Using the five-factor model to represent the DSM-IV personality disorders: An expert consensus approach.
Abstract
This study sought to extend previous work on the five-factor dimensional model (FFM) of personality disorder (PD) by developing more comprehensive FFM descriptions of prototypic cases. Specifically, the authors asked experts in each of the 10 DSM-IV PDs to rate the prototypic case by using all 30 facets of the FFM. Aggregating across raters of the given disorder generated a prototype for each disorder. In general, there was good agreement among experts and with previous theoretical and empirical FFM translations of DSM diagnostic criteria. Furthermore, the ability of the FFM explanation to reproduce the high comorbidity rates among PDs was demonstrated. The authors concluded that, with the possible exception of schizotypal PD, the DSM PDs can be understood from the dimensional perspective of the FFM. Future directions for research, including the use of the present prototypes to "diagnose" personality disorder, are discussed.
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Lay raters' consensual profile of narcissistic individuals strongly matched academician (r = 0.92) and clinician (r = 0.95) profiles of prototypical NPD.
“Despite the purposeful lack of explicit operationalization of narcissism provided to these lay raters, the consensual profile of narcissistic individuals strongly matched the academician, i.e., r = 0.92 (Lynam & Widiger 2001), and clinician profiles, i.e., r = 0.95 (Samuel & Widiger 2004), of the prototypical NPD profile.”
From Controversies in Narcissism (2017) · cites this paper as Lynam & Widiger 2001
Expert ratings by researchers and clinicians and meta-analytic reviews identify entitlement, manipulativeness, and callousness as key traits associated with narcissism and NPD.
“expert ratings by researchers and clinicians (Brown et al. 2009, Lynam & Widiger 2001, Samuel & Widiger 2004, Samuel et al. 2012, Thomas et al. 2012) and meta-analytic reviews (e.g., O'Boyle et al. 2015, Samuel & Widiger 2008a) identify these as key traits associated with narcissism and NPD.”
From Controversies in Narcissism (2017) · cites this paper as Lynam & Widiger 2001
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Widiger, T. A., Sellbom, M., Chmielewski, M. S., Clark, L. A., DeYoung, C. G., Kotov, R., Krueger, R. F., Lynam, D. R., Miller, J. D., Mullins‐Sweatt, S. N., et al. (2018) · Clinical Psychological Science · doi:10.1177/2167702618797105 · Cited by 228 · see citing works
Self-citationNeuroanatomical Correlates of Extraversion and Neuroticism
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Dimensional Representations of DSM-IV Personality Disorders: Relationships to Functional Impairment
Skodol, A. E., Oldham, J. M., Bender, D. S., DYCK, I. R., Stout, R. L., Morey, L. C., Shea, M. T., Zanarini, M. C., Sanislow, C. A., Grilo, C. M., et al. (2005) · American Journal of Psychiatry · doi:10.1176/appi.ajp.162.10.1919 · Cited by 221 · see citing works
Interpersonal Dynamics in Personality and Personality Disorders
Hopwood, C. J. (2018) · European Journal of Personality · doi:10.1002/per.2155 · Cited by 229 · see citing works
An integrative dimensional classification of personality disorder.
