M.A. / There is a critical lack of local, clinical research into this growing problem which threatens to affect all of our lives, either directly or indirectly. The last government-sanctioned study on substance abuse in South Africa was conducted in 1970, and very limited research reports have been published that have reflected on the etiology, maintenance and treatment of the problem, either from a social or therapeutic perspective. This dissertation sets out to address the clinical, therapeutic issues of Substance Abuse disorder, including alcohol, within a South African context. The assumption of the author is that pathological personality styles and disorders underlie the problem of substance abuse in South Africa, as has been established in countries with similar substance abuse issues around the world. As will be seen in the following chapter, a distinct relationship has been established between the disorder of substance abuse, on Axis I and the personality disorders of Axis II, according to the DSM III-R. 4 A review of the literature will demonstrate the different findings surrounding this relationship, and describe the role that pathological personality patterns play in the development and maintenance of Substance Abuse disorder. These pathological personality styles and disorders are then discussed in detail, from the perspective of Millon's theory of personality. It is felt by this author that Millon's theory of personality provides a comprehensive framework for the discussion of the underlying personality issues associated with addiction. The extensive description of Millon's personality styles and disorders, their close association to the personality disorders described in the Diagnostic and Statistical Manuals, and their easy quantification through the MCMI II make Millon's theory, coupled with his test of personality the most well suited theory to form a foundation for the discussion and integration of an understanding of the problems associated with substance abuse in South Africa. In order to determine the relevance of foreign- based studies in a South African context, a study into the personality profiles of South African substance abusers was conducted at three rehabilitation centers within the Gauteng province of South Africa.

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. / Arts, Faculty of / Psychology, Department of / Graduate

This thesis examines the role of psychopathy in violent female offending, and explores DSM-IV personality disorders that may also be a factor. Past research on female offenders and psychopathy suggest that this is a valid construct when looking at female offenders. This study was driven by two questions: which personality disorders are most common in adult female offenders who are psychopathic, and are adult female offenders who are psychopathic more likely to have been convicted of a violent offense than those who are not psychopathic, but have at least one personality disorder. The results indicate that Cluster B personality disorders were the most common, and Cluster C the least common. The results also showed that those women who were psychopathic were no more likely to have been convicted of a violent crime than those who had at least one personality disorder, but were not psychopathic. Treatment implications and the direction of future research are discussed.

<p>Both basic personality traits and clinical personality disorders have been studied in the context of a wide range of behaviors, including antisocial behavior and aggression. Although the five-factor model (FFM) has been examined in relation to several types of non-partner aggression, relatively few studies have assessed the relations between FFM traits and intimate partner aggression perpetration. Additionally, some work has suggested that there may be differential personality correlates of intimate partner aggression versus other forms of aggression, but none has directly compared these types of aggression in terms of their personality trait profiles. The present study, reviewed and approved by the Institutional Review Board, sought to answer those questions as well as critically evaluate the potential mediating role of basic traits in the relation between personality disorder (PD) symptoms and outcomes related to aggression and antisocial behavior. A total of 307 participants, recruited from Amazon Mechanical Turk (MTurk), completed a number of questionnaires assessing personality traits, PD symptoms, and various types of aggressive and antisocial behavior. Findings suggest that traits related to Agreeableness and Conscientiousness generally demonstrated the strongest and most consistent (negative) relations across all measures of aggression and antisocial behavior; however, Neuroticism-related traits also demonstrated moderate (positive) correlations with certain types of aggression. PD symptoms almost all predicted aggressive and antisocial behavior, and although ASPD and BPD were two of the most robust PD symptom correlates across aggression and antisocial behavior outcomes, they were not always the strongest PD symptom correlate for each behavior. Personality profiles were moderately similar across aggression subtypes, but some showed more convergence than others. Finally, relations between PD symptom counts and aggressive and antisocial behavior were largely accounted for by more basic personality traits.</p>

