Johanna W van den Eshof, Kim de Bruijn, Anna Bartak, Udo W Nabitz, Henricus L Van, Rosa A van Grieken
{"title":"Integrating Perspectives of Patients, Their Significant Others, and Therapists on Recovery From Personality Disorders: A Mixed-Methods Study.","authors":"Johanna W van den Eshof, Kim de Bruijn, Anna Bartak, Udo W Nabitz, Henricus L Van, Rosa A van Grieken","doi":"10.1521/pedi.2025.39.2.152","DOIUrl":"https://doi.org/10.1521/pedi.2025.39.2.152","url":null,"abstract":"<p><p>Patients with personality disorders (PDs) often struggle in life after treatment, even when symptomatic remission is achieved. The question arises of whether current outcome measurements are relevant for patients and people around them. To address this, we used concept mapping, a mixed-method approach, to construct a framework of recovery from the perspectives of patients, their significant others, and therapists (<i>n</i> = 39). Participants brainstormed what recovery involved and then prioritied and clustered these ideas (<i>n</i> = 61). Data were analyzed using multidimensional scaling and hierarchical cluster analysis, resulting in 45 statements grouped into four themes: understanding and recognizing yourself, regulating emotions, giving direction to your life, and connecting with others. Understanding and recognizing yourself was identified as the most important area of change. This study offers an evidence-based framework for recovery in PD, providing a foundation for developing outcome measurements that reflect the needs of patients and their significant others beyond symptom reduction.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"39 2","pages":"152-169"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052795","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":"Ketamine-Assisted Psychotherapy for Treatment of Co-occurring Borderline Personality Disorder and Depression: A Case Study.","authors":"Albert Yeung, Michael Alpert, David Mischoulon","doi":"10.1521/pedi.2025.39.2.170","DOIUrl":"https://doi.org/10.1521/pedi.2025.39.2.170","url":null,"abstract":"<p><p>Borderline personality disorder (BPD) is a mental health condition characterized by a pervasive pattern of impulsivity, affective dysregulation, and cognitive-perceptual symptoms. Treatment of BPD remains a significant challenge to mental health clinicians. People who suffer from BPD frequently have comorbid psychiatric disorders, which makes treatment more complex. This case study describes a course of ketamine-assisted psychotherapy (KAP) to treat a patient with co-occurring BPD and depression. KAP uses the antidepressant and psychedelic effects of ketamine embedded in a psychotherapy format to utilize the concept of an inner healing intelligence within the patient and the intersubjective relationship between patient and therapist as therapeutic factors. The positive outcomes in this case study suggest that more systematic research is warranted in the use of KAP for treatment of BPD and other personality disorders.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"39 2","pages":"170-184"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054586","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}
Philippe Leclerc, Yann Le Corff, Mélanie Lapalme, Vincent Bégin, Karine Forget, Dominick Gamache, Claudia Savard, Jean-Pierre Rolland
{"title":"Linguistic Measurement Invariance and Stability-Equivalence of the Personality Inventory for <i>DSM-5</i> Among Bilingual Participants.","authors":"Philippe Leclerc, Yann Le Corff, Mélanie Lapalme, Vincent Bégin, Karine Forget, Dominick Gamache, Claudia Savard, Jean-Pierre Rolland","doi":"10.1521/pedi.2025.39.2.133","DOIUrl":"https://doi.org/10.1521/pedi.2025.39.2.133","url":null,"abstract":"<p><p>The linguistic equivalence of the Personality Inventory for <i>DSM-5</i> (PID-5) has never been investigated using a within-subject design, that is, among bilingual individuals. Also, the stability-equivalence of the PID-5 using two linguistic versions is unknown. Thus, this within-subject, test-retest study aims at (a) establishing the measurement invariance of the PID-5 among bilinguals, and (b) providing indices of stability-equivalence using distinct versions with tight confidence intervals. Data from a sample of bilingual participants (<i>N</i> = 605), who were administered the PID-5 over a 1-2-week interval in French and English, were utilized. The PID-5 reached the (full) strong invariance level using longitudinal invariance analyses, indicating that the PID-5 structure is the same and that scores are interchangeable, while controlling for sampling confounds. The indices of stability-equivalence were high across traits. The PID-5 yields scores reflective of genuine differences, at least at the domain level, providing solid ground to study personality across societies.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"39 2","pages":"133-151"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054599","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}
Antonella Somma, Giulia Gialdi, Robert F Krueger, Kristian E Markon, Andrea Fossati
