Personality and Mental Health最新文献

{"title":"Out of area placements for people with \"Personality Disorder\": Making the case for a local intensive psychotherapeutic alternative.","authors":"Susan Mizen, Vanessa Jones, Susan Howson","doi":"10.1002/pmh.1649","DOIUrl":"10.1002/pmh.1649","url":null,"abstract":"<p><strong>Objectives: </strong>The use of Out of Area (OoA) psychiatric placements for people with \"Personality Disorder\" (PD) is widespread in the UK. An innovative local intensive psychotherapeutic service, adapted to the transdiagnostic presentations of the most complex PD patients, likely to be placed out of the area, was devised in the English County of Devon. This paper reports the findings of a Freedom of Information (FOI) request to commissioners attempting to quantify PD OoA placements in England and the cost offset of the local therapeutic alternative to OoA placements in Devon.</p><p><strong>Design and methods: </strong>Data from FOI requests was combined with publicly available sources to assess the scale of OoA placements for people with PD in England. OoA service use and cost data were used to examine the cost offset and effectiveness of the local alternative to OoA placements in Devon. The results found a lack of transparency and excessive use of OoA placements despite UK Government intentions. Data from the local therapeutic service demonstrated cost-effectiveness, reducing OoA placements and increasing the availability of psychotherapeutic services. This paper suggests the number of OoA placements can be reduced for people with severe and complex PD. The local therapeutic service provides a model for future rehabilitation pathways.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 1","pages":"e1649"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11589536/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Disruption of Epistemic Trust in Borderline Personality Disorder: A Possible Adaptation to Avoid Making Costly Mistakes.","authors":"Yağızcan Kurt","doi":"10.1002/pmh.70006","DOIUrl":"10.1002/pmh.70006","url":null,"abstract":"<p><p>This paper applies error management theory (EMT) (Haselton and Buss 2000) to explore how disruptions in epistemic trust-trust in communicated information-can be understood as adaptive responses to early adversity in individuals with borderline personality disorder (BPD). I propose that epistemic mistrust (EM) and epistemic credulity (EC), characterized by inappropriate trust patterns, arise from the differential costs of trusting unreliable versus mistrusting reliable information. Although these biases may seem maladaptive, they function as evolutionary survival mechanisms in response to harsh environments. Signal detection analysis can provide empirical evidence for these trust biases by assessing how individuals with BPD make trust-related decisions. Clinically, understanding these biases as evolutionary adaptations helps reduce stigma and informs evolutionary-informed interventions to recalibrate trust responses and improve interpersonal relationships. This approach highlights the significance of integrating evolutionary perspectives in treating trust disturbances in BPD.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 1","pages":"e70006"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11753906/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Empirical convergence between Kernberg's model of personality organization and the alternative DSM-5 model for personality disorders.","authors":"Ludwig Ohse, André Kerber, Johannes Zimmermann, Leonie Kampe, Jil Mohr, Oliver Busch, Michael Rentrop, Susanne Hörz-Sagstetter","doi":"10.1002/pmh.1641","DOIUrl":"10.1002/pmh.1641","url":null,"abstract":"<p><p>Both Kernberg's model of personality organization and the alternative model for personality disorders (AMPD) in the Diagnostic and Statistical Manual of Mental Disorders-5th edition provide a multidimensional framework for assessing personality pathology, while having a dual focus on general and specific personality pathology. The present study was the first to investigate the empirical convergence between measures of personality organization and the AMPD (personality functioning and pathological personality traits), considering general and specific personality pathology. A mixed clinical sample completed self-reports for personality organization, personality functioning and pathological personality traits, as well as an interview for personality organization. Two bifactor models with three specific exploratory factors were estimated, comprising a self-report model based on domain scores using exploratory factor analysis (n = 336) and a multi-method model predominantly based on subdomain scores applying exploratory structural equation modelling (n = 277). Both bifactor models yielded strong general factors with high loadings of the personality organization domains identity and primitive defences, as well as the personality functioning domains. The specific factors suggest convergence between other-directed aggression (personality organization), restricted moral functioning (personality organization) and antagonism (pathological personality traits), between diminished reality testing (personality organization) and psychoticism (pathological personality traits) and between maladaptive object relations (personality organization), impaired interpersonal functioning (personality functioning) and detachment (pathological personality traits). It can be concluded that measures of personality organization and the AMPD strongly converge regarding both general and specific personality pathology. Kernberg's model of personality organization may serve as a valuable complement to the AMPD, guiding forthcoming research and the clinical assessment of personality pathology.