had a negative effect on various depression-specific processes, although it did not activate (negative state) metacognitions.</p>","PeriodicalId":34029,"journal":{"name":"Clinical Psychology in Europe","volume":"4 4","pages":"e5615"},"PeriodicalIF":0.0,"publicationDate":"2022-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9881120/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10689465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Psychological Processes Associated With Resilience in UK-Based Unpaid Caregivers During the COVID-19 Pandemic. 在 COVID-19 大流行期间,与英国无偿照护者复原力相关的心理过程。
Clinical Psychology in Europe Pub Date : 2022-12-22 eCollection Date: 2022-12-01 DOI: 10.32872/cpe.10313
Emma Wilson, Juliana Onwumere, Colette Hirsch
{"title":"Psychological Processes Associated With Resilience in UK-Based Unpaid Caregivers During the COVID-19 Pandemic.","authors":"Emma Wilson, Juliana Onwumere, Colette Hirsch","doi":"10.32872/cpe.10313","DOIUrl":"10.32872/cpe.10313","url":null,"abstract":"<p><strong>Background: </strong>Unpaid caregivers have faced and dealt with additional challenges during the COVID-19 pandemic. Understanding the psychological processes associated with their resilience is warranted. The objective of this study was to examine the associations between resilience with mental distress, emotion regulation strategies (i.e., reappraisal and suppression) and interpretation bias in adult caregivers.</p><p><strong>Method: </strong>Participants were living in the UK, aged 18+, and consisted of 182 unpaid caregivers of an adult aged 18+ living with a long-term health condition, and 120 non-caregivers. Data were collected in an online study during the first national UK COVID-19 lockdown (May and September 2020). Hierarchical multiple regression analyses explored whether emotion regulation strategies and interpretation bias explained unique variance in levels of resilience in caregivers whilst controlling for anxiety and depression.</p><p><strong>Results: </strong>Compared to non-caregivers, caregivers reported higher levels of anxiety, depression, negative interpretation bias and lower levels of resilience. Emotion regulation strategies did not differ between groups. Within caregivers, greater resilience was associated with lower mood disturbance, a positive interpretation bias, and greater use of cognitive reappraisal and lower use of suppression strategies to regulate emotions. Emotion regulation and interpretation bias together predicted an additional 15% of variance in current levels of resilience.</p><p><strong>Conclusion: </strong>Our findings indicate that psychological mechanisms such as emotion regulation strategies, particularly reappraisal, and interpretation bias are associated with resilience in caregivers. Although preliminary, our findings speak to exciting clinical possibilities that could form the target of interventions to improve resilience and lower mental distress in unpaid caregivers.</p>","PeriodicalId":34029,"journal":{"name":"Clinical Psychology in Europe","volume":"4 4","pages":"e10313"},"PeriodicalIF":0.0,"publicationDate":"2022-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9881121/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10689470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Innovations of the ICD-11 in the Field of Autism Spectrum Disorder: A Psychological Approach. ICD-11在自闭症谱系障碍领域的创新:一种心理学方法。
Clinical Psychology in Europe Pub Date : 2022-12-01 DOI: 10.32872/cpe.10005
Kirstin Greaves-Lord, David Skuse, William Mandy
{"title":"Innovations of the ICD-11 in the Field of Autism Spectrum Disorder: A Psychological Approach.","authors":"Kirstin Greaves-Lord,&nbsp;David Skuse,&nbsp;William Mandy","doi":"10.32872/cpe.10005","DOIUrl":"https://doi.org/10.32872/cpe.10005","url":null,"abstract":"<p><strong>Background: </strong>This article aims to explain and elaborate upon the recently released ICD-11 criteria for Autism Spectrum Disorder (ASD, World Health Organization), which endorse a medical model.</p><p><strong>Method: </strong>We integrate insights from several disciplines (e.g., psychology, linguistics, sociology and lived experiences) to reflect the scientific and ethical insights derived from the biopsychosocial, neurodiversity perspective on autism.</p><p><strong>Results: </strong>First, we describe the core domains of ASD's behavioural characteristics and then the lifetime, developmental perspective on the manifestations of these behaviours. Subsequently, we discuss potential underlying neuropsychology, related behaviours (i.e. associated features/conditions) and we consider some similarities and differences with the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM 5, American Psychological Association).</p><p><strong>Conclusions: </strong>Recommendations for clinical application are provided. For instance, diagnostic classification in clinical practise should be a means to provide proper, suitable care, and therefore all diagnostic assessments should be used to tailor interventions and/or care to the capacities and genuine needs of the people that ask for professional help.</p>","PeriodicalId":34029,"journal":{"name":"Clinical Psychology in Europe","volume":"4 Spec","pages":"e10005"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9881114/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10687089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Disorders Specifically Associated With Stress in ICD-11. ICD-11中与压力相关的疾病。
