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Running Head: CLINICIANS’ JUDGMENTS OF CLINICAL UTILITY - page 19 / 41

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as low on impulsivity, openness to values, and trust. He was also quite high on the neuroticism facets of anxiousness, depressiveness, and self-consciousness, as well as the openness facet of fantasy. Earnst’s FFM profile correlated most highly with the prototypic profiles for the avoidant (.88), schizoid (.71), and schizotypal (.70) personality disorders, consistent with the DSM-IV diagnoses that were provided by the clinicians.

The consensus FFM ratings for Madeline included very high scores on gregariousness, assertiveness, activity, excitement-seeking, and positive emotionality on the extraversion domain. Madeline was also described as low on the agreeableness facets of straightforwardness, modesty, compliance and tendermindedness. Within the neuroticism domain, Madeline was rated as low on the facets of self-consciousness and vulnerability as well as high on the facet of impulsivity. Finally, the clinicians rated her as high on the conscientiousness facets of competence and achievement-striving. Madeline’s FFM profile correlated most highly with the prototypic profile for a narcissistic personality disorder (.74), consistent with the clinicians’ use of this DSM-IV diagnosis, but it did not correlate highly with the prototypic profiles for the histrionic (.29) or the borderline (.31) personality disorders that were also frequently diagnosed by the clinicians.

INSERT TABLE 3 ABOUT HERE

Clinical Utility

The primary variables under investigation in this study were the judgments of clinical utility provided by the clinicians for the DSM and the FFM. Table 3 presents the ratings of both the DSM and FFM systems on the six clinical utility variables for each case. Analyses of the

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