Results: Differences between the CHR, PD, and clinical groups showed that CHR adolescents had pervasive and more clinically relevant schizoid, schizotypal, borderline, and avoidant traits, as well as poorer adaptive functioning. Methods: One hundred and twenty-three psychiatrists and psychologists used a Q-sort procedure to assess personality traits and disorders in 58 (30 male mean age = 16 years, range = 13–19 years) CHR adolescents and two gender- and age-matched samples, respectively, with ( n = 60) and without PDs ( n = 59). We aimed at exploring the PD traits of CHR adolescents, in order to outline a prototypic description of their most frequently observed personality characteristics. Personality pathology could significantly influence CHR patients' prognosis and response to treatment. Our understanding leads us to emphasise the importance of making visible the practices that shape the diagnostic process in psychiatry.Īims: Recent meta-analytic data show that approximately 40% of individuals at clinical high risk for psychosis (CHR) receive at least one personality disorder (PD) diagnosis. Our observations show that, in these interviews, patients frequently make sense of their behaviour differently from what is expected – not as a reflection of their personality traits, but as an outcome of many situational factors. The collection was compiled from 22 excerpts in which the participants orient differently to the generalisability of personality traits. Our data consists of video-recorded interviews in Finland with 10 adult patients and three psychiatric nurses. We regard the interview situation as interplay between the institution, the clinician and the patient – and the final diagnosis as an interactional construction between them. Clinicians are guided by the medical model and structured interviews in their approach. We take an in-depth look at PD interviews, paying close attention to the occasional discrepancies in the clinicians’ and the patients’ approaches to generalising the behaviour of patients to describe their personality. What does it mean to claim that somebody’s personality is disordered? The aim in this paper is to examine how the process of diagnosing personality disorders (PD) unfolds on a practical level. Meanwhile, 70% (n=7) of patients with a clinical diagnosis of ICD-10 schizotypal disorder did not meet the criteria for this disorder when assessed with the SCID-5-PD.Ĭonclusions: When considering a differential diagnosis within the schizophrenia spectrum, outcomes from the SCID-5-PD should be interpreted cautiously. In contrast, of all patients with a clinical diagnosis outside the schizophrenia spectrum, only one patient qualified for a diagnosis of personality disorder with the SCID-5-PD. Results: 55% (n=11) of patients with clinical diagnosis within the schizophrenia spectrum were allocated one or more diagnoses of personality disorder according to the SCID-5-PD, primarily borderline personality disorder (n=6). Subsequently, the patients were assessed with the SCID-5-PD by specifically trained novice raters. Methods: A random sample of a total of 30 psychiatric in- and outpatients (mean age = 34 ± 16, 17 males and 13 females) went through a comprehensive clinical assessment conducted by experts. The aim of this study is to compare the diagnostic outcomes of the SCID-5-PD with expert clinical assessment in an ICD-10 setting. Background: The SCID-5-PD is frequently used to diagnose personality disorders.

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