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  • Title: Under the axis II radar: clinically relevant personality constellations that escape DSM-IV diagnosis.
    Author: Blagov PS, Bradley R, Westen D.
    Journal: J Nerv Ment Dis; 2007 Jun; 195(6):477-83. PubMed ID: 17568295.
    Abstract:
    Research suggests that personality pathology lies on a continuum from relatively severe to less severe and that subthreshold variants may not be adequately captured by axis II of DSM-IV. In this study, we used a measure of personality and psychopathology designed for experienced clinical observers (the SWAP-200) to derive subthreshold personality constellations in a sample of 159 psychotherapy patients who were high functioning but nevertheless suffered from maladaptive personality patterns. Using Q-factor analysis (an empirical clustering procedure), we identified 4 diagnostic groupings or SPC, which resembled the clinical concept of "neurotic styles": depressive, hostile-competitive, obsessive, and hysterical. The results of this study should stimulate further research on subthreshold personality configurations.
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