Personality disordersPub Date : 2025-07-01Epub Date: 2025-01-30DOI: 10.1037/per0000714
Glenn D Walters, Raymond A Knight, Klaus-Peter Dahle
{"title":"Psychopathy as a bipolar construct: Testing the risk-promotive status of the four psychopathy checklist-revised/screening version facet scores in six clinical samples.","authors":"Glenn D Walters, Raymond A Knight, Klaus-Peter Dahle","doi":"10.1037/per0000714","DOIUrl":"10.1037/per0000714","url":null,"abstract":"<p><p>This study tested the possibility that the four facets of the Psychopathy Checklist-Revised/Screening Version (PCL-R/SV) serve as bipolar constructs in predicting future criminal justice outcomes. Organizing scores on the four facets (Interpersonal, Affective, Lifestyle, and Antisocial) into three categories-that is, lowest 25% of cases (best category), highest 25% of cases (worst category), and middle 50% of cases (intermediate category)-we tested bipolarity by crossing the three categories with a dichotomized crime/violence outcome and calculating both promotive (best category vs. worst + intermediate categories) and risk (worst category vs. best + intermediate categories) effects in six samples. Bipolarity was defined as the simultaneous presence of promotive (low scores predicting a good outcome) and risk (high scores predicting a poor outcome) effects for each PCL-R/SV facet in each sample. Odds ratios and the Cochrane-Armitage linear trend test revealed evidence of bipolarity in one of six samples for the Interpersonal facet, three of six samples for the Affective facet, five of six samples for the Lifestyle facet, and all six samples for the Antisocial facet. An item response theory analysis was then conducted, the results of which supported the facet-level findings from the odds ratio and Cochrane-Armitage analyses at the individual item level. These results provide modest (Affective facet) to moderately strong (Lifestyle and Antisocial facets) evidence of bipolarity in three of the four facets of the PCL-R/SV by showing that low scores are just as effective in predicting good criminal justice outcomes as high scores are in predicting poor criminal justice outcomes. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":" ","pages":"350-364"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143070157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Personality disordersPub Date : 2025-07-01Epub Date: 2025-02-10DOI: 10.1037/per0000706
Aaron Hissey, Matt Hammond, Joseph Bulbulia, Chris G Sibley, Elena Zubielevitch, Hedwig Eisenbarth
{"title":"Associations among psychopathy, relationship satisfaction, and professional success in couples.","authors":"Aaron Hissey, Matt Hammond, Joseph Bulbulia, Chris G Sibley, Elena Zubielevitch, Hedwig Eisenbarth","doi":"10.1037/per0000706","DOIUrl":"10.1037/per0000706","url":null,"abstract":"<p><p>Individuals' psychopathic personality traits can have negative effects on the people around them. This research investigated whether the negativity of someone's psychopathic personality crosses over to their partner and then spills over into their partner's workplace. Using a nationally diverse community sample of 490 employed romantic couples from the New Zealand Attitudes and Values Study, cross-sectional and longitudinal analyses examined the associations among psychopathy facets (fearless dominance, self-centered impulsivity, and coldheartedness), relationship satisfaction, and professional success. Cross-sectional dyadic modeling indicated that an individual's coldheartedness was negatively associated with their partner's occupational prestige, although there was no evidence that partner's relationship satisfaction mediated this link. Furthermore, the associations between psychopathy and professional success at the individual level were partially mediated by a person's own relationship satisfaction. Longitudinal dyadic modeling suggested that an individual's self-centered impulsivity negatively predicted their partner's relationship satisfaction and positively predicted their partner's occupational prestige over time. Collectively, this research suggests that an individual's psychopathic traits may foster negativity in relationships that spills over into their own workplaces but do not cross and spill over to their partner's workplace. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":" ","pages":"365-376"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Personality disordersPub Date : 2025-07-01Epub Date: 2025-03-27DOI: 10.1037/per0000728
Nathaniel L Phillips, Leigha Rose, Donald R Lynam, Joshua D Miller
{"title":"Elemental psychopathy assessment's nomological net: A meta-analytic review.","authors":"Nathaniel L Phillips, Leigha Rose, Donald R Lynam, Joshua D Miller","doi":"10.1037/per0000728","DOIUrl":"10.1037/per0000728","url":null,"abstract":"<p><p>Psychopathy is a longstanding construct of great clinical interest, marked by traits such as Callousness, manipulativeness, and impulsivity. The Elemental Psychopathy Assessment (EPA; Lynam et al., 2011) was developed to anchor the measurement of psychopathy within the five-factor model of personality. This preregistered study presents a meta-analytic review of the EPA's construct validity, examining its relations at the domain and total levels with other psychopathy measures, personality traits, and psychopathological outcomes. Drawing from 50 studies across 38 articles, over 3,500 effect sizes were analyzed. EPA Antagonism showed