The purpose of the present study was to investigate the roles of basic personality traits, schema coping responses, and toxic childhood experiences on antisocial, borderline, and psychopathic characteristics. Considering the gap in the literature regarding the community samples, the present study also included a non-criminal, besides the criminal sample, in order to observe the differences among the associated variables related to the characteristics of suggested personality disorders. In this way, it was aimed to obtain a general idea about the protective factors from offending. Consequently, the non-criminal sample consisted of 146 participants (78 females and 68 males) and the criminal sample included 131 participants (42 females and 89 males. Data was collected through a demographic form and a package of inventories. In general, the results yielded that a dysfunctional family environment, whether traumatic or non-traumatic seems to play a crucial role in the development of characteristics of personality disorders. Moreover, basic personality traits and coping responses are also observed to affect the behavioral presentation of these characteristics. The findings of the present study is generally in line with the literature suggesting that, dimensional approach to personality disorders, by revealing the sub-clinical features and providing a deeper focus to the underlying dynamics in each personality disorder, have several implications in both clinical and forensic area. The results, as well as their implications and limitations, are discussed with reference to the recent literature. Finally, suggestions for further research are mentioned.

The purpose of the study was to examine the influences of basic personality traits, cognitive emotion regulation and interpersonal problems on the cognitive aspects of personality disorders. 1298 adult participants (411 males and 887 females) between the ages of 18 and 68 (M = 26.85, sd = 7.95) participated in the study. In the first part of the study, Inventory of Interpersonal Problems was adapted to Turkish, and psychometric properties of the adapted inventory as well as Cognitive Emotion Regulation Questionnaire and Personality Belief Questionnaire were analyzed and were found to have good validity and reliability characteristics. Differences in demographic variables and correlational data for the measures were examined. Direct and mediational models were used to investigate the relationship among basic personality traits, cognitive emotion regulation, interpersonal problems and personality disorder beliefs. The results revealed that openness and neuroticism were associated with positive and negative emotion regulation, respectively. Neuroticism, negative valence and catastrophization were associated with interpersonal problems positively whereas extraversion was associated with them negatively. In terms of personality psychopathology, neuroticism, catastrophization, blaming others, and being cold and domineering in relations were found to be positively associated with personality disorder beliefs. Furthermore, the effect of neuroticism and negative valence on personality disorder beliefs was mediated by interpersonal problems, with the effect of negative valence also being mediated by negative cognitive emotion regulation. The findings and their implications with suggestions for future research and clinical applications, were discussed in the light of relevant literature.

Borderline Personality Disorder (BPD) is one of the more common personality disorder diagnoses observed in psychiatric inpatients and outpatients. Previous studies have found that individuals with BPD may be expected to experience difficulties throughout their lifetimes and they may repeatedly return for psychological treatment. Whereas previous studies have attempted to identify various factors related to relapse in other chronically recurring disorders such as depression, schizophrenia, and substance abuse, studies examining factors associated with relapse in BPD, and personality disorders in general, are absent from the scientific literature. This exploratory study examined whether specific risk and protective factors (dynamic and/or static) identified from the general relapse literature were associated with diagnostic relapse in BPD. Results revealed that variables related to an increased likelihood for BPD relapse included: substance abuse or Major Depressive Disorder, higher Neuroticism, and lower Conscientiousness. In addition, having a steady work or school status after remission was found to protect against a BPD relapse in the presence of various risk factors. Although this study has several limitations, these results provide some of the first insights to the processes of relapse and continued remission in BPD patients. Continued research efforts in this area can help to identify individuals who are at a greater risk for BPD relapse and potentially to design effective relapse-prevention strategies for the treatment of BPD.

Thesis (Ph. D.)--University of Missouri-Columbia, 2001. / Typescript. Vita. Includes bibliographical references (leaves 122-134). Also available on the Internet.

Thesis (Ph. D.)--University of Missouri-Columbia, 2001. / Typescript. Vita. Includes bibliographical references (leaves 122-134). Also available on the Internet.