{"title":"Understanding Grandiose and Vulnerable Narcissism in Adult Outpatients: A Head-to-Head Comparison Between <i>DSM-5</i> Section II Personality Disorders and <i>DSM-5</i> Alternative Model for Personality Disorders.","authors":"Antonella Somma, Giulia Gialdi, Robert F Krueger, Kristian E Markon, Andrea Fossati","doi":"10.1521/pedi.2025.39.2.113","DOIUrl":"https://doi.org/10.1521/pedi.2025.39.2.113","url":null,"abstract":"<p><p>To compare the effectiveness of the <i>Diagnostic and Statistical Manual of Mental Disorders,</i> fifth edition <i>(DSM-5),</i> Section II personality disorder (PD) model, and of the Alternative Model for Personality Disorders (AMPD) model in characterizing vulnerable (VN) and grandiose (GN) narcissism, a sample of clinical psychotherapy participants (<i>N</i> = 369) was administered the Schedule for Nonadaptive and Adaptive Personality-2, the Levels of Personality Functioning Scale-Self Report (LPFS-SR), the Personality Inventory for <i>DSM-5,</i> the Five-Factor Narcissism Inventory-Short Form (FFNI-SF), and the Pathological Narcissism Inventory (PNI). In multiple regression models, the LPFS-SR scales and the Personality Inventory for <i>DSM-5</i> (PID-5) domain scales explained 34.6% and 23.7% more variance than the self-reports of the 10 Section II PD symptom counts in the FFNI-SF and PNI GN scores, respectively. Similarly, AMPD measures outperformed self-reported symptom counts of the 10 Section II PDs, accounting for 28.8% and 22.6% more variance in the FFNI-SF and PNI VN scale scores, respectively.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"39 2","pages":"113-132"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144034871","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}
Marja Kaila-Vanhatalo, Tommi Tolmunen, Aino Mattila, Riittakerttu Kaltiala
{"title":"Prevalence of Personality Disorder Diagnoses in People Referred to Specialized Gender Identity Clinics in Finland.","authors":"Marja Kaila-Vanhatalo, Tommi Tolmunen, Aino Mattila, Riittakerttu Kaltiala","doi":"10.1521/pedi.2025.39.2.95","DOIUrl":"https://doi.org/10.1521/pedi.2025.39.2.95","url":null,"abstract":"<p><p>A higher prevalence of personality disorder diagnoses has been found among individuals with gender dysphoria. However, previous studies on this topic have been limited and methodologically inconsistent. The object of this research was to determine the prevalence of personality disorder diagnoses in individuals requesting medical gender reassignment. A registerbased follow-up study tracked individuals who contacted the nationally centralized gender identity services in Finland in 1996-2019 (<i>n</i> = 3,665) and 8:1 age- and sex-matched population controls (<i>n</i> = 29,292). All their specialist-level psychiatric treatment contacts in 1994-2022 were identified in the National Care Register for Health Care. <i>ICD-10</i> diagnoses and dates of the contacts were extracted. Among the gender dysphoria group, 15.0% (551 out of 3,665) had received a diagnosis in the personality disorder group (F60-69 excluding F64.x), while among the control subjects, 2.1% (625 out of 29,292) had received such a diagnosis.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"39 2","pages":"95-112"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039607","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}
Jan Wyrzykowski, Barbara Kostecka, Philip Santangelo, Katarzyna Kucharska
{"title":"Emotional Dysregulation and Sexual Risk Behavior in Individuals With Borderline Personality Disorder: Interactions With Psychological Pain, Impulsivity, Anxiety, and Depression.","authors":"Jan Wyrzykowski, Barbara Kostecka, Philip Santangelo, Katarzyna Kucharska","doi":"10.1521/pedi.2025.39.1.77","DOIUrl":"10.1521/pedi.2025.39.1.77","url":null,"abstract":"<p><p>The aim of this study was to assess emotional dysregulation (ED) and sexual risk behavior (SRB) in borderline personality disorder (BPD) and to investigate the relationship between ED, SRB and other clinical variables. Sixty-one women with BPD and 76 healthy controls (HCs) completed: SRB Scale, DERS, Inventory of Statements About Self-Injury, SUPPS-P, HADS, Mental Pain Scale, and BPD Checklist. The BPD group exhibited higher levels of ED, SRB, psychological pain, anxiety, depression, and impulsivity than the HCs. In the BPD group, significant correlations were found between ED, SRB, and psychological pain, impulsivity, and specific dimensions of nonsuicidal self-injury (NSSI). To identify predictors of SRB, stepwise multiple regression analysis was used. The BPD model included five significant predictors accounting for 65% variability: number of sexual partners and age of sexual initiation, NSSI, impulsivity, and ED - lack of emotional clarity, while in HCs, it was influenced by alcohol misuse.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"39 1","pages":"77-94"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524851","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}
Simone Cheli, Gil Goldzweig, Paul L Hewitt, Sara Bui, Veronica Cavalletti
{"title":"Evolutionary Systems Therapy for Obsessive-Compulsive Personality Disorder: A Five-Case Series.","authors":"Simone Cheli, Gil Goldzweig, Paul L Hewitt, Sara Bui, Veronica Cavalletti","doi":"10.1521/pedi.2025.39.1.61","DOIUrl":"10.1521/pedi.2025.39.1.61","url":null,"abstract":"<p><p>Obsessive-compulsive personality disorder is the most common personality disorder, with a prevalence of approximately 6.5% in the general population. However, little is known about the effective psychotherapy for this disorder. In this case series, we employed evolutionary systems therapy to support five adults diagnosed with obsessive-compulsive personality disorder. Evolutionary systems therapy is a novel form of psychotherapy that integrates evolutionary psychopathology, compassion-focused therapy, and metacognitively oriented treatments. Primary outcome (personality pathology) was assessed monthly from baseline to follow-up. Secondary outcomes (anxiety, depression, perfectionism, self-criticism, overcontrol) were assessed at initial and final sessions. Moreover, we evaluated the feasibility of intervention (completion, attendance, adverse events). At the end of 6 months of treatment, all the participants reported reliable changes and remitted from diagnosis. These outcomes were maintained at 1-month and 3-month follow-ups. Further research is needed to provide evidence about the acceptability of evolutionary systems therapy in the treatment of obsessive-compulsive personality disorder.