Widiger, T. A., Livesley, W. J., & Clark, L. A. (2009) · Psychological Assessment · doi:10.1037/a0016606 · Cited by 211 · see citing works
Self-citationPsychopathy from a Basic Trait Perspective: The Utility of a Five‐Factor Model Approach
Lynam, D. R., & Miller, J. D. (2014) · Journal of Personality · doi:10.1111/jopy.12132 · Cited by 209 · see citing works
Self-citationComparison of alternative models for personality disorders
MOREY, L. C., HOPWOOD, C. J., GUNDERSON, J. G., SKODOL, A. E., SHEA, M. T., YEN, S., STOUT, R. L., ZANARINI, M. C., GRILO, C. M., SANISLOW, C. A., et al. (2007) · Psychological Medicine · doi:10.1017/s0033291706009482 · Cited by 204 · see citing works
Watts, A. L., Lilienfeld, S. O., Smith, S. F., Miller, J. D., Campbell, W. K., Waldman, I. D., Rubenzer, S. J., & Faschingbauer, T. J. (2013) · Psychological Science · doi:10.1177/0956797613491970 · Cited by 206 · see citing works
Have we lost our way? The need for dynamic formulations of smoking relapse proneness
Piasecki, T. M., Fiore, M. C., McCarthy, D. E., & Baker, T. B. (2002) · Addiction · doi:10.1046/j.1360-0443.2002.00216.x · Cited by 201 · see citing works
Miller, J. D., McCain, J., Lynam, D. R., Few, L. R., Gentile, B., MacKillop, J. M., & Campbell, W. K. (2014) · Psychological Assessment · doi:10.1037/a0036613 · Cited by 204 · see citing works
Self-citationLakey, C., Rose, P., Campbell, W. K., & Goodie, A. (2008) · Journal of Behavioral Decision Making · doi:10.1002/bdm.582 · Cited by 211 · see citing works
Clinicians' Personality Descriptions of Prototypic Personality Disorders
Samuel, D. B., & Widiger, T. A. (2004) · Journal of Personality Disorders · doi:10.1521/pedi.18.3.286.35446 · Cited by 192 · see citing works
Self-citationA Note on Some Measures of Profile Agreement
McCrae, R. R. (2008) · Journal of Personality Assessment · doi:10.1080/00223890701845104 · Cited by 187 · see citing works
Grandiose and Vulnerable Narcissism
Rohmann, E., Neumann, E., Herner, M. J., & Bierhoff, H. (2011) · European Psychologist · doi:10.1027/1016-9040/a000100 · Cited by 187 · see citing works
Dimensional models of personality: the five-factor model and the DSM-5
Trull, T. J., & Widiger, T. A. (2013) · Dialogues in Clinical Neuroscience · doi:10.31887/dcns.2013.15.2/ttrull · Cited by 187 · see citing works
Self-citationEvidence-based assessment of personality disorders.
Widiger, T. A., & Samuel, D. B. (2005) · Psychological Assessment · doi:10.1037/1040-3590.17.3.278 · Cited by 185 · see citing works
Self-citationOn the Convergence Between PSY-5 Domains and PID-5 Domains and Facets
Anderson, J. L., Sellbom, M., Bagby, R. M., Quilty, L. C., Veltri, C. O. C., Markon, K. E., & Krueger, R. F. (2013) · Assessment · doi:10.1177/1073191112471141 · Cited by 184 · see citing works
Hicks, B. M., Vaidyanathan, U., & Patrick, C. J. (2010) · Personality Disorders Theory Research and Treatment · doi:10.1037/a0018135 · Cited by 181 · see citing works
Adler, J. M., Chin, E. D., Kolisetty, A., & Oltmanns, T. (2012) · Journal of Personality Disorders · doi:10.1521/pedi.2012.26.4.498 · Cited by 146 · see citing works
Parsing fear: A reassessment of the evidence for fear deficits in psychopathy.
Hoppenbrouwers, S. S., Bulten, B. H., & Brazil, I. A. (2016) · Psychological Bulletin · doi:10.1037/bul0000040 · Cited by 180 · see citing works
Borderline personality disorder from the perspective of general personality functioning.
Trull, T. J., Widiger, T. A., Lynam, D. R., & Costa, P. T. (2003) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.112.2.193 · Cited by 175 · see citing works
Self-citationBagby, R. M., Quilty, L. C., Segal, Z. V., McBride, C., Kennedy, S. H., & Costa, P. T. (2008) · The Canadian Journal of Psychiatry · doi:10.1177/070674370805300605 · Cited by 172 · see citing works
Fearless dominance and psychopathy: A response to Lilienfeld et al.
Lynam, D. R., & Miller, J. D. (2012) · Personality Disorders Theory Research and Treatment · doi:10.1037/a0028296 · Cited by 172 · see citing works
Self-citationPrinzie, P., Onghena, P., Hellinckx, W., Grietens, H. W. E., Ghesquière, P., & Colpin, H. (2004) · European Journal of Personality · doi:10.1002/per.501 · Cited by 170 · see citing works
The stability of psychopathy across adolescence
Lynam, D. R., Charnigo, R. J., Moffitt, T. E., Raine, A., Loeber, R., & Stouthamer‐Loeber, M. (2009) · Development and Psychopathology · doi:10.1017/s0954579409990083 · Cited by 169 · see citing works
Self-citationFive-Factor Measure of Borderline Personality Traits
Mullins‐Sweatt, S. N., Edmundson, M., Sauer-Zavala, S. E., Lynam, D. R., Miller, J. D., & Widiger, T. A. (2012) · Journal of Personality Assessment · doi:10.1080/00223891.2012.672504 · Cited by 167 · see citing works
Self-citationBagby, R. M., Quilty, L. C., & Ryder, A. G. (2008) · The Canadian Journal of Psychiatry · doi:10.1177/070674370805300104 · Cited by 166 · see citing works
Evaluating Callous‐Unemotional Traits as a Personality Construct
Frick, P. J., & Ray, J. V. (2014) · Journal of Personality · doi:10.1111/jopy.12114 · Cited by 163 · see citing works
The search for the successful psychopath
Mullins‐Sweatt, S. N., Glover, N. G., Derefinko, K. J., Miller, J. D., & Widiger, T. A. (2010) · Journal of Research in Personality · doi:10.1016/j.jrp.2010.05.010 · Cited by 161 · see citing works
Self-citationNeuroticism as Mental Noise: A Relation Between Neuroticism and Reaction Time Standard Deviations.
