Research Topics
| D WestenSummaryAffiliation: Boston University Country: USA Publications
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Detail Information
Publications
A multidimensional meta-analysis of psychotherapy and pharmacotherapy for obsessive-compulsive disorderKamryn T Eddy
Department of Psychology, Center for Anxiety and Related Disorders, Boston University, USA
Clin Psychol Rev 24:1011-30. 2004..More research on combined pharmacological and psychotherapeutic interventions is also indicated...
A prototype approach to personality disorder diagnosisDrew Westen
Department of Psychology, Emory University, 532 N Kilgo Cir, Atlanta, GA 30322, USA
Am J Psychiatry 163:846-56. 2006..This study tested an alternative, prototype matching procedure designed to simplify diagnosis. The procedure was applied to personality disorders...
A prototype matching approach to diagnosing personality disorders: toward DSM-VD Westen
Department of Psychiatry, Harvard Medical School, Cambridge Hospital, USA
J Pers Disord 14:109-26. 2000....
Developments in cognitive neuroscience: II. Implications for theories of transferenceDrew Westen
Department of Psychology, Center for Anxiety and Related Disorders, Boston University, MA 02215, USA
J Am Psychoanal Assoc 50:99-134. 2002....
Developments in cognitive neuroscience: I. Conflict, compromise, and connectionismDrew Westen
Department of Psychology, Center for Anxiety and Related Disorders, Boston University, MA 02215, USA
J Am Psychoanal Assoc 50:53-98. 2002..These include the nature of representations, the interaction of cognition and affect, and the mechanisms by which the mind unconsciously forges compromise solutions that best fit multiple cognitive and affective-motivational constraints...
A multidimensional meta-analysis of treatments for depression, panic, and generalized anxiety disorder: an empirical examination of the status of empirically supported therapiesD Westen
Center for Anxiety and Related Disorders and Department of Psychology, Boston University, Massachusetts 02215, USA
J Consult Clin Psychol 69:875-99. 2001..These include exclusion rates, percent improved, percent recovered, percent who remained improved or recovered at follow-up, percent seeking additional treatment at follow-up, and data on both completer and intent-to-treat samples...
Personality profiles in eating disorders: rethinking the distinction between axis I and axis IID Westen
Center for Anxiety and Related Disorders, Department of Psychology, Boston University, 648 Beacon St, 6th Floor, Boston, MA 02215, USA
Am J Psychiatry 158:547-62. 2001..The authors assessed the utility of segregating eating disorders and personality pathology and examined the extent to which personality patterns account for meaningful variation within axis I eating disorder diagnoses...
Revising and assessing axis II, Part II: toward an empirically based and clinically useful classification of personality disordersD Westen
Department of Psychiatry, Harvard Medical School, Boston, USA
Am J Psychiatry 156:273-85. 1999..An alternative approach that quantifies clinical observation may prove useful in developing a clinically rich, useful, empirically grounded classification of personality pathology...
Revising and assessing axis II, Part I: developing a clinically and empirically valid assessment methodD Westen
Department of Psychiatry, Harvard Medical School, Boston, USA
Am J Psychiatry 156:258-72. 1999..These problems suggest the need for consideration of alternative approaches to assessing and revising axis II...
Limitations of axis II in diagnosing personality pathology in clinical practiceD Westen
Department of Psychiatry, Harvard Medical School and The Cambridge Hospital Cambridge Health Alliance, MA 02139, USA
Am J Psychiatry 155:1767-71. 1998..The authors examined the percentage of patients treated in clinical practice for personality pathology who are diagnosable with DSM-IV...
Divergences between clinical and research methods for assessing personality disorders: implications for research and the evolution of axis IID Westen
Department of Psychiatry, Harvard Medical School, Boston, MA, USA
Am J Psychiatry 154:895-903. 1997..The purpose of this study was to examine the extent to which instruments for assessing axis II diverge from clinical diagnostic processes...
Affect regulation and affective experience: individual differences, group differences, and measurement using a Q-sort procedureD Westen
Department of Psychiatry, Cambridge Hospital, Massachusetts 02139, USA
J Consult Clin Psychol 65:429-39. 1997..Study 2 showed that the AREQ can be applied reliably using an interview that avoids many of the problems of self-report...
The scientific status of unconscious processes: is Freud really dead?D Westen
Department of Psychiatry, Harvard Medical School, Cambridge Hospital, USA
J Am Psychoanal Assoc 47:1061-106. 1999....
