A systematic assessment of the comorbidity of DSM-III-R personality disorders in alcoholic outpatients.

Department of Psychiatry, Queens Hospital Center, Jamaica, NY 11432.
Comprehensive Psychiatry (Impact Factor: 2.26). 11/1993; 34(6):447-54. DOI: 10.1016/0010-440X(93)90073-D
Source: PubMed

ABSTRACT To our knowledge, this is the first study to examine the systematic comorbidity of DSM-III-R personality disorders (PDs) in a sample of alcoholic outpatients. The extent and direction of overlap can provide a measure of heterogeneity and descriptive validity. Fifty sober alcoholic outpatients enrolled in a treatment program were assessed by Structured Clinical Interview for DSM-III (SCID) instruments for the presence of axis I and axis II disorders; 80% had either a coexistent axis I or II disorder, with 66% having an axis I disorder, 64% an axis II disorder, and 50% both axis I and II disorders. There were 84 PD diagnoses among the 32 PD patients (2.6/patient), with multiple diagnoses in 20 (62%). The most prevalent PD diagnoses were paranoid (44%), antisocial (20%), avoidant (20%), passive-aggressive (18%), and borderline (16%). Overlap was extensive and not confined to any one of the three designated axis II clusters. Poorer outcome was associated with the presence of PD. Personality variables may offer a means of further characterizing the heterogeneity observed in axis I disorders. Further refinement of the current system of PD classification and investigation into alternate models is needed.

  • Source
  • [Show abstract] [Hide abstract]
    ABSTRACT: The instability of a coherent (i.e., without misfit dislocations), epitaxial film with respect to surface shape modulation is, in the absence of growth, an activated process if the surface has a singular orientation, e.g., (001). If the misfit is small, the activation energy is very large and practically forbids the instability. It was recently pointed out by Tersoff that the nature of the instability is deeply modified by growth. In the case of a small misfit, Tersoff used the theory of capillary effects elaborated by Nozières and Gallet in 1987 to argue that the growing surface becomes linearly unstable as in the case of a non-singular surface. In the following pages, the effect of time is addressed in the case of singular, initially planar surface. It is claimed that the instability is neither linear, nor thermally activated, but of a third type. In fact, it appears after a well-defined time. To cite this article: J. Villain, C. R. Physique 4 (2003).
    Comptes Rendus Physique 01/2003; 4(1):201-206. · 1.64 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: The objective of this study was to provide a psychological profile of parents who have been formally accused of child maltreatment. A clinical group of 16 parents accused of physical abuse and 22 parents accused of neglect were compared with 18 parents from a control group. The MCMI-III was administered individually for each parent. Both groups of maltreatment showed significant differences on different scales of the MCMI-III. No difference was seen between the parents of both groups of child maltreatment. Many parents of both child maltreatment groups reported at least one form of abuse during their childhood, suggesting that a childhood marked by abuse or neglect on the part of a parent could result in personality disorders and that these disorders may have something to do with the intergenerational transmission of abuse.
    Journal of Family Violence 01/2011; 27(1). · 1.17 Impact Factor