Title

The diagnostic efficiency of Axis II personality disorder criteria

Date of Award

1988

Availability

Article

Degree Name

Doctor of Philosophy (Ph.D.)

Department

Psychology

First Committee Member

Theodore Millon, Committee Chair

Abstract

Axis-II, personality disorder criteria outlined in DSM-III-R have been the focus of much investigation and criticism. While appreciable advances in our understanding have been made, there is still a considerable distance to travel before a fully comprehensive classification schema is obtained. The present study provided an empirical demonstration of the diagnostic efficiency and internal consistency of the criteria proposed in the DSM-III-R and in a systematic theoretical model proposed by Millon. The results of this study were three-fold. Initially, using a prototypic framework, eighteen of the more commonly occurring personality disorder subtypes were clinically defined by features representative of DSM-III-R and Millon's criteria. The results not only delineated the most efficient descriptors of these subtypes, but suggested that the current atheoretical stance of the DSM-III-R should be reconsidered. Second, the most descriptive diagnostic features were reflective of several clinical attributes. Hence, multi-level clinical analysis may prove most useful in fully characterizing and understanding diagnostic entities. Finally, the results of this investigation will contribute to the refinement of a newly devised clinician judgment rating form, the Millon Personality Diagnostic Checklist. The implications of this project were discussed with reference to revisions in the upcoming DSM-IV.

Keywords

Psychology, Clinical

Link to Full Text

http://access.library.miami.edu/login?url=http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:8827872