Page 81 - Personality disorders and insecure attachment among adolescents
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SCID-II The SCID-II is a structured interview consisting of 134 questions. The purpose of this interview is to establish all ten DSM-IV personality disorders, as well as depressive and passive- aggressive personality disorder. The language and diagnostic coverage make the SCID-II the most appropriate tool for adults (aged 18 or older). With slight modification, however, it can also be used with younger adolescents (Spitzer et al., 1990). Only the sections that were identified as potentially relevant based on the VKP were applied in the clinical interview. In line with the SCID-II, the depressive personality disorder and the passive aggressive personality disorder were determined. Following the DSM-IV categorisation, these diagnoses were classified as personality disorder not otherwise specified (NOS). Trained psychologists with clinical experience administered the SCID-II. These raters underwent extensive training. After the theoretical training, the interviews were repeated together with a supervisor with the aim of optimising the inter-rater reliability. The level of inter-rater reliability of the SCID-II for categorical diagnoses was reasonable to good (k = .61-1.00) (Seqal et al., 1994), and the test-retest reliability was also reasonable to good (k = .63) (Weertman et al., 2000). AAI The AAI (George et al., 1985) is a semi-structured interview of 20 questions with accompanying follow-up probes that address recollections of early attachment relationships and any experiences of separation, loss, or trauma. In an approximately hour-long interview, the general descriptions of relationships with each parent and eventual other important attachment childhood figures are evoked, as are the specific supporting memories. Coding of the AAI generates one of the three main adult attachment classifications: Secure-Autonomous (F), Insecure-Dismissing (Ds), and Insecure-Preoccupied (E) (three-way distribution), and two secondary ones, namely, cannot classify (CC) and unresolved/disorganised category (U) (five-way distribution). If problems arise with classifying subjects into one of the three main categories, the so-called cannot classify (CC) category is applied. This category represents contradictions and anomalies observed throughout the transcript. If the interview reveals signs of unresolved experiences of trauma or loss of attachment figures, the unresolved/disorganised (U) category is applied. The U category differs from the CC category in that it is identified via local breakdowns in discourse strategy during the discussion of loss or other potential trauma. The unresolved/disorganised category is superimposed on the three main attachment classifications. Furthermore, subjects categorised under U and/or CC can be forced in one of the three main attachment classifications by using the most apparent category (three-way distribution) and the second-best classification chosen by the scorer. The interviews were conducted by the first author and another experienced psychologist following the protocol described by George, Kaplan, and Main (George et al., 1985). Both 77 


































































































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