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Running Head: CLINICIANS’ JUDGMENTS OF CLINICAL UTILITY - page 17 / 41

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consensus ratings on all 10 DSM-IV personality disorders provided by the clinicians for each case. It is evident from Table 1 that all but a few of the clinicians felt that Ted, Earnst, and Madeline met criteria for at least one personality disorder. Ted received a consensus rating of 4.70 for antisocial personality disorder with 96% of the sample providing this diagnosis. In fact, 80% of the clinicians described Ted as being a prototypic case of antisocial personality disorder, although almost as many clinicians diagnosed Ted with narcissistic PD, with a comparably high consensus rating of 4.15. Forty-four percent of the clinicians considered Ted also to be a prototypic case of narcissistic personality disorder. It is perhaps noteworthy that at least 50% of the clinicians stated that Ted was also above threshold for the borderline and schizoid personality disorders.

Ninety-four percent of the clinicians judged that Earnst would be diagnosed with a personality disorder, with the consensus favoring the avoidant (4.00) and schizoid (3.38) diagnoses. Ninety-four percent diagnosed Earnst with avoidant PD and 80% with schizoid. Almost a third of the clinicians considered Earnst to be a prototypic case of avoidant PD. However, it also appears to be the case that many of the clinicians viewed Earnst as somewhat more difficult to fit into the 10 DSM categories, as 26% of the sample endorsed PDNOS as their final DSM diagnosis.

Madeline’s consensus DSM ratings were heavily grouped into Cluster “B” (i.e., dramatic-impulsive) of the DSM nomenclature. The consensus ratings indicated that Madeline met criteria for the diagnoses of narcissistic (3.96), histrionic (3.63), and borderline (3.24) personality disorders. Ninety-one percent rated her as meeting criteria for narcissistic, 87% for histrionic,

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