Section A consists of a literature review which explores the concept of recovery and its relevance for women who have been detained in a secure setting and diagnosed with a personality disorder. Section B presents the findings of a study to explore the concept of recovery in women diagnosed with personality disorder in a secure unit. Six semi- structured interviews, conducted with women diagnosed with personality disorder and experience of being detained in secure accommodation, were analysed using Interpretative Phenomenological Analysis. Analysis of the transcripts revealed five master themes: recovering; centrality of relationships; assuming responsibility for own care; evolving an identity; understanding of the mental health experience. The study concludes that, as far as is consistent with a secure setting, women should be given maximum opportunity to participate in decisions about their own care. Staff should be creative in providing opportunities for the women to engage in meaningful activities that promote a positive identity. Education with respect to personal recovery and the presentation and aetiology of personality disorder may support more caring and hopeful relationships between staff and service users, within which recovery can be facilitated. Section C involves a critical appraisal of the study.

Dropout from therapy for personality disorder (PD) represents a clinically-important but poorly understood phenomenon in the existing literature. The present grounded theory study explores the experiences of clients with PD, and their therapists, of treatment dropout from a National Health Service outpatient psychotherapy service, specialising in psychodynamic interventions for PD. Pre-therapy questionnaires for 20 clients were initially reviewed to generate hypotheses about the differences between treatment dropouts and completers, before a focus group was conducted with six therapists to explore their beliefs about and experiences of client dropout. Finally, six individual interviews were conducted with clients with PD, five of whom had dropped out from therapy at the host service. The final model highlighted the importance of clients’ treatment expectations, how they perceived their therapist’s behaviour, and their interpersonal history in making decisions about whether to stay in or drop out of therapy. The impact of therapy endings upon clients is also discussed, as well as therapists’ beliefs about managing complex clients, both individually and within a team, under current financial and clinical pressures. The findings are then discussed in relation to existing theory and research, and the clinical implications and limitations of the study are presented.

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The purpose of this study was to evaluate the reliability and validity of the Psychopathy Checklist-Revised (PCL-R) for use with a female population. Seventy-five women who were either incarcerated or on probation were assessed using interview and file information. In addition, all subjects completed a battery of self-report inventories that were theoretically relevant to the PCL-R. The results strongly supported the appropriateness of the PCL-R for use with female offenders. The psychometric properties were excellent indicating a homogeneous and unidimensional scale. The factor analysis confirmed a two factor structure representing two distinct aspects of psychopathy; the personological and behavioural dimensions. The pattern of correlations obtained from the self—report inventories was highly similar to that obtained with male samples, further suggesting that the same construct is being measured in both sexes. The implications of these findings in terms of the construct of psychopathy and explanations of women’s criminality are discussed as well as future research and practical implications.

The current thesis tests empirically the relationship of the dimensional trait model proposed for the fifth edition of the American Psychiatric Association’s (APA) Diagnostic and Statistical Manual of Mental Disorders with five-factor models (FFM) of personality disorder (PD). The DSM-5 Personality and Personality Disorders Work Group proposes to diagnose the disorders largely in terms of a 25 trait dimensional model organized within five broad domains (i.e., negative affectivity, detachment, antagonism, disinhibition, and psychoticism). Consistent with the authors of DSM-5, it was predicted that negative affectivity would align with FFM neuroticism, detachment with FFM introversion, antagonism with FFM antagonism, disinhibition with low FFM conscientiousness and, contrary to the authors of DSM-5, psychoticism would align with FFM openness. Suggested changes in trait placements according to FFM of PD research were also tested. Four measures of five factor models of general personality were administered to 445 undergraduates along with the Personality Inventory for DSM-5. The results of the present study provided support for the hypothesis that all five domains of the DSM-5 dimensional trait model are maladaptive variants of general personality structure, including the domain of psychoticism; however, the findings provided mixed support for suggested trait placement changes in the DSM-5 model.