Скачать или смотреть Assessment of Personality: Practical Assessment in a Short Timeframe

Explore practical personality disorder assessment. Gain clinical insights into self and interpersonal functioning for nuanced psychiatric diagnosis.
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0:00 Intro to Personality Assessment
5:28 DSM-5 Alternative Model for Personality Disorders
6:02 What Is Personality
10:38 Personality – A Two-Step Process
14:52 Listening with the Third Ear
20:57 Sensitive Signs
22:24 Self-Functioning
30:52 Interpersonal Functioning
38:10 Complex Trauma vs Personality
40:40 Confirmatory Phase
48:55 Level 1 vs Level 3
53:25 Formal Testing
1:02:00 Summary
1:04:42 Outro

Ever find yourself grappling with complex cases that defy easy categorization? This episodes dives into the practical assessment of personality.

This episode guides us through making a psychiatric diagnosis of personality disorders, particularly for the "run of the mill med management person" with limited time. Forget diagnosing off "vibes only" or ignoring personality pathology altogether. We're moving beyond simplistic labels like borderline personality disorder based purely on self-harm, or antisocial personality disorder solely on arrest records.

The focus today is on a more nuanced, practical assessment of personality, specifically utilizing the Alternative Model for Personality Disorders (AMPD) from the DSM-5. Why? Because, it’s an APA-approved, coexisting, and valid model that offers a dimensional approach, which is often more reflective of real-world patient presentations than the rigid categorical model of 10 unique disorders. Our goal is to keep this psychology education practical and grounded.

So, what is personality? It's a collection of habits and responses in how we react to others, ourselves, and situations, informed by innate characteristics and development. When assessing for a personality disorder, we need to consider both the patient's current state (observed during the mental status exam and clinical interviewing) and their life course or psychosocial history. This means looking at patterns present across settings and over time.

"Sensitive" signs involve "listening with the third ear"—observing not just what patients say, but how they act, what they don't say, how they interact with you (e.g., excessive compliments, fearfulness), and crucially, your own countertransference (your internal emotional reaction – feeling bored, agitated, etc.). Honing this "instrument" takes time and reflection, comparing your reactions across many patients.

The Alternative Model (AMPD) breaks down personality functioning into two main areas: Self and Interpersonal.

Self-Functioning includes:

Identity: The experience of oneself as unique, with clear boundaries, stable self-esteem, accurate self-appraisal, and the capacity to regulate emotions. This is often gleaned from the chief complaint and illness course.
Self-Direction: The ability to pursue coherent life goals using constructive, pro-social standards and productive self-reflection. Here, the psychosocial history is key. We explore school performance, early misbehaviors, conflicts with authority, work history (longest job, gaps, reasons for leaving), adherence to personal values, and legal history (juvenile issues, adult incarcerations, understanding conduct disorder criteria).
This detailed approach to personality assessment, emphasizing self-functioning and (as we'll likely explore further) interpersonal functioning (empathy and intimacy), helps clinicians and mental health professionals develop a more robust and nuanced understanding. It's about moving towards a more accurate psychiatric diagnosis to ultimately improve patient care and mental wellness, equipping you with better therapist tools for everyday practice. Join us as we unpack these vital concepts for a more effective clinical psychology approach.