IPDE - Extranet Systems - World Health Organization

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ICD-10 criteria and corresponding <strong>IPDE</strong> items Paranoid personality disorder At least four of the following must be present: excessive sensitivity to setbacks and rebuffs 38 tendency to bear grudges persistently, e.g. refural to forgive insults, injuries. or slights 34 suspiciousness and a pervasive tendency to distort experience by misconstruing the neutral or friendly actions of others as hostile or contemptuous 35 a combative and tenacious sense of personal rights out of keeping with the actual situation 31 recurrent suspicions, without justification, regarding sexual fidelity of spouse or sexual partner 55 persistent self-referential attitude, associated particularly with excessive selfimportance 36 preoccupation with unsubstantiated "conspiratorial" explanations of events either immediate to the patient or in the world at large 57 Schizoid personality disorder At least four of the following criteria must be present: few, if any, activities provide pleasure 42 display of emotional coldness, detachment, or flattened affectivity 67 limited capacity to express either warm, tender feelings or anger toward others 39.44 an appearance of indifference to either praise or criticism 37 little interest in having sexual experiences with another person (taking into account age) 53 consistent choice of solitary activities 22 excessive preoccupation with fantasyand introspection 18 no desire for, or possession of, any close friends or confiding relationship (or only one) 19 marked insensitivity to prevailing social norms and conventions; disregard for such norms and conventions is unintentional 66 F60.2 Dissocial personality disorder At least three of the following must be present: (1) callous unconcern for the feelings of others 29 (2) gross and persistent attitude of irresponsibility and disregard for social norms. rules, and obligations 61
ICD-10 criteria and corresponding <strong>IPDE</strong> items (3) incapacity to maintain enduring relationships, though with no difficulty in establishing them 20 (4) very low tolerance to frustration and a low threshold for discharge of aggression. including violence 15.60 (5) incapacity to experience guilt, or to profit from adverse experience, particularly punishment 62. 64 (6) marked proneness to blame others, or to offer plausible rationalizations for the behaviour that has brought the individual into conflict with society 63 F60.3 Emotionally unstable personality disorder F60.30 impulsive type At least three of the following must be present, one of which must be (2): (1) marked tendency toact unexpectedly and without consideration of the consequences 58 (2) marked tendency to quarrelsome behaviour and to conflicts with others, especially when impulsive actsarethwarted or criticized 30 (3) liability to outbursts of anger or violence, with inability to control the resulting behavioural explosions 43 (4) difficulty in maintaining any course of action that offers no immediate reward l1 (5) unstableand capricious mood 50 F60.31 Borderline type At least three of the symptoms mentioned in Impulsive type (F60.30) must be present, with at leasttwo of the following in addition: (1) disturbances in and uncertainty about self-image, aims, and internal preferences (including sexual) 5,6,7,25,56 (2) liability to become involved in Intense and unstable relationships, often leading to emotional crises 26 (3) excessive effortsto avoid abandonment 48 (4) recurrent threatsor acts of self-harm 59 (5) chronic feelings of emptiness 45 F60.4 Histrionic personality disorders At least four of the following must be present: (1) self-dramatization, theatricality, or exaggerated expression of emotions 40 (2) suggestibility(the individual is easily influenced by others or by circumstances) 12 (3) shallow and labile affectivity 49 (4) continual seeking for excitement and activities in which the individual is the centre of attention 16.41
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Until recently, the standardization
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Assessment and diagnosis of persona
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Contents Contributors Preface Annan
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Contributors Dr Antonio Andreoli Ho
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Preface One of the major goals of t
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... Xlll Acknowledgements The IPDE
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Problems in the field of personalit
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5 Problems in the field of PD perso
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7 Problems in the field of PD In DS
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9 Problems in the field of PD cultu
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11 Review of diagnostic instruments
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19 Epidemiology of DSM-Ill PDs in c
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Table l. Prevalence rates of specif
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24 1. H. Reich and G. de Girolamo (
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26 .- 5 2 0 W C .- 0 P g F ? g e Q
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28 J. H. Reich and G. de Girolarno
