Open Door Review III

showed correspondences and an overlap with the factors derived from the psychoanalytic theory and the original factors of Westen and colleagues. This study confirms the importance of investigating the applicability of psychometric instruments in various clinical samples. The AREQ test can be used in the diagnostics and during the assessment of treatment. Special features of the sample (diagnostic interviews and therapy process data) as well as the raters' theoretical background are probably able to influence the resulting factor structure. The outcome of this study might be helpful for building up core concepts for the construction of new instruments. Currently, the conceptualization and treatment of personality pathologies are mainly theory driven. The resulting categorical classification of personality disorders leads to inaccurate diagnoses and is therefore being criticized by many researchers and clinicians. A consensus exists that in the upcoming edition of the DSM (DSM 5), the classification of personality disorders should rather adopt a dimensional approach, where patients are assessed depending on their character traits, inner-defense mechanisms, and interpersonal functioning. However, the basis (theoretical or empirical) of this classification-system is still a topic of dispute. This study presents assessment methods based on both theoretical and empirical assumptions.

PNT

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