Journal of Personality Disorders最新文献_第6页

Uncovering the Social-Cognitive Contributors to Social Dysfunction in Borderline Personality Disorder Through Language Analysis. 通过语言分析揭示边缘型人格障碍中社交功能障碍的社会认知因素。

IF 2.3 3区医学

Journal of Personality Disorders Pub Date : 2023-08-01 DOI: 10.1521/pedi.2023.37.4.444

Charlotte Entwistle, Ryan L Boyd

{"title":"Uncovering the Social-Cognitive Contributors to Social Dysfunction in Borderline Personality Disorder Through Language Analysis.","authors":"Charlotte Entwistle, Ryan L Boyd","doi":"10.1521/pedi.2023.37.4.444","DOIUrl":"10.1521/pedi.2023.37.4.444","url":null,"abstract":"Borderline personality disorder (BPD) is characterized by severe interpersonal dysfunction, yet the underlying nature of such dysfunction remains poorly understood. The present study adopted a behavioral approach to more objectively describe the social-cognitive contributors to interpersonal dysfunction in BPD. Participants (N = 530) completed an online survey comprising validated measures of BPD features and other problematic interpersonal traits (e.g., narcissism), as well as a writing prompt where they were asked to share their personal thoughts about relationships. Computerized language analysis methods were used to quantify various psychosocial dimensions of participants' writing, which were incorporated into a principal component analysis. Analyses revealed four core social dimensions of thought: (1) Connectedness/Intimacy; (2) Immediacy; (3) Social Rumination; (4) Negative Affect. All four dimensions correlated with BPD features in intuitive ways, some of which were specific to BPD. This study highlights the value of natural language analysis to explore fundamental dimensions of personality disorder.","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"37 4","pages":"444-455"},"PeriodicalIF":2.3,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10655919","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}

引用次数: 0

Childhood Maltreatment History and Borderline Personality Symptoms: The Role of Mentalization Difficulties Among Vulnerable Women. 儿童虐待史和边缘人格症状：弱势妇女心理困难的作用。

IF 2.3 3区医学

Journal of Personality Disorders Pub Date : 2023-08-01 DOI: 10.1521/pedi.2023.37.4.369

Stephanie Milan, Ana Luisa Barbosa Dau

引用次数: 0

Hurting the Grandiose Self: Examining Presence, Frequency, and Functions of Nonsuicidal Self-Injury in Pathological Narcissism. 伤害伟大的自我：检查病理自恋中非自杀性自我伤害的存在、频率和功能。

IF 2.3 3区医学

Journal of Personality Disorders Pub Date : 2023-08-01 DOI: 10.1521/pedi.2023.37.4.424

Ellen F Finch, Chelsea Boccagno, Jill M Hooley

{"title":"Hurting the Grandiose Self: Examining Presence, Frequency, and Functions of Nonsuicidal Self-Injury in Pathological Narcissism.","authors":"Ellen F Finch, Chelsea Boccagno, Jill M Hooley","doi":"10.1521/pedi.2023.37.4.424","DOIUrl":"10.1521/pedi.2023.37.4.424","url":null,"abstract":"The present study examines whether dimensions of pathological narcissism are associated with the presence, frequency, and function of nonsuicidal self-injury (NSSI). Adults (N = 252) completed questionnaires assessing narcissistic grandiosity, narcissistic vulnerability, fluctuation between these narcissistic states, and borderline personality disorder (BPD) symptoms. Those with a history of NSSI (n = 105) also reported the method, frequency, and function of their NSSI engagement. When controlling for co-occurring BPD symptoms, there were very few associations between vulnerability, grandiosity, and narcissistic fluctuation and NSSI presence and frequency. However, a clear pattern emerged regarding NSSI functions. Although vulnerability and narcissistic fluctuation were not associated with any functions of NSSI when co-occurring BPD symptoms were controlled for, grandiosity was positively associated with all interpersonal functions of NSSI (e.g., peer bonding, revenge) and negatively associated with the intrapersonal function of affect regulation. These results suggest a unique relationship between narcissistic grandiosity and NSSI that may inform clinical intervention.","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"37 4","pages":"424-443"},"PeriodicalIF":2.3,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10672559","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}

