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Running Head: CLINICIANS’ JUDGMENTS OF CLINICAL UTILITY - page 18 / 41

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and two-thirds for borderline. Thirty-six percent considered her to be a prototypic case of narcissistic PD and almost one fourth of the clinicians considered her to be a prototypic case of histrionic. Nevertheless, it should also be noted that 19% of the clinicians preferred the diagnosis of PDNOS.

INSERT TABLE 2 ABOUT HERE

FFM ratings

The FFM ratings provided by the clinicians were also averaged across raters to produce a consensus FFM profile for each of the three case histories. Table 2 provides the FFM facet means and standard deviations for each case. Ted’s FFM profile was characterized by low ratings on all six facets of agreeableness. Ted was also described as being very low in the anxiousness, self-consciousness, and vulnerability facets of neuroticism as well as the warmth facet of extraversion. The clinicians also rated him high in angry hostility; high on the extraversion facets of assertiveness, activity, and excitement seeking; and high on the conscientiousness facets of competence, order, and achievement striving. The FFM description of Ted can be correlated with the FFM descriptions of prototypic cases of DSM-IV personality disorders obtained by Samuel and Widiger (2004). The highest absolute intraclass correlations for Ted were with the narcissistic and antisocial personality disorders (.72 and .64, respectively), consistent with the DSM-IV diagnoses that were provided by the clinicians. However, the correlations with the schizoid and borderline prototypes were only .21 and -.04, perhaps inconsistent with the frequency with which these DSM-IV diagnoses were provided.

The clinicians rated Earnst as being very low on all six facets of extraversion, as well

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