How confusing an assessment might be? a case study in borderline personality disorder

Background: Accurate diagnosis especially in personality disorders has been always challenging to select the most appropriate intervention method. However, the consistency between diagnostic methods based on patient's self-report and methods based on the evaluation of clinicians is not satisfac...

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Main Authors: Mahmoud Hakimnia, Zohreh Rafezi
Format: Article
Language:fas
Published: Dr. Mahmoud Mansour publication 2021-04-01
Series:مجله علوم روانشناختی
Subjects:
Online Access:http://psychologicalscience.ir/article-1-1002-en.html
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author Mahmoud Hakimnia
Zohreh Rafezi
author_facet Mahmoud Hakimnia
Zohreh Rafezi
author_sort Mahmoud Hakimnia
collection DOAJ
description Background: Accurate diagnosis especially in personality disorders has been always challenging to select the most appropriate intervention method. However, the consistency between diagnostic methods based on patient's self-report and methods based on the evaluation of clinicians is not satisfactory. Aims: The present study aimed to investigate the consistency of diagnostic method based on clinician's evaluation and the method based on the patient's self-report to select the most appropriate diagnostic method. Method: The present study was a clinical case study. The data were obtained from a 30-year-old male client using Structured Clinical Interview (SCID-II; First et al., 1994), Millon Clinical Multiaxial Inventory-III (MCMI-III; Millon, 1994), and unstructured interview assessment tools, and were explanatorily analyzed. Results: According to the results, the client was diagnosed with borderline personality disorder to the SCID-II, and despite the profile validity, there was found no elevation at the borderline scale of the MCMI-III. Conclusions: No appropriate consistency was found between the method based on the evaluation of clinician and self-report-based method in this case study. In general, the results of the present study indicated that known and valid tests will not always lead to reliable results and the combination of several sources of evaluation is more appropriate and effective and result in more reliable results
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spelling doaj.art-654e7e48b41447228c7e628d73f201922023-03-14T19:59:19ZfasDr. Mahmoud Mansour publicationمجله علوم روانشناختی1735-74622676-66392021-04-012098259268How confusing an assessment might be? a case study in borderline personality disorderMahmoud Hakimnia0Zohreh Rafezi1 M.A. Student in Clinical Psychology, Faculty of Psychology and Educational Sciences, Allameh Tabataba’i University, Tehran, Iran Assistant Professor, Department of Clinical Psychology, Faculty of Psychology and Educational Sciences, Allameh Tabataba'i University, Tehran, Iran Background: Accurate diagnosis especially in personality disorders has been always challenging to select the most appropriate intervention method. However, the consistency between diagnostic methods based on patient's self-report and methods based on the evaluation of clinicians is not satisfactory. Aims: The present study aimed to investigate the consistency of diagnostic method based on clinician's evaluation and the method based on the patient's self-report to select the most appropriate diagnostic method. Method: The present study was a clinical case study. The data were obtained from a 30-year-old male client using Structured Clinical Interview (SCID-II; First et al., 1994), Millon Clinical Multiaxial Inventory-III (MCMI-III; Millon, 1994), and unstructured interview assessment tools, and were explanatorily analyzed. Results: According to the results, the client was diagnosed with borderline personality disorder to the SCID-II, and despite the profile validity, there was found no elevation at the borderline scale of the MCMI-III. Conclusions: No appropriate consistency was found between the method based on the evaluation of clinician and self-report-based method in this case study. In general, the results of the present study indicated that known and valid tests will not always lead to reliable results and the combination of several sources of evaluation is more appropriate and effective and result in more reliable resultshttp://psychologicalscience.ir/article-1-1002-en.htmldiagnosisborderline personality disordermillon clinical multiaxial inventory-iiistructured clinical interview.
spellingShingle Mahmoud Hakimnia
Zohreh Rafezi
How confusing an assessment might be? a case study in borderline personality disorder
مجله علوم روانشناختی
diagnosis
borderline personality disorder
millon clinical multiaxial inventory-iii
structured clinical interview.
title How confusing an assessment might be? a case study in borderline personality disorder
title_full How confusing an assessment might be? a case study in borderline personality disorder
title_fullStr How confusing an assessment might be? a case study in borderline personality disorder
title_full_unstemmed How confusing an assessment might be? a case study in borderline personality disorder
title_short How confusing an assessment might be? a case study in borderline personality disorder
title_sort how confusing an assessment might be a case study in borderline personality disorder
topic diagnosis
borderline personality disorder
millon clinical multiaxial inventory-iii
structured clinical interview.
url http://psychologicalscience.ir/article-1-1002-en.html
work_keys_str_mv AT mahmoudhakimnia howconfusinganassessmentmightbeacasestudyinborderlinepersonalitydisorder
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