引用次数: 0

Moral Injury and Shame Mediate the Relationship Between Childhood Trauma and Borderline Personality Disorder, PTSD, and Complex PTSD Symptoms in Psychiatric Inpatients. 精神创伤和羞耻感介导儿童创伤与精神病住院患者的边缘型人格障碍、创伤后应激障碍和复杂创伤后应激症状之间的关系。

IF 2.3 3区医学

Journal of Personality Disorders Pub Date : 2023-08-01 DOI: 10.1521/pedi.2023.37.4.406

Vera Békés, Dominik Szabó, Erika Evelyn Lévay, Ella Salgó, Zsolt Unoka

{"title":"Moral Injury and Shame Mediate the Relationship Between Childhood Trauma and Borderline Personality Disorder, PTSD, and Complex PTSD Symptoms in Psychiatric Inpatients.","authors":"Vera Békés, Dominik Szabó, Erika Evelyn Lévay, Ella Salgó, Zsolt Unoka","doi":"10.1521/pedi.2023.37.4.406","DOIUrl":"10.1521/pedi.2023.37.4.406","url":null,"abstract":"Moral injury (MI) has received increased research attention in the past decades. However, despite its detrimental mental health consequences, MI has not been studied in psychiatric patients. We aimed to establish the relationship between childhood trauma, MI, and borderline personality disorder (BPD), posttraumatic stress disorder (PTSD), and disturbances in self-organization symptoms (DSO), a core diagnostic criterion of complex PTSD besides PTSD symptoms, and shame as a moral emotion in an inpatient psychiatric sample (N = 240). We found that the impact of childhood trauma on present BPD, PTSD, and DSO symptoms was mediated by MI and shame; the models accounted for up to 31% of variance in symptomatology. To our knowledge, this study is the first to investigate MI in a psychiatric sample, and our results highlight the importance of considering MI as a critical factor of patient experiences in relation to childhood trauma that potentially contributes to the development of psychiatric symptoms.","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"37 4","pages":"406-423"},"PeriodicalIF":2.3,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10672552","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}

引用次数: 0

Late Onset Personality Disorders in Mid-Life and Older Adults. 中年人和老年人的迟发型人格障碍。

IF 2.3 3区医学

Journal of Personality Disorders Pub Date : 2023-06-01 DOI: 10.1521/pedi.2023.37.3.304

Jessica Dupree, Susan C South, Thomas F Oltmanns

引用次数: 0

A Bridge Between DSM-5 Section II Personality Disorder Criteria and ICD-11 Personality Disorder Trait Domains. DSM-5第二部分人格障碍标准与ICD-11人格障碍特征域之间的桥梁。

IF 2.3 3区医学

Journal of Personality Disorders Pub Date : 2023-06-01 DOI: 10.1521/pedi.2023.37.3.317

Holly F Levin-Aspenson, Shereen Khoo, Kasey Stanton, Brittany King, Mark Zimmerman

{"title":"A Bridge Between DSM-5 Section II Personality Disorder Criteria and ICD-11 Personality Disorder Trait Domains.","authors":"Holly F Levin-Aspenson, Shereen Khoo, Kasey Stanton, Brittany King, Mark Zimmerman","doi":"10.1521/pedi.2023.37.3.317","DOIUrl":"https://doi.org/10.1521/pedi.2023.37.3.317","url":null,"abstract":"The organization of personality pathology into trait domains (vs. specific disorders) in ICD-11 represents an important shift in personality disorder (PD) nosology. However, to facilitate clinical implementation, a bridge is needed between this system and the DSM-5 Section II system familiar to many researchers and clinicians. In this study, individual DSM-5 PD criteria were assigned to ICD-11 trait domains based on the published Clinical Descriptions and Diagnostic Requirements. This scoring scheme was examined empirically alongside DSM-5 PD dimensions (using SIDP ratings from the MIDAS project; N = 2,147 outpatients) in terms of descriptive properties and relations with psychosocial morbidity and functioning. Most PD criteria could be matched to at least one ICD-11 trait domain, indicating considerable cross-system continuity. However, points of incongruity are noteworthy for research and clinical applications. Results provide key information for bridging categorical and dimensional frameworks, indicating that the shift toward trait-based PD models need not be as disruptive as feared.","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"37 3","pages":"317-336"},"PeriodicalIF":2.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10073802","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}

