ISSN:
1433-8491
Keywords:
Premorbid personality
;
Personality assessment
;
Case histories
;
Psychoses
;
Neuroses
;
Personality disorders
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Summary A method for the assessment of six premorbid personality types from biographical data in psychiatric case histories is described. Trained raters have to fill in a list comprising 106 items as descriptors of a patient's premorbid behavioural development. The assignment to the types in question (the “manic type” and its rare variant, the “happy-go-lucky type”, the “melancholic type”, the “anxious insecure type” and its rare variant, the “unrealistic dreamy type”, and finally, the “nervous tense type”) is computed on the basis of the item scores by forming type scores and comparing their height intraindividually. The subject under study is assigned to the type reaching the comparatively highest value. Two raters independently analyzed 261 records from which all information on mental disorders in family members and the patient himself/herself as well as all biographical data from the first manifestation of a symptom disorder onwards had been erased by technical assistants. In 106 of the records, a global assignment to the types of premorbid personality had already been performed by one of the authors of the typology. The scores for the same type assessed by the two ratings correlated highly with each other (0.77 to 0.80), the concordance of types reached a kappa-value of 0.55 (P〈0.001), and the results of the operationalized typing agreed in the same order with the result of global typing in the subsample ofn=106. The distributionof types over clinical groups (affective, schizoaffective, and schizophrenic psychoses, neurotic and personality disorders) deviated significantly from chance expectancy, well in accord with clinical expectancy and, as far as available, with results of prospective studies on premorbid personality. This points to the clinical validity of the procedure which can therefore be recommended as an adjunct to the questionnaire approach with its limitations regarding diagnostic and prognostic (predictive) validity.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF02191584
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