2 ABSTRACT In the Alternative DSM-5 Model for Personality Disorders (AMPD), the diagnosis of specific personality disorders is obtained through an evaluation of the level of impairment in personality functioning and an assessment of dimensional personality traits associated in 25 "lower order" facets and 5 "higher order" domains. The Personality Inventory for DSM-5 (PID-5) was developed for examination of personality traits within this system. This Ph.D. thesis covers five relevant publications regarding AMPD, particularly PID-5. First, the authors introduce the theoretical background of the PID-5. Attention is paid on its ease of use, data interpretation and use of these data for treatment planning in different clinical settings. Two empirical studies test PID-5 psychometric properties (internal consistency, validity, discrimination capacity and unidimensional structure) in the sample of community volunteers (n=351) and a clinical sample of psychiatric patients (n=143). PID-5 was administered individually and in a group setting using pen-paper method and online data collection. 33 respondents completed the inventory twice to check test-retest reliability. Authors presumed, evidence will be found to support internal consistency and convergent validity of the PID-5 personality trait domains, as well as their...

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This thesis deals with diagnostic methods for personality disorders - a questionnaire LPFS-BF 2.0 and a semi-structured interview STiP-5.1. Both methods assess the level of personality functioning from The DSM-5 Alternative Model for Personality Disorders. The main aim of that study is to compare a self-report method and a method based on clinical assessment on a sample of N = 30 non-psychiatric group and N = 30 clinical group. Diagnostic criteria for personality disorders in accordance with valid classification systems are presented in the theoretical part of the study, with an emphasis on benefits and limitations of the DSM-5 alternative model. Categorial and dimensional diagnostic approaches were compared and critically evaluated. Existing diagnostic methods for personality disorders were then discussed, structured interviews and questionnaires were analyzed more in detail. Specifics in use of self- report methods and structured interviews for assessing personality disorders were also discussed. In the empirical part a quantitative analysis was held to discover whether both methods mentioned above assess the same level of personality functioning, and also whether both methods differentiate between the control and clinical groups. The results have shown significant correlations between scores of...

This study examined emotional empathy and reasons for living in substance using college students. Participants included 49 males and 120 females, ages 18 to 54 years (M = 21.95) from undergraduate psychology classes. A packet containing a substance abuse scale, a short demographic, Balanced Emotional Empathy Scale (BEES), and Reasons for Living Inventory (RFL) was administered. The independent variables were gender and levels of substance use. The dependent variables were reasons for living scores and emotional empathy scores. A 2 (gender) X 3 (level of substance use) Analysis of Variance was used. For empathy, a main effect was found for gender but not for substance use. For RFL, no effects were found. Significant relationships between two demographics and dependent variables were non-hypothesized findings. Being arrested for a crime other than a minor traffic violation was related to low emotional empathy. Suicidal ideation was significantly related to fewer reasons for living.

