Show simple item record

dc.contributor.authorMayo, Keith
dc.date.accessioned2012-05-09T18:12:09Z
dc.date.accessioned2015-10-01T18:58:48Z
dc.date.available2012-05-09T18:12:09Z
dc.date.available2015-10-01T18:58:48Z
dc.date.issued2012-05-09T18:12:09Z
dc.identifier.urihttp://hdl.handle.net/10484/3908
dc.description.abstractPrevious studies suggest that clinicians are prone to bias in diagnosing Borderline Personality Disorder(BPD)and that BPD symptoms elicit negative emotional reactions(NER)from clinicians.However,no studies have specifically examined the effect of NER on the diagnosis of BPD.This study examined the decision-making processes used when assigning a diagnosis of BPD,specifically,whether clinicians NER towards patients exhibiting BPD symptoms bias decision-making and result in misuse of the BPD diagnosis.A randomly-selected national sample of 98 licensed psychologists completed an Internet survey in which they read two case vignettes that were designed to elicit NER but were below threshold for a diagnosis of BPD.Participants rated the representatives of a series of Axis I and II diagnosis and rated their level of confidence;rated severity,prognosis,and the likelihood of the individual in the case benefiting from treatment;and rated the applicability of a series of symptoms for the case(including each of the DSM-IV criteria for BPD).They then rated the degree of NER felt toward the patient using two subscales of the Impact Message Inventory(IMI).Results provided moderate support for the prediction that participants who report higher levels of NER wold be more likely to diagnose BPD,would assign higher BPD representativeness ratings, and would rate the prognosis and likelihood of response to treatment lower.Predictions concerning the moderating effects of clinician variables(years of clinical experience,percentage of time spent in direct patient contact) were not supported,but clinician gender had significant effects on the diagnosis of BPD.The hypothesis that clinicians who were asked to assign diagnosis before rating symptoms(i.e a stimulated prototype approach)would be more prone to over-diagnosis of BPD was also not supported,but order of the cases had unexpected effects on the results.Implications for clinical training and directions for future research are discussed.
dc.description.statementofresponsibilityKeith Mayo
dc.language.isoen_US
dc.subject.lcshBorderline personality disorder.
dc.subject.lcshPersonality disorders--Diagnosis.
dc.subject.lcshBehavior therapists.
dc.subject.lcshClinical psychology--Research.
dc.titleDiagnosing borderline personality disorder:the effect of therapist's negative emotional reactions on diagnostic judgements.
dc.typeDissertation
dc.date.graduationmonthDecember
dc.date.published2006
dc.description.committeechairSprock, June
dc.description.committeemembersAnderson, Veanne
dc.description.committeemembersMurphy, Michael J.
dc.description.degreeDoctor of Psychology
dc.description.departmentDepartment of Psychology
dc.description.imprintCunningham Memorial library, Terre Haute,Indiana State University
dc.description.itemidetdILL-ETD-045
dc.description.levelDoctoral
dc.description.noteTitle from document title page. Document formatted into pages: contains 173 p.: ill. Includes abstract and appendix
dc.rights.accessrightsIf you are the author of this work and would like to have online access removed, please use the feedback form http://scholars.indstate.edu/feedback to contact us
refterms.dateFOA2021-06-02T11:37:57Z


Files in this item

Thumbnail
Name:
Diagnosing Borderline Personality ...
Size:
3.211Mb
Format:
PDF

This item appears in the following Collection(s)

Show simple item record