strong convergent validity with constructs like Triarchic Model of Psychopathy Meanness and Self-Report Psychopathy Scale-III Callous Affect, while EPA Disinhibition was closely linked to impulsivity-related traits such as Triarchic Model of Psychopathy Disinhibition and Self-Report Psychopathy Scale-III Erratic Lifestyle. EPA Narcissism was associated with interpersonal dominance and Manipulation, whereas EPA Emotional Stability generally showed positive relations with adaptive traits and outcomes. Antagonism and Disinhibition emerged as the core psychopathy traits, while the role of Emotional Stability remained uncertain due to its varied associations with maladaptive outcomes. Moderator analyses revealed differences across sample types and EPA versions. These findings offer meta-analytic support for the EPA's validity, highlighting the centrality of Antagonism and Disinhibition, and the complexity of Emotional Stability in the psychopathy construct. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":" ","pages":"377-393"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143733525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Personality disordersPub Date : 2025-07-01Epub Date: 2024-08-15DOI: 10.1037/per0000688
Courtland S Hyatt, Nathaniel L Phillips, Chelsea E Sleep, Donald R Lynam, Joshua D Miller
{"title":"Graduate student perspectives on training and clinical experiences with antagonism treatment.","authors":"Courtland S Hyatt, Nathaniel L Phillips, Chelsea E Sleep, Donald R Lynam, Joshua D Miller","doi":"10.1037/per0000688","DOIUrl":"10.1037/per0000688","url":null,"abstract":"<p><p>The objective of this preregistered study was to gather evidence on training and clinical experiences offered by clinical psychology doctoral programs on the treatment of antagonism-a construct from the personality and psychopathology literature that captures individual differences in aggressiveness, callousness, grandiosity, domineering, and manipulativeness. We surveyed current graduate students (<i>N</i> = 376) in APA-accredited clinical psychology doctoral programs (<i>M</i><sub>age</sub> = 28.4; 83.2% female; 65.2% White) about their experiences in training and treatment of antagonistic patients (ANT-patients) as well as experiences with patients with predominant negative affect (NA; e.g., anxious and depressed). Students reported significantly less training to treat antagonism compared to NA (|<i>ds</i>| = 0.43-2.88), as well as lower rates of direct clinical experience, generally poorer treatment experiences, and stronger countertransference reactions (|<i>ds</i>| = 0.53-1.40). These discrepancies were especially large for adult-focused students compared to child/adolescent-focused students. In fact, adult-focused students reported a mean competency rating of <i>M</i> = 1.71, between the scalar points <i>not competent at all</i> (1) and <i>a little bit competent</i> (2). Overall, these results indicate a lack of training and competence to treat antagonism among current graduate students, especially adult-focused students. We believe the crux of this issue is a field-wide lack of robust empirical work on antagonism treatments (for adults). Moving forward, we implore researchers and funding agencies to help address this substantial gap, which is both an ethical and practical imperative. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":" ","pages":"299-304"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Personality disordersPub Date : 2025-07-01Epub Date: 2024-07-29DOI: 10.1037/per0000685
William Hart, Braden T Hall, Joshua T Lambert, Charlotte K Cease, Danielle E Wahlers
{"title":"Antagonistic but holier than thou: Antagonistic people think they are (way) better-than-average on moral character.","authors":"William Hart, Braden T Hall, Joshua T Lambert, Charlotte K Cease, Danielle E Wahlers","doi":"10.1037/per0000685","DOIUrl":"10.1037/per0000685","url":null,"abstract":"<p><p>Although clinical psychologists have long speculated that antagonistic individuals may lack insight into their moral deficits, some evidence has shown that more (vs. less) antagonistic people view moral traits as somewhat desirable and rate themselves as lower on moral characteristics (suggestive of some insight). But, we suggest that antagonistic people's struggles with insight can be detected as part of a basic social-cognitive bias that entails believing the self is better-than-average on socially desirable characteristics (i.e., the \"better-than-average effect\" [BTAE]). Specifically, although antagonistic people may rate themselves lower on moral characteristics than less antagonistic people, they may still believe that their relative standing on moral characteristics compares favorably to others. Participants (<i>N</i> = 515) completed indicators of the Dark Tetrad (D4) constructs (narcissism, Machiavellianism, psychopathy, and sadism) and rated themselves in relation to others on moral and immoral character traits. Overall, participants exhibited very large BTAEs (i.e., rated the self as \"better-than-average\" on moral character traits); only psychopathy and sadism consistently related negatively to BTAEs, but people with elevations in each D4 construct (or any D4 facet) still exhibited large-to-very-large BTAEs. Such antagonistic participants viewed themselves as possessing substantially greater amounts of moral than immoral character traits but viewed average others as possessing an equal mix of these traits. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":" ","pages":"321-331"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141790201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Personality disordersPub Date : 2025-07-01Epub Date: 2025-01-30DOI: 10.1037/per0000710
