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How are personality disorders related to compliance?
- Authors:
- GUDJONSSON Gisli H., MAIN Nicole
- Journal article citation:
- Journal of Forensic Psychiatry and Psychology (The), 19(2), June 2008, pp.180-190.
- Publisher:
- Taylor and Francis
The aim of this study was to investigate the relationship between personality disorders, as measured by the Millon Clinical Multiaxial Inventory - III, and compliance, as measured by the Gudjonsson Compliance Scale. A voluntary sample of 58 mentally disordered offenders residing in medium secure units completed both tests. Of these, 54 (93%) met a diagnosis threshold for either a trait or a disorder (50% met the full diagnosis for at least one personality disorder). The most common personality traits/disorders were avoidant, passive-aggressive, dependent, depressive, and paranoid. The presence or prominence of clinical syndrome/severe clinical syndrome was evident in 42 (72%) of the patients. As far as clinical syndromes are concerned, the most common diagnoses were anxiety, followed by drug dependence and alcohol dependence. Compliance correlated most significantly with dependent, avoidant, passive-aggressive, and masochistic personality disorder scores (Axis II), and with dysthymia, anxiety, and delusional disorders (Axis I). These findings support the hypothesis that compliance is more strongly associated with some personality disorders than others, particularly those in Cluster C, and that the primary link with compliance is through anxiety and low self-esteem.
An investigation into the factors that influence discharge-related anxiety in medium secure unit patients
- Authors:
- MAIN Nicole, GUDJONSSON Gisli H.
- Journal article citation:
- Journal of Forensic Psychiatry and Psychology (The), 16(2), June 2005, pp.277-295.
- Publisher:
- Taylor and Francis
This study examines discharge-related anxiety in a group of 65 patients resident in five medium secure units located in the South of England. The study is part of a larger investigation of non-compliance within medium secure unit environments. Participants completed standardised questionnaire measures of self-efficacy, self-esteem, anxiety and locus of control, together with a newly constructed questionnaire investigating anxiety relating to discharge. Results of ordinal regression procedures indicated that the main predictors of a general discharge-related anxiety scale were low self-esteem and perceived absence of social support, although on univariate analysis high trait anxiety also exerted a significant independent effect. The clinical implications of the findings are discussed.