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Title: An Investigation of Personality Disorder Diagnostic Practice in ~ Cohort of Psychiatric Outpatients
Author: Ruthenberg, David Leslie
ISNI:       0000 0001 3542 2906
Awarding Body: University of Essex
Current Institution: The University of Essex pre-October 2008
Date of Award: 2008
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There were two related aims to this study one conceptual the other empirical. The conceptual component provided a socio-historical reading of the concept of personality disorder from sources in the. Enlightenment to its position in contemporary clinical psychiatry and psychology. Such a reading was aimed at providing a social and historical backdrop to the acknowledged problems with the concept clinically. Current debate around modification and re-conceptualisation of its definition in clinical areas was also presented with reference to the dimensional versus categorical debate.The empirical aims of the study were intended to test the degree of relationship between clients view of themselves 'diagnostically' on a personality disorder self-report measure, the MCMI, with how those clients were perceived diagnostically from a personality disordered perspective by their clinicians. One hypothesis tested the frequency of clinically made PD diagnoses relative to the frequency of PD profiles emerging on. self-reporting. Other hypotheses focussed on Borderline PD (BPD) and Anti-social PD (ASPD). BPD hypotheses aimed to test whether an excessive skew towards this diagnosis in women exists and whether self-harm served as a disproportionate single definitive criterion. The thesis tested the hypothesis that Anti-social PD (ASPD) is excessively skewed towards aggressive men and that aggression serves as a single defining diagnostic criterion. While not intended to be a diagnostic reference, it was hypothesised that the self-report measure would reveal greater clinical complexity relative to clinicians approaches to both diagnoses..
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (D.Clin.Psy.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available