Assessment and Diagnosis of Personality Disorders: The ICD-10 International Personality Disorder

239 Pages·2007·14.99 MB·English

by  Armand W. Loranger, Aleksandar Janca, Norman Sartorius

Until recently, the standardization of diagnosis and assessment of per-
sonality disorders has lagged considerably behind that for most other
mental disorders. The IPDE is a new instrument which can produce
through its two modules diagnoses in accordance with both ICD-10 and
DSM-IV criteria. The IPDE is a semistructured clinical interview that
provides a means of arriving at the diagnosis of major categories of per-
sonality disorders and of assessing personality traits in a standardized
and reliable way. It is unique in that it secures reliable information in dif-
ferent cultural settings. Written by leading international authorities, this
volume forms an invaluable reference manual to the IPDE instrument.
Its first section includes an overview of the results of the worldwide field
trials of the interview and discussion of the current status of diagnosis
and assessment research. The second section detailing the full interview
schedule and scoring system for the instrument will further facilitate its
use by both clinician and researcher.
Assessment and diagnosis of personality disorders
Assessment and diagnosis of
personality disorders
The ICD-10 international personality
disorder examination (IPDE)
Edited by
Armand W. Loranger, Cornell University Medical College,
Aleksandar Janca, World Health Organization,
and
Norman Sartorius, University of Geneva
CAMBRIDGE
UNIVERSITY PRESS
CAMBRIDGE UNIVERSITY PRESS
Cambridge, New York, Melbourne, Madrid, Cape Town, Singapore, Sao Paulo
Cambridge University Press
The Edinburgh Building, Cambridge CB2 8RU, UK
Published in the United States of America by Cambridge University Press, New York
www.cambridge.org
Information on this title: www.cambridge.org/9780521580434
© World Health Organization 1997
This publication is in copyright. Subject to statutory exception
and to the provisions of relevant collective licensing agreements,
no reproduction of any part may take place without the written
permission of Cambridge University Press.
First published 1997
This digitally printed version 2007
A catalogue record for this publication is available from the British Library
Library of Congress Cataloguing in Publication data
Assessment and diagnosis of personality disorders: the International Personality Disorder
Examination (IPDE)/edited by Armand W. Loranger, Aleksandar Janca, and Norman
Sartorius.
p. cm.
Includes index.
ISBN 0-521-58043-9 (hardback)
1. International Personality Disorder Examination. 2. Personality disorders-Diagnosis.
I. Loranger, Armand W. (Armand Walter), 1930- . II. Janca, A. III. Sartorius, N.
[DNLM: 1. Personality Disorders — diagnosis. 2. Psychiatric Status Rating Scales.
3. Personality Assessment. WM 190 A846 1997]
RC544.A87 1997
616.85'8-dc21 96-45992 CIP
DNLM/DLC
for Library of Congress
ISBN 978-0-521-58043-4 hardback
ISBN 978-0-521-04166-9 paperback
VII
Contents
Contributors ix
Preface
Armand W. Loranger, Aleksandar Janca and Norman Sartorius xi
Acknowledgements xi
I Background and Field Trial
Background
Problems in the field of personality disorders 3
Alv A. Dahl and Antonio Andreoli
Review of diagnostic instruments for the assessment of personality
disorders
Armand W. Loranger 10
Epidemiology of DSM-III personality disorders in the community
and in clinical populations
James H. Reich and Giovani de Girolamo 18
International personality disorder examination (IPDE)
Armand W. Loranger 43
Experiences with the IPDE
Alv A. Dahl and Antonio Andreoli 52
Field Trial
Sampling, interviewers, interview procedures
Werner Mombour 58
viii Contents
Description of centres participating in the IPDE field trial
Aleksandar Janca and Charles Pul 61
Results
Armand W. Loranger 70
Discussion and conclusions
Armand W. Loranger 79
Appendix
II International personality disorder examination (IPDE) ICD-10 module
Acknowledgements 13
Manual 14
History of the IPDE 14
ICD-10 and DSM-IV 15
Translations of the IPDE 115
Structure of the IPDE 16
Scope of the IPDE 17
Appropriate subjects 18
Limitations of the IPDE 118
Examiner qualifications and training 120
Administration of the IPDE 121
Scoring conventions 12
Recording the scores 124
Computer scoring 124
Handscoring 125
Frequently asked questions about the administration of the IPDE 125
Abbreviating the IPDE 127
Reliability and validity of the IPDE 128
References 129
ICD-10 criteria and corresponding IPDE items 130
IPDE ICD-10 module screening questionnaire 134
IPDE ICD-10 module screening questionnaire scoring summary 137
IPDE ICD-10 module interview schedule 138
IPDE ICD-10 module answer sheet 205
IPDE ICD-10 module handscoring algorithms and summary
scoreshet 206
Index 23
IX
Contributors
Dr Antonio Andreoli
Hopital cantonal
Unite d'urgences psychiatriques
Rue Micheli-du-crest 24
1211 Geneva 14
Switzerland
Tel: [phone]; Fax: [phone]
DrAlvA.Dahl
Department of Psychiatry
University of Oslo
P.O. Box 85
Vinderen
0319 Oslo 3
Norway
Tel: [phone]; Fax: [phone]
Dr Giovanni de Girolamo
Servizio Salute Mentale
Viale Popoli 5
50123 Bologna
Italy
Tel: [phone]; Fax: [phone]
Dr Aleksandar Janca
Division of Mental Health and Prevention of Substance Abuse
World Health Organization
20 Avenue Appia
1211 Geneva 27
Switzerland
Tel: [phone]; Fax [phone]