Robinson, M. D., & Tamir, M. (2005) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.89.1.107 · Cited by 161 · see citing works
A meta‐analysis of psychopathy‐, antisocial PD‐ and FFM associations
Decuyper, M., Pauw, S. S. W. D., Fruyt, F. D., Bolle, M. D., & Clercq, B. J. D. (2009) · European Journal of Personality · doi:10.1002/per.729 · Cited by 159 · see citing works
Rosenthal, S. A., & Hooley, J. M. (2010) · Journal of Research in Personality · doi:10.1016/j.jrp.2010.05.008 · Cited by 157 · see citing works
Factors of the Psychopathic Personality Inventory
Ross, S. R., Benning, S. D., Patrick, C. J., Thompson, A. M., & Thurston, A. (2008) · Assessment · doi:10.1177/1073191108322207 · Cited by 157 · see citing works
Integrating Normal and Abnormal Personality Structure: The Five‐Factor Model
Widiger, T. A., & Costa, P. T. (2012) · Journal of Personality · doi:10.1111/j.1467-6494.2012.00776.x · Cited by 156 · see citing works
Self-citationCrego, C., & Widiger, T. A. (2014) · Journal of Personality · doi:10.1111/jopy.12115 · Cited by 152 · see citing works
Self-citationConscientiousness and obsessive-compulsive personality disorder.
Samuel, D. B., & Widiger, T. A. (2011) · Personality Disorders Theory Research and Treatment · doi:10.1037/a0021216 · Cited by 150 · see citing works
Self-citationFive-factor model personality disorder research.
Widiger, T. A., & Costa, P. T. (2004) · American Psychological Association eBooks · doi:10.1037/10423-005 · Cited by 150 · see citing works
Self-citationGrandiose and Vulnerable Narcissism and the<i>DSM–5</i>Pathological Personality Trait Model
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Uncovering the structure of agreeableness from self‐report measures
Crowe, M. L., Lynam, D. R., & Miller, J. D. (2017) · Journal of Personality · doi:10.1111/jopy.12358 · Cited by 147 · see citing works
Self-citationThe utility of the Five Factor Model in understanding risky sexual behavior
Miller, J. D., Lynam, D. R., Zimmerman, R. S., Logan, T., Leukefeld, C. G., & Clayton, R. (2003) · Personality and Individual Differences · doi:10.1016/j.paid.2003.06.009 · Cited by 146 · see citing works
Self-citationA Five-Factor Measure of Obsessive–Compulsive Personality Traits
Samuel, D. B., Riddell, A. D. B., Lynam, D. R., Miller, J. D., & Widiger, T. A. (2012) · Journal of Personality Assessment · doi:10.1080/00223891.2012.677885 · Cited by 144 · see citing works
Self-citationCauffman, E. E., Kimonis, E. R., Dmitrieva, J., & Monahan, K. C. (2009) · Psychological Assessment · doi:10.1037/a0017367 · Cited by 143 · see citing works
The Longitudinal Relationship of Personality Traits and Disorders.
Warner, M. B., Morey, L. C., Finch, J. F., Gunderson, J. G., Skodol, A. E., Sanislow, C. A., Shea, M. T., McGlashan, T. H., & Grilo, C. M. (2004) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.113.2.217 · Cited by 140 · see citing works
The Levenson Self-Report Psychopathy Scale
Miller, J. D., Gaughan, E. T., & Pryor, L. R. (2008) · Assessment · doi:10.1177/1073191108316888 · Cited by 139 · see citing works
Miller, J. D., & Campbell, W. K. (2010) · Personality Disorders Theory Research and Treatment · doi:10.1037/a0018229 · Cited by 138 · see citing works
The Cambridge Handbook of Personality Psychology
(2020) · Cambridge University Press eBooks · doi:10.1017/9781108264822 · Cited by 140 · see citing works
CEO Bright and Dark Personality: Effects on Ethical Misconduct
Scotter, J. R. V., & Róglio, K. D. D. (2018) · Journal of Business Ethics · doi:10.1007/s10551-018-4061-5 · Cited by 141 · see citing works
Chmielewski, M. S., & Watson, D. (2008) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.117.2.364 · Cited by 132 · see citing works
Miller, J. D., & Maples, J. L. (2011) · doi:10.1002/9781118093108.ch7 · Cited by 132 · see citing works
Reactive aggression and suicide
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Clinicians' judgments of clinical utility: A comparison of the DSM-IV and five-factor models.
