Clinicians' Personality Descriptions of Prototypic Personality Disorders
Abstract
Many studies have indicated close convergence of the DSM-IV personality disorders and the five-factor model (FFM) of personality functioning. However, questions have been raised concerning the ability of clinicians to describe personality disorders in terms of the FFM. This study developed a FFM description by practicing clinicians of each DSM-IV personality disorder. Clinicians rated a prototypic case of each DSM-IV personality disorder in terms of the FFM. These ratings, which achieved excellent reliability, were then averaged to produce a consensus FFM profile for each personality disorder. The consensus ratings showed good agreement with previous research that examined both researchers' and clinicians' application of the FFM to prototypic cases of personality disorders. These results suggest that clinicians can conceptualize and apply the FFM to personality disorders in a consistent way. The results further suggest that the FFM may provide a richer and more comprehensive description of personality difficulties than the current DSM-IV personality disorder categories.
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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 Samuel & Widiger 2004
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- Authors
- Samuel, D. B., & Widiger, T. A.
- Affiliations
- University of Kentucky (US)
- Venue
- Journal of Personality Disorders
- Publisher
- Guilford Publications
- Published
- 2004-06
- Volume
- 18
- Issue
- 3
- Pages
- 286-308
- ISSN
- 0885-579X (ISSN-L)
- OpenAlex
- W2127857608
- Cited by
- 192
- References
- 8
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 3 · 2023: 7 · 2022: 8 · 2021: 2 · 2020: 11 · 2019: 11 · 2018: 16 · 2017: 11 · 2016: 5 · 2015: 11 · 2014: 11 · 2013: 10 · 2012: 20
- FWCI
- 4.05
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Personality Disorders (publishedVersion)
- PubMed (publishedVersion)
- 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
- personality disorders, Big Five personality traits, DSM-IV personality disorders, clinician ratings, personality disorder classification, personality functioning
- MeSH terms
- Adult, Aged, Clinical Competence, Diagnosis, Differential, Humans, Middle Aged, Models, Psychological, Personality Disorders, Practice Patterns, Physicians', Psychology, Clinical, Surveys and Questionnaires, United States, Observer Variation
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