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 1","pages":"e1641"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142751941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"First psychometric evaluation of the Mexican Spanish version of the 11-item BPFSC-11 and convergence with maladaptive self and interpersonal functioning.","authors":"Carla Sharp, Kiana Cano, Moises Kassin, Kirstin Goth","doi":"10.1002/pmh.1651","DOIUrl":"10.1002/pmh.1651","url":null,"abstract":"<p><strong>Background: </strong>The Borderline Personality Features Scale for Children (BPFSC-11) is a well-used, short, and easy-to-administer measure of borderline traits in young people. The aim of the current study was to evaluate the psychometric properties of the Mexican Spanish version of the BPFSC-11 in a large community-based sample of Mexican adolescents. In addition, we evaluated the convergence between the borderline construct as measured by the BPFSC-11 and general personality functioning consistent with more contemporary personality disorder formulations to assess the nomological net of the BPFSC-11 total score.</p><p><strong>Methods: </strong>A sample of 1212 adolescents (52.6% female, mean age = 15.11, SD = 1.74) were recruited from the community through schools in Mexico City and Michoacán area.</p><p><strong>Results: </strong>Reliability of the BPFSC-11 was good (α = 0.805; ω = 0.806). A confirmatory factor analysis (CFA) model testing the unidimensional factor structure of the 11 items of the BPFSC-11 provided good fit (X²[44] = 137.96, p < 0.001; root mean square error of approximation (RMSEA) = 0.04 [90% CI: 0.03, 0.05]; comparative fit index (CFI) = 0.96; standardized root mean square residual (SRMR) = 0.03). Both configural and metric invariance for gender and age were demonstrated; however, only partial scalar invariance could be demonstrated with some items showing \"bias\" for gender and age. The Mexican Spanish BPFSC-11 also showed strong convergence with measures assessing contemporary conceptualization of general personality functioning.</p><p><strong>Conclusions: </strong>The Mexican Spanish BPFSC-11 appears to show similarly strong psychometric properties of other versions of the BPFSC-11; and the borderline construct as assessed with the BPFSC-11 shows good conversion with general personality functioning in adolescents.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 1","pages":"e1651"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correspondence on \"Unveiling Public Stigma for Borderline Personality Disorder: A Comparative Study of Artificial Intelligence and Mental Health Care Providers\".","authors":"Hinpetch Daungsupawong, Viroj Wiwanitkit","doi":"10.1002/pmh.70026","DOIUrl":"https://doi.org/10.1002/pmh.70026","url":null,"abstract":"","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 3","pages":"e70026"},"PeriodicalIF":2.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to Long-Lasting Symptoms in Borderline Personality Disorder: Defining an Emergent Population With Differential Clinical and Therapeutic Features.","authors":"","doi":"10.1002/pmh.70040","DOIUrl":"10.1002/pmh.70040","url":null,"abstract":"","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 4","pages":"e20000"},"PeriodicalIF":2.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145070828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychometric Properties of the Latvian LPFS-SR in Clinical and Nonclinical Samples.","authors":"Agnese Zagorska, Anna Briede, Ksenija Vasiļjeva, Evija Strika, Ieva Stokenberga","doi":"10.1002/pmh.70028","DOIUrl":"10.1002/pmh.70028","url":null,"abstract":"<p><p>This study examines the psychometric properties of the Latvian adaptation of the Level of Personality Functioning Scale-Self Report (LPFS-SR) and its alignment with the Alternative DSM-5 Model for Personality Disorders (AMPD). A clinical sample (N = 142) and a nonclinical sample (N = 306) were formed. Internal consistency, factor structure, and criterion validity were assessed to evaluate the scale's psychometric properties. Confirmatory factor analysis compared five structural models: one-factor, two-factor, four-factor, higher order, and bifactor. The bifactor model demonstrated the best fit, capturing both general and subscale-specific variance in personality functioning. Correlation and regression analyses explored associations between the LPFS-SR and the Personality Inventory for DSM-5 (PID-5). The findings support the Latvian LPFS-SR as a valid and reliable tool for assessing personality functioning and are consistent with the principles of the AMPD.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 3","pages":"e70028"},"PeriodicalIF":2.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Personality Functioning Is Not a Unitary Entity.","authors":"Orestis Zavlis","doi":"10.1002/pmh.70033","DOIUrl":"10.1002/pmh.70033","url":null,"abstract":"","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 3","pages":"e70033"},"PeriodicalIF":2.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12206940/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advancing the Science and Reduction of Personality Disorders Stigma: Introduction to a Special Issue of Personality and Mental Health.","authors":"Sara R Masland, Carla Sharp","doi":"10.1002/pmh.70044","DOIUrl":"10.1002/pmh.70044","url":null,"abstract":"<p><p>The stigma of personality disorder is longstanding, widespread, prodigious, and harmful. Fortunately, recent advances in our understanding of personality pathology, as well as an increasing interest in stigma, have demonstrated the importance of destigmatization and have catalyzed significant research in this area. In this special issue of Personality and Mental Health, we spotlight the stigma of personality disorders to understand the current research landscape in this area, and to chart a direction for future research. Each of the nine papers included here advances our understanding of stigma, including its manifestation, impacts, and potential solutions. Collectively, they show significant progress in the study of personality disorders stigma, support the importance of destigmatizing personality pathology, and highlight pathways for future research.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 4","pages":"e70044"},"PeriodicalIF":2.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145460005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Classification of Personality Pathology.","authors":"Peter Tyrer, Roger Mulder, Carla Sharp","doi":"10.1002/pmh.70043","DOIUrl":"https://doi.org/10.1002/pmh.70043","url":null,"abstract":"","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 4","pages":"e70043"},"PeriodicalIF":2.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145309531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}