Refining the construct of narcissistic personality disorder: diagnostic criteria and subtypesEric Russ
Department of Psychology, Emory University, Atlanta, GA, USA
Am J Psychiatry 165:1473-81. 2008..This study was designed to provide an empirically valid and clinically rich portrait of narcissistic personality disorder and to identify subtypes of the disorder...
The relationship of adult attachment constructs to object relational patterns of representing self and othersMary L Calabrese
Newton, MA, USA
J Am Acad Psychoanal Dyn Psychiatry 33:513-30. 2005..In addition, multiple dimensions of object relationships were found to be significantly associated with participants' relationship status (current involvement in a significant relationship) and their parents' marital status...
The structure of axis II disorders in adolescents: a cluster- and factor-analytic investigation of DSM-IV categories and criteriaChristine Durrett
Department of Psychological Sciences, University of Missouri-Columbia, 65211, USA
J Personal Disord 19:440-61. 2005..Whether this is an optimal way of diagnosing personality pathology in adolescence, however, requires further investigation...
Countertransference phenomena and personality pathology in clinical practice: an empirical investigationEphi Betan
Georgia School of Professional Psychology, 980 Hammond Dr, Suite 100, Atlanta, GA 30328, USA
Am J Psychiatry 162:890-8. 2005..This study provides initial data on the reliability and factor structure of a measure of countertransference processes in clinical practice and examines the relation between these processes and patients' personality pathology...
Transference patterns in the psychotherapy of personality disorders: empirical investigationRebekah Bradley
Department of Psychology, Emory University, Atlanta, GA 30322, USA
Br J Psychiatry 186:342-9. 2005..These processes can be measured in clinically sophisticated and psychometrically sound ways. Such processes are relatively independent of clinicians' theoretical orientation...
The psychodynamics of borderline personality disorder: a view from developmental psychopathologyRebekah Bradley
Emory University, Atlanta, GA 30322, USA
Dev Psychopathol 17:927-57. 2005....
Clinical assessment of pathological personality traitsDrew Westen
Department of Psychology and Department of Psychiatry and Behavioral Sciences, Emory University, 532 Kilgo Circle, Atlanta, GA 30322, USA
Am J Psychiatry 163:1285-7. 2006..The aim of this study was to assess the reliability and validity of the dimensional diagnosis of pathological personality traits with the Shedler-Westen Assessment Procedure-200 (SWAP-200) Q sort...
Is the appendix a useful appendage? An empirical examination of depressive, passive-aggressive (negativistic), sadistic, and self-defeating personality disordersRebekah Bradley
Department of Psychology, Emory University, Atlanta, GA 30322, USA
J Pers Disord 20:524-40. 2006..Sadistic and self-defeating PD do not appear to represent distinct disorders, although they include personality traits (sadism and revictimization) associated with distinct developmental histories...
Clinical assessment of attachment patterns and personality disorder in adolescents and adultsDrew Westen
Department of Psychiatry and Behavioral Science, Emory University, Atlanta, GA 30322, USA
J Consult Clin Psychol 74:1065-85. 2006..Factor analysis identified 4 dimensions that replicated across adolescent and adult samples on the basis of a combination of interpersonal and narrative indicators: secure, dismissing, preoccupied, and incoherent/disorganized...
Under the axis II radar: clinically relevant personality constellations that escape DSM-IV diagnosisPavel S Blagov
Department of Psychology, Emory University, Atlanta, GA 30322, USA
J Nerv Ment Dis 195:477-83. 2007..The results of this study should stimulate further research on subthreshold personality configurations...
Personality subtypes in adolescents with eating disorders: validation of a classification approachHeather Thompson-Brenner
Center for Anxiety and Related Disorders, Department of Psychology, Boston University, 648 Beacon St, Boston, MA 02215, USA
J Child Psychol Psychiatry 49:170-80. 2008..The current study investigated whether similar personality prototypes exist in adolescents with EDs, and whether these personality prototypes show relationships to external correlates indicative of diagnostic validity...
Clinical utility of five dimensional systems for personality diagnosis: a "consumer preference" studyRobert L Spitzer
Department of Psychiatry, Columbia University, New York State Psychiatric Institute, New York, New York 10032, USA
J Nerv Ment Dis 196:356-74. 2008..A prototype matching approach to personality diagnosis deserves consideration for DSM-V...
