🔑 Key Definitions
SCID-5-PD: Structured Clinical Interview for DSM-5 Personality Disorders - GOLD STANDARD for PD diagnosis, 1-2 hours, trained clinician required
IPDE: International Personality Disorder Examination - 67 items, cross-cultural validity, 2 hours
Collateral Information: Information from sources other than the individual being assessed
😈 PCL-R Factor 1 (Interpersonal/Affective)
- Glibness/superficial charm
- Grandiose self-worth
- Pathological lying
- Conning/manipulative
- Lack of remorse/guilt
- Shallow affect
- Callous/lack of empathy
- Failure to accept responsibility
😈 PCL-R Factor 2 (Social Deviance/Lifestyle)
- Need for stimulation/boredom proneness
- Parasitic lifestyle
- Poor behavioral controls
- Early behavioral problems
- Lack of realistic long-term goals
- Impulsivity
- Irresponsibility
- Juvenile delinquency
- Revocation of conditional release
📁 7 Sources of Collateral Information
- 1. Police records
- 2. Court documents
- 3. Medical records
- 4. School records
- 5. Employment records
- 6. Family interviews
- 7. Previous treatment providers
💡 Exam Tips
- SCID-5-PD = GOLD STANDARD for PD diagnosis
- PCL-R has TWO factors: Factor 1 (Interpersonal/Affective) & Factor 2 (Social Deviance)
- Collateral info important to: Verify self-report, identify minimization, see patterns, fill gaps
- ACTUARIAL approach is generally MORE ACCURATE than clinical judgment
- Report sections: Referral question, background, methods, observations, results, diagnosis, recommendations
- Ethical considerations: Informed consent, competence, objectivity, confidentiality, accurate reporting