Severe personality disorder emerging in childhood: a proposal for a new developmental disorder

Vizard, Eileen; French, Lesley; Hickey, Nicole; Bladon, Emily

doi:10.1002/cbm.557

Cited by 24 publications

(9 citation statements)

References 35 publications

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“…A followup study of males who had been aggressively antisocial in childhood, but had shown little delinquency in adolescence, reported that at age 26 they tended to be socially isolated and to have adjustment and mood problems and financial difficulties, rather than severe antisocial behaviour per se . Vizard et al (2004) propose the existence of severe personality disorder in children and adolescents, on the basis of studies of the characteristics of young people who have committed sexual assaults or other serious crimes. They hypothesise that callous and unemotional personality traits arise as a consequence of a combination of genetic, perinatal and early developmental difficulties which become progressively more disabling as the individual matures.…”

Section: Offending and Personality Disorder In Adolescentsmentioning

confidence: 99%

Personality disorder in adolescence

Adshead¹,

Brodrick²,

Preston³

et al. 2012

Adv. psychiatr. treat

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SummaryThere is considerable debate about the diagnosis of personality disorder in adolescence. It is argued that, because personality is still developing in the teenage years, it is impossible to state with certainty that a young person's personality is disordered. Alternatively, some researchers and clinicians argue that it is possible to diagnose emerging personality disorder on the basis of trait theories of personality. We review the evidence for both sides of the debate.

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Section: Offending and Personality Disorder In Adolescentsmentioning

confidence: 99%

Personality disorder in adolescence

Adshead¹,

Brodrick²,

Preston³

et al. 2012

Adv. psychiatr. treat

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“…Existe de un 25% a un 60% de historia de trastorno disocial (TD) y trastorno negativista desafiante (TND) en todos los trastornos psiquiátricos adultos [1][2][3] . En cuanto a los TP, hay evidencias de signos tempranos en la infancia que evolucionarían a rasgos desadaptativos de personalidad en la vida adulta 4 .…”

Section: Introductionunclassified

Estudio sobre aspectos etiológicos de la patología dual

Barea¹,

Benito²,

Real³

et al. 2010

Adicciones

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Introduction:It is important to assess the interaction between family psychopathologic history (FH), family dynamics (FD), behavior disorders, substance-use disorders and personality disorders (PD). Methodology: Cross-sectional design. The sample was made up of 350 subjects with substance-use disorders who were assessed for FH including alcoholism and substance-use disorders through an interview; for substance use via a questionnaire; for FD; for PD using the International Personality Disorder Examination (IPDE); for behavior problems in adolescence; and for disocial disorder. Correlated variables were included in logistic regression models. Results: Early age of onset for substance use is related to FH of substanceuse disorders and poorer FD. FH of alcoholism, substance-use disorders and psychiatric disorders are related to poorer FD. Early age of onset for substance use, FH and a disruptive FD are related to behavior problems and disocial disorder. Early age of onset for substance use, FH, disruptive FD, behavior problems and disocial disorder are related to presence of PD. Logistic regression predicted the presence of PD by age of onset for use of methadone (CI (95) RESUMEN ABSTRACTIntroducción: Es importante evaluar la interacción entre los antecedentes psicopatológicos familiares (AF), la dinámica familiar (DF), los trastornos de conducta, los trastornos por uso de sustancias y los trastornos de personalidad (TP). Metodología: Estudio transversal con 350 drogodependientes evaluados los AF psiquiátricos, de alcoholismo y de drogodependencias; la DF; consumo de sustancias; y la presencia de TP, los problemas de conducta (PC) en la adolescencia y el trastorno disocial (TD). Las variables correlacionadas fueron incluidas en varios modelos de regresión logística. Resultados: Una edad de inicio en el consumo más temprana se relaciona con AF de drogodependencia y peor DF. Los AF de alcoholismo, drogodependencias y psiquiátricos se relacionan con peor DF. Edad de inicio en el consumo más temprana, los AF y una peor DF se relacionan con los PC y el TD. Edad de inicio en el consumo más temprana, tener AF, una peor DF, los PC y el TD se relacionan con la presencia de algún TP. Permiten predecir la presencia de algún TP la edad de inicio en el consumo de metadona (IC(95):1,005/3,222; p=0,048) y de otros opiáceos (IC(95):0,233/0,894; p=0,022). La puntuación en AF de alcoholismo permite predecir la presencia de TP límite (IC(95):1,137-2,942; p=0,013), y la edad de inicio en el consumo de cocaína permite predecir la presencia de TP antisocial (IC(95):0,864/0,992; p=0,028). Conclusiones: Los AF de consumo de sustancias y el consumo propio, predicen la presencia de algunos TP.