Relationship between clinician assessment and self-assessment of personality disorders using the SWAP-200 and PAIRebekah Bradley
Department of Psychiatry and Behavioral Sciences, Emory University, Atlanta, GA 30322, USA
Psychol Assess 19:225-9. 2007..As predicted, SWAP-200 obsessive-compulsive personality disorder correlated negatively with these scales, suggesting discriminant validity...
Quantifying clinical judgment in the assessment of adolescent psychopathology: Reliability, validity, and factor structure of the Child Behavior Checklist for clinician reportLissa Dutra
Center for Anxiety and Related Disorders, Department of Psychology, Boston University, MA 02215, USA
J Clin Psychol 60:65-85. 2004..The data suggest that clinical judgment can be both reliable and valid when quantified using psychometrically sound instruments...
Rethinking therapeutic actionGlen O Gabbard
Department of Psychiatry, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030, USA
Int J Psychoanal 84:823-41. 2003..They propose that, in all forms of psychoanalytic treatment, we would be more accurate to speak of the therapeutic actions, rather than action...
Parental bonding and personality pathology assessed by clinician reportEric Russ
Department of Psychology, Emory University, Atlanta, GA 30322, USA
J Personal Disord 17:522-36. 2003..Clinician-report methods may provide a useful complement to studies of personality disorders that rely primarily on self-reports or structured interviews...
Personality diagnoses in adolescence: DSM-IV axis II diagnoses and an empirically derived alternativeDrew Westen
Department of Psychology, Emory University School of Medicine, 532 North Kligo Circle, Atlanta, GA 30322, USA
Am J Psychiatry 160:952-66. 2003....
Implications of developments in cognitive neuroscience for psychoanalytic psychotherapyDrew Westen
Department of Psychiatry and Psychology, Emory University, Atlanta, GA 30322, USA
Harv Rev Psychiatry 10:369-73. 2002
Refining personality disorder diagnosis: integrating science and practiceJonathan Shedler
Graduate School of Professional Psychology, University of Denver, 2450 S Vine St, Denver, CO 80208, USA
Am J Psychiatry 161:1350-65. 2004..This article proposes changes to the diagnostic categories and criteria based on empirical findings from a national sample of patients with personality disorder diagnoses...
Dimensions of personality pathology: an alternative to the five-factor modelJonathan Shedler
Graduate School of Professional Psychology, University of Denver, 2450 South Vine St, Denver, CO 80208, USA
Am J Psychiatry 161:1743-54. 2004..This study evaluates the clinical comprehensiveness of the five-factor model and addresses the broader question of how many factors, and which factors, are necessary to understand personality pathology...
Relationship between attachment patterns and personality pathology in adolescentsOra Nakash-Eisikovits
Center for Anxiety and Related Disorders and Department of Psychology, Boston University, MA 02215, USA
J Am Acad Child Adolesc Psychiatry 41:1111-23. 2002..To explore the relationship between attachment status and personality pathology in a large clinical sample of adolescents...
The Shedler-Westen Assessment Procedure (SWAP): making personality diagnosis clinically meaningfulJonathan Shedler
Department of Psychiatry, University of Colorado Health Sciences Center, Denver, CO 80220, USA
J Pers Assess 89:41-55. 2007..text rev.; American Psychiatric Association, 2000) Axis II, that is empirically grounded, clinically relevant, and practical for routine use in both clinical and research contexts...
Personality diagnosis with the Shedler-Westen Assessment Procedure (SWAP): integrating clinical and statistical measurement and predictionDrew Westen
Department of Psychology, Emory University, Atlanta, GA 30322, USA
J Abnorm Psychol 116:810-22. 2007..Finally, the article discusses future research directions and challenges...
Etiology of borderline personality disorder: disentangling the contributions of intercorrelated antecedentsRebekah Bradley
Department of Psychology, Emory University, Atlanta, GA 30333, USA
J Nerv Ment Dis 193:24-31. 2005..The results converge with recent studies using very different samples and methodologies...
Quantifying construct validity: two simple measuresDrew Westen
Department of Psychology, Emory University, Atlanta, Georgia 30322, USA
J Pers Soc Psychol 84:608-18. 2003....
The external validity of controlled clinical trials of psychotherapy for depression and anxiety: a naturalistic studyKate H Morrison
Counseling Center, University of California, Davis, CA 95616, USA
Psychol Psychother 76:109-32. 2003....