Clinical Psychology in Europe Pub Date : 2022-12-01 DOI: 10.32872/cpe.9711
Andreas Maercker, David J Eberle
{"title":"Disorders Specifically Associated With Stress in ICD-11.","authors":"Andreas Maercker,&nbsp;David J Eberle","doi":"10.32872/cpe.9711","DOIUrl":"https://doi.org/10.32872/cpe.9711","url":null,"abstract":"<p><strong>Background: </strong>After almost three decades of ICD-10 use for diagnostic purposes, the World Health Organization has conducted a systematic and elaborate evaluation to revise the classification of mental disorders in this system. This revision resulted in the 11th version (ICD-11), introduced in 2022. As one new feature, the ICD-11 forms a new grouping of mental disorders specifically associated with stress.</p><p><strong>Method: </strong>The current review presents an overview of the diagnostic features and cultural specifications of disorders specifically associated with stress. This grouping includes posttraumatic stress disorder and complex posttraumatic stress disorder, prolonged grief disorder, adjustment disorder, as well as two diagnoses for children, reactive attachment disorder and disinhibited social engagement disorder.</p><p><strong>Results: </strong>Overall, there is evidence for the improved clinical utility and applicability of these disorders. The disorders have been defined in a parsimonious way by few features, but they suffice for scientific purposes as well.</p><p><strong>Conclusion: </strong>However, more research is needed to evaluate assessments for the diagnoses and diagnostic features in the ICD-11.</p>","PeriodicalId":34029,"journal":{"name":"Clinical Psychology in Europe","volume":"4 Spec","pages":"e9711"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9881111/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10687091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
The ICD-11 Diagnoses in the Mental Health Field - An Innovative Mixture. 精神健康领域的ICD-11诊断-一种创新的混合物。
Clinical Psychology in Europe Pub Date : 2022-12-01 DOI: 10.32872/cpe.10647
Andreas Maercker
{"title":"The ICD-11 Diagnoses in the Mental Health Field - An Innovative Mixture.","authors":"Andreas Maercker","doi":"10.32872/cpe.10647","DOIUrl":"https://doi.org/10.32872/cpe.10647","url":null,"abstract":"The development of ICD-11 in the mental health field has been innovative in several ways. Perhaps most notable is that it has become equally relevant to clinicians and re­ searchers. Before discussing these two aspects in more detail, it should be mentioned that the processes by which the ICD-11 was created were also innovative and, moreover, that clinical psychologists and psychiatrists were equally involved at several crucial points in the ICD-11 development. This began with Dr. Geoffrey Reed, a US clinical and medical psychologist, as the responsible WHO senior project officer for new developments in the mental health field and who set important impulses at all stages of the process (e.g., Reed, 2010). From the beginning, the Lebanese psychologist Brigitte Khoury and the Mexican psy­ chologist Maria Elena Medina-Mora served on the International Advisory Group for this field. Both have published on important milestones and outcomes of regional meetings (Khoury et al., 2011; Medina-Mora et al., 2019). Furthermore, the author of this editorial, in his capacity as a psychologist, was one of the working group leaders of the ICD-11 development (Maercker et al., 2013). This new way of composing decision-making bodies represented an important step in the development of the international Mental and Be­ havioral Disorder classification. This was further supported by the inclusion of clinicians and researchers from the fields of clinical social work and psychiatric nursing sciences in the committees. Thus, the whole ICD-11 development relied on a very multidisciplinary process.","PeriodicalId":34029,"journal":{"name":"Clinical Psychology in Europe","volume":"4 Spec","pages":"e10647"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9881112/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10687093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Alcohol and Substance Use Disorders Diagnostic Criteria Changes and Innovations in ICD-11: An Overview. ICD-11中酒精和物质使用障碍诊断标准的变化和创新:综述。
