a Department of Psychology , University of Milano-Bicocca , Milano , Italy.
b Personality Disorders Lab, Parma-Milan , Italy.
J Pers Assess. 2018 Nov-Dec;100(6):621-629. doi: 10.1080/00223891.2018.1448985. Epub 2018 Apr 4.
We argue that clinical information related to an object-relations model of personality pathology can be used by untrained and clinically inexperienced students to rate personality-disordered patients on the Level of Personality Functioning Scale (LPFS). To do so, 73 clinically inexperienced undergraduate students were asked to assess personality functioning of 10 female inpatients using the LPFS from audio recordings of the Structured Interview of Personality Organization (STIPO). LPFS ratings showed acceptable interrater reliability. Moreover, LPFS ratings were significantly associated with external measures of severity of personality pathology (number of DSM-IV-TR personality disorders) as assessed by experienced clinicians. Finally, the students' ratings were also associated with the level of personality organization as measured by experienced clinicians using the STIPO. Our findings confirm that untrained raters can reliably assess personality pathology by rating the LPFS based on material from the STIPO. Implications related to the use of the STIPO as a tool for the assessment of personality pathology according to the DSM-5 Alternative model are discussed.
我们认为，与客体关系人格病理学模型相关的临床信息可以被未经训练且缺乏临床经验的学生用于根据人格功能水平量表（LPFS）对人格障碍患者进行评分。为此，73 名缺乏临床经验的本科生被要求使用人格组织结构访谈（STIPO）的音频记录来评估 10 名女性住院患者的人格功能。LPFS 评分显示出可接受的评分者间信度。此外，LPFS 评分与经验丰富的临床医生评估的人格病理学严重程度的外部测量（DSM-IV-TR 人格障碍的数量）显著相关。最后，学生的评分也与经验丰富的临床医生使用 STIPO 测量的人格组织水平相关。我们的研究结果证实，未经训练的评分者可以通过根据 STIPO 的材料对 LPFS 进行评分来可靠地评估人格病理学。还讨论了根据 DSM-5 替代模型将 STIPO 用作人格病理学评估工具的相关意义。