A multidimensional meta-analysis of pharmacotherapy for bulimia nervosa: summarizing the range of outcomes in controlled clinical trialsOra Nakash-Eisikovits
Department of Psychology and Center for Anxiety and Related Disorders, Boston University, Boston, MA 02215, USA
Harv Rev Psychiatry 10:193-211. 2002....
When clinical description becomes statistical predictionDrew Westen
Emory University, Atlanta, GA, USA
Am Psychol 59:595-613. 2004..An emerging body of research suggests that clinical observations, just like lay observations, can be quantified using standard psychometric procedures, so that clinical description becomes statistical prediction...
Assessing personality disorders using a systematic clinical interview: evaluation of an alternative to structured interviewsDrew Westen
Department of Psychology, Emory University, Atlanta, GA 30322, USA
J Pers Disord 17:351-69. 2003....
Improving construct validity: Cronbach, Meehl, and Neurath's shipDrew Westen
Department of Psychology, Emory University, 532 Kilgo Circle, Atlanta, GA 30309, USA
Psychol Assess 17:409-12. 2005....
A multidimensional meta-analysis of psychotherapy for PTSDRebekah Bradley
Department of Psychology, Emory University, Atlanta, GA 30322, USA
Am J Psychiatry 162:214-27. 2005..The authors present a multidimensional meta-analysis of studies published between 1980 and 2003 on psychotherapy for PTSD...
Assessing adolescent personality pathologyDrew Westen
Department of Psychology and Department of Psychiatry and Behavioral Sciences, Emory University, 532 N Kilgo Circle, Atlanta, GA 30322, USA
Br J Psychiatry 186:227-38. 2005..Personality pathology constitutes a major form of psychopathology in adolescents...
Borderline personality disorder in clinical practiceCarolyn Zittel Conklin
The Cambridge Hospital Harvard Medical School, Cambridge, MA 02139, USA
Am J Psychiatry 162:867-75. 2005....
Personality subtypes in eating disorders: validation of a classification in a naturalistic sampleHeather Thompson-Brenner
Center for Anxiety and Related Disorders, Department of Psychology, Boston University, 648 Beacon Street, Boston, MA 02215, USA
Br J Psychiatry 186:516-24. 2005..Research has identified three personality subtypes in patients with eating disorders: emotionally dysregulated, constricted and high-functioning/perfectionistic...
The borderline personality diagnosis in adolescents: gender differences and subtypesRebekah Bradley
Department of Psychiatry, Emory University, Atlanta, GA, USA
J Child Psychol Psychiatry 46:1006-19. 2005....
A naturalistic study of psychotherapy for bulimia nervosa, part 1: comorbidity and therapeutic outcomeHeather Thompson-Brenner
Center for Anxiety and Related Disorders, Department of Psychology, Boston University, Boston, Massachusetts 02215, USA
J Nerv Ment Dis 193:573-84. 2005..These patients showed higher pretreatment severity and required longer treatments to achieve positive outcomes relative to patients who did not meet these exclusion criteria...
A naturalistic study of psychotherapy for bulimia nervosa, part 2: therapeutic interventions in the communityHeather Thompson-Brenner
Center for Anxiety and Related Disorders, Department of Psychology, Boston University, Boston, Massachusetts 02215, USA
J Nerv Ment Dis 193:585-95. 2005....
The empirical status of empirically supported psychotherapies: assumptions, findings, and reporting in controlled clinical trialsDrew Westen
Department of Psychology, Emory University, Atlanta, GA 30322, USA
Psychol Bull 130:631-63. 2004....
Personality constellations in patients with a history of childhood sexual abuseRebekah Bradley
Department of Psychology, Emory University, Atlanta, Georgia 30322, USA
J Trauma Stress 18:769-80. 2005..The four groups differed on diagnostic, adaptive functioning, and developmental history variables, providing initial support for the validity of this classification. The data have potential methodological and treatment implications...
Affect regulation in borderline personality disorderCarolyn Zittel Conklin
Cambridge Hospital/Harvard Medical School, Cambridge, MA 02139, USA
J Nerv Ment Dis 194:69-77. 2006..BPD patients also show distinct patterns of affect regulation, and subtypes of BPD patients show distinct affect regulation profiles of potential relevance to treatment...