Clinical Psychology in Europe Pub Date : 2022-12-01 DOI: 10.32872/cpe.9539
Alice Matone, Claudia Gandin, Silvia Ghirini, Emanuele Scafato
{"title":"Alcohol and Substance Use Disorders Diagnostic Criteria Changes and Innovations in ICD-11: An Overview.","authors":"Alice Matone,&nbsp;Claudia Gandin,&nbsp;Silvia Ghirini,&nbsp;Emanuele Scafato","doi":"10.32872/cpe.9539","DOIUrl":"https://doi.org/10.32872/cpe.9539","url":null,"abstract":"<p><strong>Background: </strong>The new revision of the ICD came into effect on January 1st, 2022, and significant changes have been introduced in the section related to substance use disorders.</p><p><strong>Method: </strong>In the present work we describe the new ICD-11 section \"Disorders due to Substance Use and Addictive Behaviors\" and outline the innovations in classification and diagnosis introduced, with a view to addressing the most important issues in terms of new opportunities for identifying and caring for people in need of treatment.</p><p><strong>Results: </strong>The main innovations introduced in the ICD-11 chapter of interest are the expanded classes of psychoactive substances, the introduction of single episodes of substance use, the introduction of harmful patterns of substance use and severity qualifiers for substance intoxication. Furthermore, the new category \"Disorders due to addictive behaviors\" has been added, including \"Gambling disorder\" and the new diagnostic category \"Gaming disorder\".</p><p><strong>Conclusions: </strong>ICD-11 calls for renewed public health response and policies fostering the multi-professional and multidisciplinary management of alcohol and substance abuse treatment, giving to these forms of addiction new chances also towards the reaching of the UN 2030 Agenda Sustainable Development Goals.</p>","PeriodicalId":34029,"journal":{"name":"Clinical Psychology in Europe","volume":"4 Spec","pages":"e9539"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9881115/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10687090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Is Singing Under the Christmas Tree Psychologically Recommended? A Scientific Evaluation. 在圣诞树下唱歌是心理推荐吗?科学的评价。
Clinical Psychology in Europe Pub Date : 2022-12-01 DOI: 10.32872/cpe.10841
Philipp Kanske, Winfried Rief
{"title":"Is Singing Under the Christmas Tree Psychologically Recommended? A Scientific Evaluation.","authors":"Philipp Kanske,&nbsp;Winfried Rief","doi":"10.32872/cpe.10841","DOIUrl":"https://doi.org/10.32872/cpe.10841","url":null,"abstract":"Clinical Psychology in Europe CPE wants to present latest scientific findings, but also highlight their societal impact, and practical relevance. Following the tradition of our first three years, we integrate these aims in a special Christmas editorial, that can be taken seriously, but there is no need to be overly serious with it. Many European families build a Christmas tree into a living room, although this room was kept clean and proper for the other times of the year, and no dirt from outside was allowed. This surprising activity for inside decoration follows old Egyptian, Chinese, Jewish and Northern tribal traditions to put some green into buildings during cold winter days. However, it is unique that these trees seem to trigger some urgent need to sing along, preferably together in families. We will analyze whether, from a psychological perspective, it can be recommended to follow this urgent need, or whether we should give priority to stop this tradition. It is not easy to find someone who does not know at least one Christmas carol. Why is that? If anything, it suggests that singing under the Christmas tree is not particularly aversive. In fact, for most people singing is surprisingly fun; using a preto post-design to evaluate singing, your mood seems to improve (Schladt et al., 2017). And it is not the same if you just listen to music, singing yourself is what seems to do the trick (Kreutz et al., 2004). So, dig up all those Christmas carols from memory and sing to your heart’s content? Now there is one further ingredient that may make the festive singing so pleasurable. The positive mood effect is considerably increased by singing together with others","PeriodicalId":34029,"journal":{"name":"Clinical Psychology in Europe","volume":"4 4","pages":"e10841"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9881124/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10689467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Chronic Pain in the ICD-11: New Diagnoses That Clinical Psychologists Should Know About. ICD-11中的慢性疼痛:临床心理学家应该了解的新诊断。
Clinical Psychology in Europe Pub Date : 2022-12-01 DOI: 10.32872/cpe.9933
Antonia Barke, Beatrice Korwisi, Winfried Rief