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Self-citationBagby, R. M., Costa, P. T., Widiger, T. A., Ryder, A. G., & Marshall, M. B. (2005) · European Journal of Personality · doi:10.1002/per.563 · Cited by 129 · see citing works
Self-citationMiller, J. D., Price, J., & Campbell, W. K. (2011) · Assessment · doi:10.1177/1073191111429390 · Cited by 127 · see citing works
A shaky future for personality disorders.
Widiger, T. A. (2011) · Personality Disorders Theory Research and Treatment · doi:10.1037/a0021855 · Cited by 126 · see citing works
Self-citationPersonality and early maladaptive schemas: A five-factor model perspective
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Neuroticism and Affective Instability: The Same or Different?
Miller, J. D., & Pilkonis, P. A. (2006) · American Journal of Psychiatry · doi:10.1176/ajp.2006.163.5.839 · Cited by 125 · see citing works
Rolland, J., & Fruyt, F. D. (2003) · European Journal of Personality · doi:10.1002/per.485 · Cited by 124 · see citing works
Verschuère, B., Grothe, S. V. G., Waldorp, L., Watts, A. L., Lilienfeld, S. O., Edens, J. F., Skeem, J. L., & Noordhof, A. (2017) · Journal of Abnormal Psychology · doi:10.1037/abn0000315 · Cited by 124 · see citing works
Kaufman, E. A., Cundiff, J. M., & Crowell, S. E. (2014) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-014-9441-2 · Cited by 131 · see citing works
Understanding Psychopathy Using the Basic Elements of Personality
Miller, J. D., & Lynam, D. R. (2015) · Social and Personality Psychology Compass · doi:10.1111/spc3.12170 · Cited by 121 · see citing works
Self-citationSleep, C. E., Lynam, D. R., Widiger, T. A., Crowe, M. L., & Miller, J. D. (2019) · Psychological Assessment · doi:10.1037/pas0000620 · Cited by 122 · see citing works
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Two Approaches to Parsing the Heterogeneity of Psychopathy
Brinkley, C. A., Newman, J. P., Widiger, T. A., & Lynam, D. R. (2004) · Clinical Psychology Science and Practice · doi:10.1093/clipsy.bph054 · Cited by 119 · see citing works
Self-citationRottman, B. M., Ahn, W., Sanislow, C. A., & Kim, N. S. (2009) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2008.08070972 · Cited by 117 · see citing works
- Authors
- Lynam, D. R., & Widiger, T. A.
- Affiliations
- University of Kentucky (US)
- Venue
- Journal of Abnormal Psychology
- Published
- 2001-08
- Volume
- 110
- Issue
- 3
- Pages
- 401-412
- ISSN
- 0021-843X (ISSN-L)
- 1939-1846
- OpenAlex
- W2132494154
- Cited by
- 688
- References
- 83
- Citations by year
- 2026: 9 · 2025: 9 · 2024: 13 · 2023: 23 · 2022: 24 · 2021: 18 · 2020: 63 · 2019: 38 · 2018: 46 · 2017: 38 · 2016: 25 · 2015: 32 · 2014: 25 · 2013: 33 · 2012: 51
- FWCI
- 15.17
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Abnormal Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (MH 60104, R01MH060104)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Keywords
- Big Five personality traits, personality disorders, DSM-IV personality disorders, personality disorder comorbidity, schizotypal personality disorder, dimensional personality assessment, personality disorder diagnosis
- MeSH terms
- Adult, Consensus Statements as Topic, Consensus Development Conferences as Topic, Diagnosis, Differential, Expert Testimony, Factor Analysis, Statistical, Female, Humans, Male, Middle Aged, Personality Disorders, Psychiatry, Psychology, Psychopathology, Surveys and Questionnaires, Observer Variation
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