引用次数: 0

Narcissistic Personality Disorder: Patterns, Processes, and Indicators of Change in Long-Term Psychotherapy. 自恋型人格障碍:长期心理治疗的模式、过程和变化指标。

IF 2.3 3区医学

Journal of Personality Disorders Pub Date : 2023-06-01 DOI: 10.1521/pedi.2023.37.3.337

Elsa Ronningstam, Igor Weinberg

{"title":"Narcissistic Personality Disorder: Patterns, Processes, and Indicators of Change in Long-Term Psychotherapy.","authors":"Elsa Ronningstam, Igor Weinberg","doi":"10.1521/pedi.2023.37.3.337","DOIUrl":"https://doi.org/10.1521/pedi.2023.37.3.337","url":null,"abstract":"Change in treatment of narcissistic personality disorder (NPD) has been considered difficult to attain. Aspects of narcissistic pathology, including interpersonal enhancement, avoidance, aggressivity, and control, have contributed to challenges in forming a therapeutic alliance and pursuing treatment towards attainable goals for change and remission. This study, based on a qualitative review of therapists' case reports of individual psychotherapy with eight patients diagnosed with NPD, is the first to identify and explore patterns, processes, and indicators of change in pathological narcissism. All patients showed significant improvement in personality and life functioning, including engagement in work or education and long-term close relationships, with remission of the NPD diagnosis. The process of change was gradual, with some noticeable changes occurring in specific life contexts. Additional factors indicating and contributing to change included patients' motivation and commitment to psychotherapy, reflective ability, emotion regulation, sense of agency, and interpersonal and social engagement.","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"37 3","pages":"337-357"},"PeriodicalIF":2.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10073799","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}

引用次数: 3

Exploring Guilt Differences in Grandiose Narcissism, Vulnerable Narcissism, and Malignant Self-Regard. 探索浮夸型自恋、脆弱型自恋和恶性自恋的内疚感差异。

IF 2.3 3区医学

Journal of Personality Disorders Pub Date : 2023-06-01 DOI: 10.1521/pedi.2023.37.3.285

Roberto Pedone, Steven K Huprich, Livia Colle, Anna Maria Barbarulo, Antonio Semerari

{"title":"Exploring Guilt Differences in Grandiose Narcissism, Vulnerable Narcissism, and Malignant Self-Regard.","authors":"Roberto Pedone, Steven K Huprich, Livia Colle, Anna Maria Barbarulo, Antonio Semerari","doi":"10.1521/pedi.2023.37.3.285","DOIUrl":"https://doi.org/10.1521/pedi.2023.37.3.285","url":null,"abstract":"Narcissistic personality disorder is a heterogeneous and complex pathology which manifests itself very differently in individuals. The aim of the present study was to analyze differences and similarities in morality and sensitivity to feelings of guilt among grandiose narcissism (GN), vulnerable narcissism (VN), and malignant self-regard (MSR). We expected that MSR and VN would be most sensitive to deontological and altruistic guilt, and that MSR and VN would have higher levels of moral standards than GN. A nonclinical sample of 752 participants was evaluated. Results showed a significant association among MSR, VN, and GN. According to our hypothesis, GN turned out to be the one with the lowest association values to guilt measures. Our results demonstrated that MSR is strongly associated with all types of guilt, GN is associated with a substantial lack of guilt, and VN is associated with deontological guilt and self-hate, but not altruistic guilt. Results confirm the relevance of considering and understanding guilt when differentiating GN, VN, and MSR.","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"37 3","pages":"285-303"},"PeriodicalIF":2.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10073800","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}

