Is it in your basic personality?' Negotiations about traits and context in diagnostic interviews for personality disorders

Datos Bibliográficos

ID5131998
AutoresMaarit Lehtinen (0000-0003-1905-0334, University of Helsinki, autor de correspondencia), L Voutilainen (0000-0002-1021-7647, University of Helsinki), Anssi Peräkylä (0000-0003-1633-1966, University of Helsinki, Finland; Freiburg Institute for Advanced Studies, Germany)
Año2023
Volumen27
Número6
Páginas1033-1058
Fecha de publicación2023-11-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaHealth An Interdisciplinary Journal for the Social Study of Health Illness and Medicine (JOURNAL)
Identificadores de la revistaISSN: 1363-4593 • E-ISSN: 1461-7196
EditorialSAGE Publications Inc (PUBLISHER)
DOI10.1177/13634593221094701
PMID35608173
OpenAlexW4281382785
IdiomaEN
Citas recibidas1
Referencias citadas36

What does it mean to claim that somebody's personality is disordered? The aim in this paper is to examine how the process of diagnosing personality disorders (PD) unfolds on a practical level. We take an in-depth look at PD interviews, paying close attention to the occasional discrepancies in the clinicians' and the patients' approaches to generalising the behaviour of patients to describe their personality. Clinicians are guided by the medical model and structured interviews in their approach. We regard the interview situation as interplay between the institution, the clinician and the patient - and the final diagnosis as an interactional construction between them. Our data consists of video-recorded interviews in Finland with 10 adult patients and three psychiatric nurses. The collection was compiled from 22 excerpts in which the participants orient differently to the generalisability of personality traits. Our observations show that, in these interviews, patients frequently make sense of their behaviour differently from what is expected - not as a reflection of their personality traits, but as an outcome of many situational factors. Our understanding leads us to emphasise the importance of making visible the practices that shape the diagnostic process in psychiatry

Big Five personality traits · Institution · Negotiation · Personality · Personality disorders · Situational ethics · Sociology · Applied Psychology · Clinical Psychology · Mental Health and Psychiatry · Personality Disorders and Psychopathology · Psychology · Psychotherapy Techniques and Applications · Social Psychology