Critical developments in the assessment of personality disorder. Export

@article{citeulike:1284106, abstract = {BACKGROUND: The assessment of personality disorder is currently inaccurate, largely unreliable, frequently wrong and in need of improvement. AIMS: To describe the errors inherent in the current systems and to indicate recent ways of improving personality assessment. METHOD: Historical review, description of recent developments, including temporal stability, and of studies using document-derived assessment. RESULTS: Studies of interrater agreement and accuracy of diagnosis in complex patients with independently established personality status using document-derived assessment (PAS-DOC) with a four personality cluster classification, showed very good agreement between raters for the flamboyant cluster B group of personalities, generally good agreement for the anxious/dependent cluster C group and inhibited (obsessional) cluster D group, but only fair agreement for the withdrawn cluster A group. Overall diagnostic accuracy was 71\%. CONCLUSIONS: Personality function or diathesis, a fluctuating state, is a better description than personality disorder. The best form of assessment is one that uses longitudinal repeated measures using a four-dimensional system.}, address = {Department of Psychological Medicine, Imperial College, St Dunstan's Road, London W6 8RP, UK. p.tyrer@imperial.ac.uk.}, author = {Tyrer, P. and Coombs, N. and Ibrahimi, F. and Mathilakath, A. and Bajaj, P. and Ranger, M. and Rao, B. and Din, R.}, citeulike-article-id = {1284106}, citeulike-linkout-0 = {http://dx.doi.org/10.1192/bjp.190.5.s51}, citeulike-linkout-1 = {http://view.ncbi.nlm.nih.gov/pubmed/17470943}, citeulike-linkout-2 = {http://www.hubmed.org/display.cgi?uids=17470943}, doi = {10.1192/bjp.190.5.s51}, issn = {0007-1250}, journal = {Br J Psychiatry}, keywords = {aspd, borderline, neuropsychology, personality, review}, month = {May}, posted-at = {2007-05-08 19:08:44}, priority = {2}, title = {Critical developments in the assessment of personality disorder.}, url = {http://dx.doi.org/10.1192/bjp.190.5.s51}, volume = {190}, year = {2007} }

TY - JOUR ID - citeulike:1284106 L3 - citeulike-article-id:1284106 N2 - BACKGROUND: The assessment of personality disorder is currently inaccurate, largely unreliable, frequently wrong and in need of improvement. AIMS: To describe the errors inherent in the current systems and to indicate recent ways of improving personality assessment. METHOD: Historical review, description of recent developments, including temporal stability, and of studies using document-derived assessment. RESULTS: Studies of interrater agreement and accuracy of diagnosis in complex patients with independently established personality status using document-derived assessment (PAS-DOC) with a four personality cluster classification, showed very good agreement between raters for the flamboyant cluster B group of personalities, generally good agreement for the anxious/dependent cluster C group and inhibited (obsessional) cluster D group, but only fair agreement for the withdrawn cluster A group. Overall diagnostic accuracy was 71%. CONCLUSIONS: Personality function or diathesis, a fluctuating state, is a better description than personality disorder. The best form of assessment is one that uses longitudinal repeated measures using a four-dimensional system. JF - Br J Psychiatry SN - 0007-1250 AD - Department of Psychological Medicine, Imperial College, St Dunstan's Road, London W6 8RP, UK. p.tyrer@imperial.ac.uk. TI - Critical developments in the assessment of personality disorder. VL - 190 KW - aspd KW - borderline KW - neuropsychology KW - personality KW - review AU - Tyrer, P AU - Coombs, N AU - Ibrahimi, F AU - Mathilakath, A AU - Bajaj, P AU - Ranger, M AU - Rao, B AU - Din, R PY - 2007/05// UR - http://dx.doi.org/10.1192/bjp.190.5.s51 ER -