Martin Sellbom, Jacob R Brown
{"title":"Development and validation of an MMPI-3 Antagonism scale.","authors":"Martin Sellbom, Jacob R Brown","doi":"10.1037/per0000710","DOIUrl":"10.1037/per0000710","url":null,"abstract":"<p><p>Antagonism is a personality domain located in most major trait models and is central to multiple personality disorders. This construct has been linked to many societally harmful externalizing behaviors (e.g., criminal conduct). Consequently, accurate assessment of this trait is important in both research and clinical settings. The Minnesota Multiphasic Personality Inventory-3 (MMPI-3) is among the most widely used personality assessment instruments, and both researchers and clinicians using it can benefit from proper assessment of antagonism. Although the Personality Psychopathology Five measures aggressiveness (AGGR), a conceptual cognate to antagonism, its content is restricted. Thus, the current studies aimed to develop and validate a new MMPI-3 Antagonism (ANT) scale using six different samples drawn from university, community, and mental health settings (<i>n</i>s = 289-1,660). Scale development (Study 1) was approached using criterion validity and latent modeling methods with a series of conceptually indicated candidate items. The resulting scale had improved content coverage of antagonism when compared to the AGGR scale. Subsequent validation analyses (Study 2) examined the ANT scale in terms of convergent and incremental validity against antagonism criteria, as well as its discriminant validity against disinhibition criteria. The results largely supported superior construct validity of ANT scale scores over those of AGGR, indicating that the ANT scale has promise as meaningful addition to the MMPI-3 in the assessment of this construct. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":" ","pages":"332-349"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143070116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Leon P Wendt, Eva M Klein, Cord Benecke, Susanne Singer, Lena Dotzauer, Deborah Engesser, Yannik van Haaren, Johannes Zimmermann
{"title":"Clinical utility of the Level of Personality Functioning Scale: A survey of German mental health professionals.","authors":"Leon P Wendt, Eva M Klein, Cord Benecke, Susanne Singer, Lena Dotzauer, Deborah Engesser, Yannik van Haaren, Johannes Zimmermann","doi":"10.1037/per0000734","DOIUrl":"https://doi.org/10.1037/per0000734","url":null,"abstract":"<p><p>The Alternative DSM-5 Model for Personality Disorders and <i>ICD-11</i> adopt a dimensional approach to personality disorders, defining them in terms of impairments in self-related (identity, self-direction) and interpersonal (empathy, intimacy) personality functions. This study examined the clinical utility of a clinician-rated global evaluation of personality functioning based on the Level of Personality Functioning Scale (LPFS). A total of 346 German mental health professionals provided LPFS ratings for 1,403 patients, stratified by 38 diagnostic categories, including, but not limited to, personality disorders. Clinicians reported on each patient's treatment outcome, recommended optimal treatment components for each patient, and provided their perspective on the clinical utility of the LPFS and its potential risk of stigmatizing patients. On average, clinicians rated the LPFS as \"very useful,\" its applicability as \"rather easy,\" and the risk of patient stigmatization as \"rather low.\" Logistic and ordinal Bayesian multilevel models indicated meaningful associations between LPFS ratings and clinical judgments, highlighting its effectiveness in conveying clinical impressions. Greater impairments in personality functioning were associated with poorer clinician-rated treatment outcome and poorer prognosis. In addition, associations with optimal treatment components yielded a nuanced pattern, with clinicians typically recommending short-term outpatient psychotherapy for patients with mild impairments, long-term psychotherapy for patients with moderate to severe impairments, and intensive care interventions (e.g., outreach care, assisted living) for those with extreme impairments. The results indicate that German mental health professionals consider the LPFS to be a clinically useful concept and that it may be valuable in organizing and communicating information about patients. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Akram Ahangi, Anthony C Ruocco, Michael Carnovale, Hossein Eskandari