(1) Problem: Previous evidence showed that parenting programs effectively reduce externalizing problems and disorders in children living in high-income countries. However, there was less evidence about the effectiveness of parenting programs in low- and middle-income countries (LMICs). In addition, there is a need for more studies that assess how parenting practices and family characteristics mediate the effects of parenting programs. The overall goal of this dissertation was to contribute to closing the gap in the evidence regarding the efficacy of parenting programs in and low- and middle-income countries. Also, this dissertation intended to increase the evidence regarding how parenting practice (i.e., supervision, parent child communication, and punishment) meditate the effects of parenting programs high-income and low- and middle-income countries. (2) Materials and methods: First, in chapter 2, I conducted a systematic review to synthesize the evidence regarding how parenting practices and family variables mediated the parenting programs effects. In chapter 3, I assessed the effect of Pilas program on child’s oppositional and conduct problems and aggressive behaviors. Also, I examined the mediating mechanism though parent-child communication, supervision, and punishment. Pilas was a multimodal program designed and implemented in Medellin Colombia. The program was evaluated through a cluster randomized control trial, including children aged 6-11 who were followed at baseline, 1-, and 3-year assessments. In chapter 4, I assessed how parent-child communication and supervision mediated the effect of Fast Track Project (FTP) on antisocial behaviors at grade 7 and 9, exploring the mediating mechanism of FTP in the early- and middle-adolescence. FTP is a multimodal intervention that aim to reduce conduct problem in childhood in four communities of the USA (Durham, NC, Nashville, TN, rural PA, and Seattle, WA.). (3) Results and conclusions: In the chapters 2, the systematic review showed that positive parenting and parental discipline had been the most studied mediators of parenting programs. However, there was limited evidence or methodological problems regarding other mechanisms (i.e., supervision, family functioning, parent-child relationships, harsh parenting, and ineffective discipline). In addition, few articles studied the medium (3-5 years follow-up) and long-term (more than 5 years) mediating mechanisms, and no articles assessed mediation mechanisms in low- and middle-income countries. Among, the most important methodological problems were the lack of control for confounding in the Mediator-Outcome pathway (M-Y pathway) and underreporting of the mediating results. In chapter 3, I presented the Pilas effects and mediated mechanisms. Children exposed to Pilas had 22% fewer conduct problems, 32% fewer oppositional problems, 36% less indirect aggression, 15% less total aggressive behaviors, and 22% less direct aggression. On the other hand, there were not program effects on child behaviors based on caregivers' reports. In addition, after three years of follow-up, Pilas reduced the number of psychological and psychical punishments reported by the children, but it did not have an effect on punishment as reported by caregivers. Pilas improved parent-restricted topics and role orienting reported by the caregivers. However, the Pilas effects were not mediated through the target mediators (supervision, parent-child communication, and punishment) so the mediation mechanisms remain unknown. Chapter 4 presented the medium- and long-term mediating mechanism of Fast-track project. I found that parent-child communication and supervision were not mediators of FTP effects on antisocial behaviors during early- and middle- adolescence. However, FTP improved antisocial behavior in early- and middle-adolescents and improve parenting practices such as parent-child communication and supervision. FTP reduced child antisocial behaviors in grades 7 and 9 and improved child communication and total communication and supervision variables, such as daily discussion of activities and curfew time. Finally, chapter 5 presented the most important dissertation findings and conclusions. There is evidence about the mediating mechanism of parenting programs. However, the evidence available is not conclusive and had multiple methodological weakness and underreporting. Pilas programs improved children’s conduct problems, oppositional problems and aggressive behavior and reduces punishment against the children. However, the program effect was not mediated through parenting practices. Regarding FTP, the program effects of antisocial behaviors were not mediated through parent-child communication and supervision during early- and middle- adolescence. Further studies should be conducted to enlarge the evidence about the effects of parenting programs on LMIC and research about how parent-child communication meditate the effects of parenting programs in both LMIC and HIC.

Psychological assessment relies on accurate and forthright reporting to determine valid clinical presentations. However, it has long been recognized that examinees may be motivated to present a "better picture" through Positive Impression Management (PIM). Within the PIM domain, two distinct motivations (i.e., defensiveness and social desirability) emerge that have not been clearly differentiated in empirical literature. This thesis addressed the research gap for detecting PIM distortion of personality pathology, utilizing the Personality Inventory for DSM-5 (PID-5). In this investigation, 106 psychiatric inpatients were recruited from the adult Co-Occurring Disorders and Trauma Programs at University Behavioral Health. Using a mixed within- and between-subjects design, participants engaged in simulation via scenarios to be considered for a highly valued rehabilitation program (defensiveness) or employment (social desirability). As expected, inpatients showed elevated levels of problematic personality traits when reporting genuinely, but suppressed them under PIM conditions. These findings highlight that the PID-5, like all multiscale inventories, is highly vulnerable to intentional PIM distortion. Interestingly, respondents in the social desirability condition generally engaged in more total denial than those in the defensiveness condition. Empirically- and theoretically-based validity scales were developed to identify simulators and differentiate between conditions. Besides PIM, higher levels of experienced stigma were associated with more personality pathology, particularly the domain of Detachment. In addition, ancillary analyses showed strong convergence of the PID-5 with its hierarchical trait model to the DSM-IV categorical model. Continued research to detect PIM distortion, and more importantly to differentiate between PIM motivations, is essential for accurate clinical assessment of personality disorder traits and effective treatment planning.