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Table 3. Prevalence rates ofpersona
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Pfohl etal.. l986 (67) Pilgrim & Ma
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35 Epidemiology of DSM-Ill PDs were
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37 Epidemiology of DSM-Ill PDs migh
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39 Epidemiology of DSM-Ill PDs 23 R
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4 1 Epidemiology of DSM-Ill PDs 55
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43 International personality disord
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I 45 IPDE iner what he is actually
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47 IPDE Sample of IPDE item The que
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49 IPDE dimensional scores are not
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1 9 IPDE considerable training and
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53 Experiences with IPDE The invest
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55 Experiences with IPDE passive ag
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57 Field Trial
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59 Sampling, inte~iewers, interview
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Description of centres participatin
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63 Centres participating in IPDE fi
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P- P Table 1. Sample sizes and IPDE
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73 Results Table 3. ICD-I0 Disorder
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75 Results Table 5. Frequency of CO
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77 Results Table 8. Interrater reli
Page 90 and 91: Discussion and conclusions Armand W
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Page 94 and 95: 83 Discussion and Conclusions Repet
Page 96 and 97: Discussion and Conclusions of princ
Page 98 and 99: 87 Discussion and Conclusions Frequ
Page 100 and 101: 89 Discussion and Conclusions emoti
Page 102 and 103: 9 1 Discussion and Conclusions inte
Page 104 and 105: 93 Appendix Table A2 Persomlity dis
Page 106 and 107: 95 Appendix Table A4 Personality di
Page 108 and 109: 97 Appendix Table A6 Personaliry di
Page 110 and 111: 99 Appendix Table SA Personaliry di
Page 112 and 113: Table A10 Personality disorder diag
Page 114 and 115: 103 Appendix Table A12 Personality
Page 116 and 117: Table A13 (con?) Criterion B7 B8 1
Page 118 and 119: 107 Appendix Table A13 (cont) Frequ
Page 120 and 121: 109 Appendix Table A14 (cont.) Freq
Page 122 and 123: Acknowledgements 113 Manual History
Page 124 and 125: Manual History of the IPDE One of t
Page 126 and 127: 116 Manual Struchlre of the IPDE Th
Page 128 and 129: 118 Manual that is likely to enhanc
Page 130 and 131: 120 Manual data. If examiners have
Page 132 and 133: 122 Manual Scoring conventions Much
Page 134 and 135: 124 Manual Recording the scores Req
Page 136 and 137: 126 Manual Q. What do you do when s
Page 138 and 139: 128 Manual section, if there are qu
Page 142 and 143: 132 ICD-10 criteria and correspondi
Page 144 and 145: 134 IPDE ICD-10 module screening qu
Page 146 and 147: 136 Screening questionnaire 47 1 lo
Page 148 and 149: I 138 IPDE ICD-10 module* interview
Page 150 and 151: 140 Interview schedule 2. 0 1 2 7 0
Page 152 and 153: 142 Inte~iew schedule 4. O 1 2 I N
Page 154 and 155: 144 Interview schedule 6. O l Z ? 0
Page 156 and 157: 146 Interview schedule 8. 0 1 2 1 0
Page 158 and 159: 148 Interview schedule .10. 0 1 2 ?
Page 160 and 161: 150 Interview schedule 12. 0 1 2 7
Page 162 and 163: 152 lnte~iew schedule 14. 0 1 2 ? 0
Page 164 and 165: 154 Interview schedule 16. 0 1 2 ?
Page 166 and 167: 156 interview schedule 18. 0 1 2 ?
Page 168 and 169: 158 Interview schedule 20. O 1 2 N
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Page 176 and 177: 166 lntewiew schedule 28. 0 1 2 ? 0
Page 180 and 181: 170 lnte~iew schedule 32. O 1 2 7 N
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180 Interview schedule 42. 0 1 2 ?
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184 lnte~iew schedule 46. 0 1 2 7 0
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~ 186 Interview schedule 48. 0 1 2
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194 Interview schedule 56. 0 1 2 1
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196 Interview schedule VI. IMPULSE
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198 Interview schedule *60. 0 1 2 ?
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200 Interview schedule Have you eve
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202 Interview schedule 1 63. 0 1 2
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204 Intewiew schedule Rate the foll
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206 IPDE ICD-10 module handscoring
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+ 39+44=4, 208 Handscoring algorith
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210 Handscoring algorithms and summ
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IPDE ICD-10 module summary scoreshe
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224 Index paranoid 108 schizoid 108
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226 Index Personalily Assessment Sc
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