{"title":"Association of overgeneral autobiographical memory with personality impairment, pathological trait domains, and the borderline pattern specifier in a female psychiatric sample.","authors":"Akram Ahangi, Anthony C Ruocco, Michael Carnovale, Hossein Eskandari","doi":"10.1037/per0000709","DOIUrl":"https://doi.org/10.1037/per0000709","url":null,"abstract":"<p><p>The proposed model of personality disorder in the <i>International Classification of Diseases</i>, 11th revision <i>(ICD-11</i>) comprises ratings of the severity of self and interpersonal impairment, pathological trait domains, and a borderline pattern specifier. The incremental validity of the different components of the model has primarily been studied in relation to symptoms, traits, and psychosocial functioning, whereas associations with cognitive- and identity-related factors have not yet been characterized. The present study investigated the unique associations of each component of the <i>ICD-11</i> model with overgeneral autobiographical memory, which reflects aspects of identity integration and episodic memory retrieval. Female general psychiatric patients (<i>n</i> = 196) completed self-report measures of the <i>ICD-11</i> model (Level of Personality Functioning Scale-Brief Form 2.0, Personality Inventory for <i>ICD-11</i>, and Borderline Pattern Scale) and the Autobiographical Memory Test. In bivariate analyses, overgeneral autobiographical memories were associated with more severe self and interpersonal impairment, higher pathological personality traits (except for lower Anankastia), and more severe borderline pattern scores. Hierarchical regressions indicated that both self and interpersonal impairments, pathological traits (especially negative affectivity), and maladaptive regulatory strategies (a component of the borderline pattern) were uniquely and incrementally associated with overgeneral memories. Overall, these findings reveal the personality disorder components that underlie overgeneral autobiographical memories within a transdiagnostic female psychiatric sample. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The most influential decision factors for choosing a formal diagnostic classification system for describing personality pathology.","authors":"Lisa Dawson, Greg E Dear, Deirdre Drake","doi":"10.1037/per0000738","DOIUrl":"https://doi.org/10.1037/per0000738","url":null,"abstract":"<p><p>There are currently three models for diagnosing personality disorders for practitioners to choose from in the formal diagnostic classification systems <i>Diagnostic and Statistical Manual of Mental Disorders (DSM)</i> and <i>International Classification of Diseases</i> (ICD): the categorical model retained from <i>DSM-IV</i>, a dimensional model in the <i>ICD-11,</i> and the <i>DSM-5</i> Alternative Model for Personality Disorders (AMPD) that is a hybrid of categorical and dimensional methods. We used a sequential mixed-methods approach to explore how psychologists and psychiatrists decide which model to use for diagnosing personality pathology. In Study 1, we elicited eight themes and seven subthemes that capture the factors that psychologists and psychiatrists (<i>N</i> = 18) consider when deciding whether or not to use the AMPD. In Study 2, these themes were converted to 16 statements reflecting factors that practitioners might consider when deciding which diagnostic model to use when working in a therapeutic role. Psychiatrists (<i>n</i> = 13) and psychologists (<i>n</i> = 70) rated each of the 16 factors according to the degree to which they influence deciding which diagnostic model to use. The most important factors were those pertaining to usefulness in communicating personality information, knowledge about and training in each model, usefulness of the model for describing clients' difficulties and pathology, and level of acceptance of the model by peers and experts in the field. While our data do not identify which model lends itself best to clear communication about personality functioning, or which model is most scientifically sound and accepted within the field, our data indicate that practitioners consider those things important, so clear guidance about those matters based on empirical evidence is needed. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nicolás Labbé, Stephanie Vaccarezza, Catalina Nuñez, Ronan Zimmermann, Alex Behn
{"title":"Psychoeducational interventions for borderline personality disorder: A scoping review.","authors":"Nicolás Labbé, Stephanie Vaccarezza, Catalina Nuñez, Ronan Zimmermann, Alex Behn","doi":"10.1037/per0000729","DOIUrl":"https://doi.org/10.1037/per0000729","url":null,"abstract":"<p><p>Psychoeducation, delivering up-to-date information about mental illness is crucial for supporting patients' recovery. While recognized for various disorders, its role in borderline personality disorder (BPD) lacks review. This study synthesizes the current evidence about psychoeducational interventions for BPD. Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, this scoping review consulted databases (PubMed, PsychINFO, Web of Science, Cumulative Index to Nursing and Allied Health Literature, and Información Científica y Técnica en Salud de América Latina y el Caribe), and grey literature (ProQuest Dissertations and Theses Global and Google Scholar). A Complementary search (contacting relevant researchers and including relevant references from included articles) was included. Two reviewers screened and extracted the data using the Template for Intervention Description and Replication checklist. Seven studies were analyzed, and positive effects were found on diverse outcomes: BPD symptoms, coping strategies, well-being, communication, quality of life, social functioning, perceived stress, mental health symptoms, and stigma. Psychoeducational interventions for BPD can help people who experience BPD to optimize their recovery process. However, replication and improvements are to yield sustained effects and reach more to this population. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144201027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}