📋😈 Quick Overview
This chapter continues the discussion of assessment tools, focusing on structured interviews (SCID-5-PD), detailed PCL-R factors, collateral information, and the debate between actuarial vs. clinical judgment.
📝 Key Structured Interviews
- SCID-5-PD: GOLD STANDARD for diagnosing personality disorders. 1-2 hours, requires trained clinician
- IPDE: International Personality Disorder Examination - 67 items, cross-cultural validity, ICD-10 & DSM-5 compatible
😈 PCL-R Two Factors
- Factor 1 (Interpersonal/Affective): Glibness, grandiosity, pathological lying, manipulative, lack of remorse, shallow affect, callous, failure to accept responsibility
- Factor 2 (Social Deviance/Lifestyle): Need for stimulation, parasitic lifestyle, poor behavioral controls, early problems, no long-term goals, impulsivity, irresponsibility, juvenile delinquency
- Additional: Promiscuous sexual behavior, short-term relationships, criminal versatility
📁 Collateral Information Sources
Police records, court documents, medical records, school records, employment records, family interviews, previous treatment providers.
📊 Actuarial vs. Clinical Judgment
- Actuarial: Statistical algorithms, more consistent, research-based, cannot adjust for unique factors, generally MORE ACCURATE
- Clinical: Clinician expertise, may vary, experience-based, considers individual differences, adds context