引用次数: 1

A Consumer Perspective on Personality Diagnostic Systems: One Size Does Not Fit All. 消费者对个性诊断系统的看法:一种方式不适合所有人。

IF 2.3 3区医学

Journal of Personality Disorders Pub Date : 2023-06-01 DOI: 10.1521/pedi.2023.37.3.263

Kiana Cano, Carla Sharp

{"title":"A Consumer Perspective on Personality Diagnostic Systems: One Size Does Not Fit All.","authors":"Kiana Cano, Carla Sharp","doi":"10.1521/pedi.2023.37.3.263","DOIUrl":"https://doi.org/10.1521/pedi.2023.37.3.263","url":null,"abstract":"Although providers and patients may largely agree on what is essential to clinically useful assessment and diagnosis, patients have a unique voice and contribute additional information to our conceptualization of clinical utility. The current study evaluated the clinical utility of three diagnostic models (Section II categorial, Section III hybrid, and the original ICD-11 dimensional) from the consumer/user perspective. Participants included 703 undergraduate students and 154 family members or individuals with borderline personality disorder. Participants rated mock diagnostic reports on six indices of clinical utility. Results indicated that undergraduates favored categorical reports over the original ICD-11 dimensional reports on three of six indices but rated categorical and hybrid reports as essentially equivalent. In the patient/family sample, participants favored the hybrid or categorical model on all indices. Our findings speak to the value of a clear diagnostic label and suggest that future iterations of the DSM adopting a hybrid or dimensional model should have a continued focus on simplicity in communication.","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"37 3","pages":"263-284"},"PeriodicalIF":2.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10073801","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}

引用次数: 0

Examining the Therapeutic Effect of Ceremonial Ayahuasca on Narcissistic Personality and Antagonistic Externalizing in Adults. 探讨仪式阿亚瓦斯卡对成人自恋型人格和拮抗性外化的治疗作用。

IF 2.3 3区医学

Journal of Personality Disorders Pub Date : 2023-04-01 DOI: 10.1521/pedi.2023.37.2.131

Brandon Weiss, Chelsea Sleep, Joshua D Miller, W Keith Campbell

{"title":"Examining the Therapeutic Effect of Ceremonial Ayahuasca on Narcissistic Personality and Antagonistic Externalizing in Adults.","authors":"Brandon Weiss, Chelsea Sleep, Joshua D Miller, W Keith Campbell","doi":"10.1521/pedi.2023.37.2.131","DOIUrl":"10.1521/pedi.2023.37.2.131","url":null,"abstract":"Changes in narcissistic traits (e.g., entitlement) following the ceremonial use of ayahuasca were examined across three timepoints (baseline, postretreat, 3-month follow-up) in a sample of 314 adults using self- and informant-report (N = 110) measures. Following ceremonial use of ayahuasca, self-reported changes in narcissism were observed (i.e., decreases in Narcissistic Personality Inventory [NPI] Entitlement-Exploitativeness, increases in NPI Leadership Authority, decreases in a proxy measure of narcissistic personality disorder [NPD]). However, effect size changes were small, results were somewhat mixed across convergent measures, and no significant changes were observed by informants. The present study provides modest and qualified support for adaptive change in narcissistic antagonism up to 3 months following ceremony experiences, suggesting some potential for treatment efficacy. However, meaningful changes in narcissism were not observed. More research would be needed to adequately evaluate the relevance of psychedelic-assisted therapy for narcissistic traits, particularly studies examining individuals with higher antagonism and involving antagonism-focused therapeutic approaches.","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"37 2","pages":"131-155"},"PeriodicalIF":2.3,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10508917/pdf/nihms-1929225.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10399812","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}

引用次数: 3