Personality disorders最新文献_第3页

Elemental psychopathy assessment's nomological net: A meta-analytic review. 元素精神病评估的法理学网：一项元分析综述。

Personality disorders Pub Date : 2025-07-01 Epub Date: 2025-03-27 DOI: 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":"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).","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}

引用次数: 0

Graduate student perspectives on training and clinical experiences with antagonism treatment. 研究生对拮抗治疗培训和临床经验的看法。

Personality disorders Pub Date : 2025-07-01 Epub Date: 2024-08-15 DOI: 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":"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 (N = 376) in APA-accredited clinical psychology doctoral programs (Mage = 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 (|ds| = 0.43-2.88), as well as lower rates of direct clinical experience, generally poorer treatment experiences, and stronger countertransference reactions (|ds| = 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 M = 1.71, between the scalar points not competent at all (1) and a little bit competent (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).","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}

引用次数: 0

Treating populations with antagonistic traits-Reflections on Hyatt, Phillips, et al. (2025) and considerations for clinical psychology training programs. 治疗具有敌对特质的人群——对Hyatt， Phillips等人（2025）的反思以及对临床心理学培训计划的考虑。

IF 4.2

Personality disorders Pub Date : 2025-07-01 DOI: 10.1037/per0000719

Eva R Kimonis, Chien Hoong Gooi

{"title":"Treating populations with antagonistic traits-Reflections on Hyatt, Phillips, et al. (2025) and considerations for clinical psychology training programs.","authors":"Eva R Kimonis, Chien Hoong Gooi","doi":"10.1037/per0000719","DOIUrl":"10.1037/per0000719","url":null,"abstract":"The treatment of populations with antagonistic traits and disorders, particularly psychopathic personalities, poses a significant challenge for mental health practitioners and trainees. This commentary reviews Hyatt, Phillips, et al. (2025), highlighting the critical clinical training gaps related to working with individuals exhibiting externalizing and antagonistic behaviors. Hyatt, Phillips, et al.'s (2025) findings reveal that graduate students receive less training and experience working with these populations compared to clients with internalizing disorders, contributing to lower self-efficacy and greater emotional strain in therapeutic encounters. This commentary discusses the urgent need for enhanced training, including exposure to structured evidence-based interventions for child conduct disorders, such as Parent-Child Interaction Therapy and its adaptation for children with callous-unemotional traits. It also discusses possible reasons for Hyatt, Phillips, et al.'s (2025) findings, including the pervasive underfunding of research on conduct disorders and psychopathy, which contributes to the scarcity of effective treatments. Finally, future training initiatives are considered, including the potential of novel training techniques such as deliberate practice and simulation-based education to improve psychology trainee's clinical competence in working with clients with antagonism. This commentary emphasizes the importance of equipping future clinicians with the skills needed to address the complex needs of these challenging populations to help reduce their societal burden. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":"16 4","pages":"310-314"},"PeriodicalIF":4.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509886","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}

引用次数: 0

Do people want to change antagonistic personality traits-and can interventions help them do so? 人们想要改变敌对的人格特征吗？干预能帮助他们做到这一点吗？

IF 4.2

Personality disorders Pub Date : 2025-07-01 DOI: 10.1037/per0000723

Nathan W Hudson, Sierra M Rufino

{"title":"Do people want to change antagonistic personality traits-and can interventions help them do so?","authors":"Nathan W Hudson, Sierra M Rufino","doi":"10.1037/per0000723","DOIUrl":"10.1037/per0000723","url":null,"abstract":"A recent survey of clinical doctoral students found that emerging clinicians feel ill-equipped to treat antagonism-related disorders and that they perceive inferior treatment outcomes (as compared to those with neuroticism-based disorders). That said, the clinician is only one half of the therapeutic relationship-and client qualities, such as motivation, are also important predictors of treatment success. The present article integrates insights from the personality development literature regarding whether nonclinical populations want to change with respect to agreeableness/antagonism, and whether interventions can help them do so. To that end, although people express goals to change all Big Five personality traits, the research literature consistently indicates that these desires are weakest for agreeableness (and openness) as compared to extraversion, conscientiousness, and emotional stability. Moreover, interventions that have successfully increased extraversion, conscientiousness, and emotional stability have struggled to help individuals become more agreeable. These findings are discussed, and future research directions are outlined. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":"16 4","pages":"305-309"},"PeriodicalIF":4.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509883","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}

引用次数: 0

Antagonistic but holier than thou: Antagonistic people think they are (way) better-than-average on moral character. 对立但比你神圣：敌对型的人认为自己的道德品质（远远）优于平均水平。

Personality disorders Pub Date : 2025-07-01 Epub Date: 2024-07-29 DOI: 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":"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 (N = 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).","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}

引用次数: 0

Is it possible to treat antagonism? 有可能治疗对抗吗？

IF 4.2

Personality disorders Pub Date : 2025-07-01 DOI: 10.1037/per0000718

Joel Paris

引用次数: 0

Addressing antagonism in the context of treatment for borderline personality disorder. 在边缘型人格障碍治疗的背景下处理对抗。

IF 4.2

Personality disorders Pub Date : 2025-07-01 DOI: 10.1037/per0000720

Shannon Sauer-Zavala

引用次数: 0

Introduction to special section: Treatment of antagonism. 专题导论：拮抗的治疗。

IF 4.2

Personality disorders Pub Date : 2025-07-01 DOI: 10.1037/per0000724

Thomas A Widiger

引用次数: 0

Development and validation of an MMPI-3 Antagonism scale. MMPI-3拮抗量表的研制与验证。

Personality disorders Pub Date : 2025-07-01 Epub Date: 2025-01-30 DOI: 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":"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 (ns = 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).","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}

引用次数: 0

Clinical utility of the Level of Personality Functioning Scale: A survey of German mental health professionals. 人格功能水平量表的临床应用：对德国心理健康专业人员的调查。

IF 4.2

Personality disorders Pub Date : 2025-06-26 DOI: 10.1037/per0000734

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":"10.1037/per0000734","url":null,"abstract":"The Alternative DSM-5 Model for Personality Disorders and ICD-11 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).","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":" ","pages":""},"PeriodicalIF":4.2,"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}

引用次数: 0