{"title":"Chronic Pain in the ICD-11: New Diagnoses That Clinical Psychologists Should Know About.","authors":"Antonia Barke,&nbsp;Beatrice Korwisi,&nbsp;Winfried Rief","doi":"10.32872/cpe.9933","DOIUrl":"https://doi.org/10.32872/cpe.9933","url":null,"abstract":"<p><strong>Background: </strong>In the 10th revision of the International Classification of Diseases and Related Health Problems (ICD-10), chronic pain was not represented adequately. Pain was left undefined and not recognized as a biopsychosocial phenomenon. Instead, a flawed dualism between psychological and somatic factors was implied. Individual diagnoses were ill-defined and scattered randomly through different chapters. Many patients received diagnoses in remainder categories devoid of meaningful clinical information.</p><p><strong>Method: </strong>The International Association for the Study of Pain launched a Task Force to improve the diagnoses for the 11th revision of the ICD and this international expert team worked from 2013-2019 in cooperation with the WHO to develop a consensus based on available evidence and to improve the diagnoses.</p><p><strong>Results: </strong>A new chapter on chronic pain was created with a biopsychosocial definition of pain. Chronic pain was operationalized as pain that persists or recurs longer than three months and subdivided into seven categories: Chronic primary pain and six types of chronic secondary pain. All diagnoses were based on explicit operationalized criteria. Optional extension codes allow coding pain-related parameters and the presence of psychosocial aspects together with each pain diagnosis.</p><p><strong>Conclusion: </strong>First empirical studies demonstrated the integrity of the categories, the reliability, clinical utility, international applicability and superiority over the ICD-10. To improve reliability and ease of diagnosis, a classification algorithm is available. Clinical psychologists and other clinicians working with people with chronic pain should watch the national implementation strategies and advocate for multimodal and interdisciplinary treatments and adequate reimbursement for all providers involved.</p>","PeriodicalId":34029,"journal":{"name":"Clinical Psychology in Europe","volume":"4 Spec","pages":"e9933"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9881113/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10684473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Personality Disorder Diagnoses in ICD-11: Transforming Conceptualisations and Practice. ICD-11中的人格障碍诊断:转变概念和实践。
Clinical Psychology in Europe Pub Date : 2022-12-01 DOI: 10.32872/cpe.9635
Michaela A Swales
{"title":"Personality Disorder Diagnoses in ICD-11: Transforming Conceptualisations and Practice.","authors":"Michaela A Swales","doi":"10.32872/cpe.9635","DOIUrl":"https://doi.org/10.32872/cpe.9635","url":null,"abstract":"<p><strong>Background: </strong>Until the advent of the ICD-11, classification of personality disorders was based on categorical prototypes with a long history. These prototypes, whilst familiar, were not based in the science of personality. Prototypical classifications were also complex to administer in non-specialist settings requiring knowledge of many signs and symptoms.</p><p><strong>Method: </strong>This article introduces the new structure of ICD-11 for personality disorders, describing the different severity levels and trait domain specifiers. Case studies illustrate the main aspects of the classification.</p><p><strong>Results: </strong>The new ICD-11 system acknowledges the fundamentally dimensional nature of personality and its disturbances whilst requiring clinicians to make categorical decisions on the presence or absence of personality disorder and severity (mild, moderate or severe). The connection between normal personality functioning and personality disorder is established by identifying five trait domain specifiers to describe the pattern of a person's personality disturbance (negative affectivity, detachment, dissociality, disinhibition, and anankastia) that connect to the <i>Big 5</i> personality traits established in the broader study of personality.</p><p><strong>Conclusions: </strong>Whilst new assessment measures have been and are in development, the success of the new system will rely on clinicians and researchers embracing the new system to conceptualise and describe personality disturbances and to utilise the classification in the investigation of treatment outcome.</p>","PeriodicalId":34029,"journal":{"name":"Clinical Psychology in Europe","volume":"4 Spec","pages":"e9635"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9881116/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10687092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
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