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“…Indeed, developmental models have been proposed within which the emergence of APD and PPD traits might be understood (Salekin and Frick, 2005;Vizard, French, Hickey and Bladon, 2004). Importantly, the model proposed by Vizard et al, (2004) includes potential for resilient children, and those who receive appropriate intervention, to move off the trajectory towards these personality disorders. Nonetheless, ethical, methodological and developmental concerns exist about extending the constructs of APD and PPD to children and young people (Marsee, Silverthorn and Frick, 2005).…”

Section: Emerging Severe Personality Disorder (Espd) Traits In Young mentioning

confidence: 99%

“…The seriousness of their anti-social behaviour escalates over time, and this group is responsible for a disproportionate amount of violent and sexual offending in adulthood (Moffitt et al, 2002). Persistent serious offending is highly correlated with anti-social and psychopathic personality disorders, both of which are developmental disorders (Vizard, French, Hickey and Bladon, 2004). A growing body of research has investigated the emergence of personality and behavioural traits associated with these disorders in children and adolescents (Frick et al, 1994(Frick et al, , 2003.…”

Section: Introductionmentioning

confidence: 99%

Links Between Juvenile Sexually Abusive Behaviour and Emerging Severe Personality Disorder Traits in Childhood

Hickey¹,

Vizard²,

McCrory³

et al. 2006

PsycEXTRA Dataset

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Young people presenting with sexually abusive behaviour (SAB) -juvenile sexual abusers (JSAs) -are responsible for a significant minority of sexual offences against children and adults (Home Office, 2003). A detailed study of 280 JSAs referred to a specialist Child and Adolescent Mental Health Service was conducted in order to provide a detailed description of this population. Data were obtained from a retrospective file review, and the Offenders Index. Two theoretical questions were addressed.Firstly, whether the age of onset of SAB could distinguish distinct subgroups of JSAs. Such categories have proved clinically relevant for generally anti-social juveniles (Moffitt, 1993). Early Onset (n=93) and Late Onset (n=120) groups were identified depending on whether SAB began before or after the age of 11. The results indicated that the Early Onset group were more likely to experience: inadequate family sexual boundaries; multiple forms of abuse; poorer parenting; and insecure attachment. The Late Onset group tended to misuse substances, sexually abuse specific groups, and were more likely to use verbal coercion.Secondly, whether a distinct subgroup of juvenile sexual abusers could be identified on the basis of emerging severe personality disorder (ESPD) traits. An ESPD group (n=54) presenting with marked conduct disorder and psychopathic personality disorder traits was compared with a non-ESPD group of JSAs (n=149). The results indicated that the ESPD group was more likely to have: an early difficult temperament; more insecure attachment; inconsistent parenting; placement disruption; and parents with mental health problems. Their SAB was more predatory and premeditated. Notably, their 'lifetime' conviction rate for all offences was 67 per cent compared to 37 per cent in the non-ESPD group.Clinical, policy and research implications are discussed. The need for JSA specialist services, integrated governmental approaches, and research on treatment efficacy, and ESPD traits in childhood are highlighted.

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Severe personality disorder emerging in childhood: a proposal for a new developmental disorder

Cited by 24 publications

References 35 publications

Personality disorder in adolescence

Personality disorder in adolescence

Estudio sobre aspectos etiológicos de la patología dual

Links Between Juvenile Sexually Abusive Behaviour and Emerging Severe Personality Disorder Traits in Childhood

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