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"39 1","pages":"61-76"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524857","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":"The Dynamics of Narcissus: Exploring the Covariation of Narcissistic States in Daily Life.","authors":"Emily A Dowgwillo, Erika Fanti, Aaron L Pincus","doi":"10.1521/pedi.2025.39.1.22","DOIUrl":"10.1521/pedi.2025.39.1.22","url":null,"abstract":"<p><p>Advanced empirical research and clinical theory suggest that narcissistic personality states fluctuate over time. However, these fluctuations are poorly understood. To address this, we recruited 88 undergraduates to complete baseline measures and respond to smartphone prompts assessing narcissistic states and emotions in daily life seven times a day for 10 days. Narcissistic states were assessed using a state-adapted version of the Super Brief Pathological Narcissism Inventory (SB-PNI). Findings showed that within-person covariation of narcissistic states ranged from -.55 to .52 and was negatively associated with trait grandiosity, guilt, and mood activation. In addition, there was a significant quadratic relationship between narcissistic covariation and trait vulnerability and between narcissistic covariation and mean state vulnerability, self-esteem, pleasant and activated mood, and shame across 10 days. These findings suggest a potential state-based dynamic taxonomy of narcissistic presentations and highlight the importance of understanding distinctions between co-occurring, contrasting, and dissociated narcissistic states.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"39 1","pages":"22-47"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524917","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}
Rachel Tennenhouse, Anthony C Ruocco, Shelley F McMain, Anne Sonley
{"title":"Suicidal and Self-Harming Behaviors in Patients With Borderline Personality Disorder With and Without Eating Disorders.","authors":"Rachel Tennenhouse, Anthony C Ruocco, Shelley F McMain, Anne Sonley","doi":"10.1521/pedi.2025.39.1.48","DOIUrl":"10.1521/pedi.2025.39.1.48","url":null,"abstract":"<p><p>Borderline personality disorder (BPD) and eating disorders (EDs) frequently co-occur. The present study investigated whether treatment-seeking patients with BPD and a comorbid ED experienced increased risk of self-harm or suicide behaviors. In a sample of 350 patients with BPD, 61 (17.4%) had a comorbid ED: 25 (7.1%) had bulimia nervosa (BN), 15 (4.2%) had an eating disorder not otherwise specified (EDNOS), 13 (3.7%) had bingeeating disorder (BED), and 8 (2.2%) had anorexia nervosa (AN). Comorbid BED and AN were individually significantly associated with recurrent suicide attempt over the past year, while comorbid AN was associated with greater lethality of recent self-harm. These results suggest that ED diagnosis may constitute a risk factor for self-harm and suicide behaviors in patients with BPD.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"39 1","pages":"48-60"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524906","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}
Kathryn Berluti, Montana L Ploe, Heather Doherty, Danielle N Jones, Christopher J Patrick, Abigail A Marsh
{"title":"Prevalence and Correlates of Psychopathy in the General Population.","authors":"Kathryn Berluti, Montana L Ploe, Heather Doherty, Danielle N Jones, Christopher J Patrick, Abigail A Marsh","doi":"10.1521/pedi.2025.39.1.1","DOIUrl":"10.1521/pedi.2025.39.1.1","url":null,"abstract":"<p><p>Psychopathy encompasses a constellation of personality traits-including callousness, boldness, and disinhibition-associated with lifetime outcomes such as criminal activity, substance use, aggression, and other antisocial behaviors. However, psychopathy's relationship with these outcomes can vary depending on the sample tested, and no prior study has assessed outcomes related to psychopathy in a representative U.S. population sample. We thus assessed the relationship between psychopathy and relevant outcomes using the Triarchic Psychopathy Measure (TriPM) administered to a sample recruited to be demographically representative of American adults (<i>N</i> = 289). Results showed that TriPM psychopathy was normally distributed and associated with antisociality and criminal behavior. Unlike some prior results, we found that neither gender nor income moderated the relationship between psychopathy and criminal behavior. Disinhibition and boldness subscales, but not meanness, were associated with criminal behavior. These results underscore the importance of understanding psychopathy in the general population to improve public safety and health.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"39 1","pages":"1-21"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524904","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}