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Full-Text Articles in Clinical Psychology

Evaluating The Attention Training Technique As A Transdiagnostic Intervention For Fear-Based Psychopathological Symptoms: A Randomized Controlled Trial, Benjamin John Ellem Jan 2023

Evaluating The Attention Training Technique As A Transdiagnostic Intervention For Fear-Based Psychopathological Symptoms: A Randomized Controlled Trial, Benjamin John Ellem

Graduate Research Theses & Dissertations

Recent research indicates that fear-related psychological disorders are a distinguished class of psychopathology, all of which share the underlying endophenotype of maladaptive acute fear responding. The relationship between maladaptive fear responding and psychopathology has been found to be moderated by executive functioning capacity—most notably attentional control. However, the current psychopathological nosology does not link fear-based disorders together. As a result, many fear-based disorders are treated separately with different evidence-based psychotherapies. These psychotherapies tend to focus on reducing phenotypic behaviors or self-reported experience of symptoms. Individuals with fear-based disorders may be better served by treatments that focus on the aforementioned endophenotypes …


Ocd And Scrupulosity Symptoms In The Lgbtq+ Community, Katherine Hurley Mangen Jan 2023

Ocd And Scrupulosity Symptoms In The Lgbtq+ Community, Katherine Hurley Mangen

Graduate Research Theses & Dissertations

Research related to obsessive-compulsive disorder (OCD) in the LGBTQ+ community has been limited to date. However, at least one previous study has indicated that the "unacceptable thoughts" symptom dimension of OCD may be particularly relevant to this population. The current study sought to examine whether LGBTQ+ individuals report greater levels than non-LGBTQ+ individuals of scrupulosity symptoms, or religious- and/or moral-based OCD symptoms that often are grouped into the unacceptable thoughts dimension. Participants completed a battery of questionnaires measuring several constructs, which the author proposed may be particularly relevant to the development and maintenance of scrupulosity symptoms among members of the …


Intergenerational Transmission Of Parenting: Does Emotion Regulation Buffer The Effect Of Negative Early Care Experiences On The Cortisol Stress Response And Subsequent Caregiving?, Erin Rochelle Mckay Jan 2023

Intergenerational Transmission Of Parenting: Does Emotion Regulation Buffer The Effect Of Negative Early Care Experiences On The Cortisol Stress Response And Subsequent Caregiving?, Erin Rochelle Mckay

Graduate Research Theses & Dissertations

A phenomenon known as the intergenerational transmission of parenting, where children tend to parent their children in a manner similar to how their own parents provided care, has received notable attention within developmental research. While several mechanisms focusing on cognitive and psychological factors have been proposed, there is less research examining biological mechanisms within the intergenerational transmission of parenting framework, especially when considering caregiving behavior exhibited in the context of child distress. Further, few studies have examined parent attributes which may disrupt the intergenerational transmission of parenting. The current study seeks to examine the hypothalamic-pituitary-adrenal (HPA) axis stress response as …


Examining Measurement Invariance Of The Pios And Pios-R Across Christian, Jewish, And Muslim Groups, Johanna Anita Younce Jan 2023

Examining Measurement Invariance Of The Pios And Pios-R Across Christian, Jewish, And Muslim Groups, Johanna Anita Younce

Graduate Research Theses & Dissertations

The Penn Inventory of Scrupulosity (PIOS) was developed in a sample of primarily Christian participants. Since scrupulosity is intertwined with religion, it is important to establish that the PIOS and its revised version (PIOS-R) are invariant across the religions with which the measure is primarily utilized: Christianity, Islam, and Judaism. Additionally, there was inconsistency in the literature as to the factor structure of the PIOS/PIOS-R, so three of the models in the literature each were examined and compared for the PIOS and the PIOS-R. 718 participants were recruited through MTurk and reported affiliation with either Christianity (n = 274), Islam …


Covid-19 Stress And Parenting Practices: Maternal Stress And Emotion Regulation Strategies, Jordan R. Kaye Jan 2023

Covid-19 Stress And Parenting Practices: Maternal Stress And Emotion Regulation Strategies, Jordan R. Kaye

Graduate Research Theses & Dissertations

The outbreak of the novel (COVID-19) pandemic in March 2020 resulted in changes within society that had lasting repercussions. Specifically for families, the sudden changes were observed to be stressful in conjunction with the added stress of simultaneously caring for children. The current literature has demonstrated that stress related to COVID-19 (i.e., pandemic-related stress) has been associated with both elevated maternal parenting stress and unfavorable parenting behaviors. Given these findings, the current study examined the influence of pandemic-related stress on parenting stress and subsequent parenting behaviors. Further, the current study considered maternal emotion regulation attributes – specifically cognitive reappraisal and …


Body-Image Distress In Breast Cancer Survivors And Their Evaluation Of Medical Tattooing Following Surgery, Miranda Proctor Jan 2023

Body-Image Distress In Breast Cancer Survivors And Their Evaluation Of Medical Tattooing Following Surgery, Miranda Proctor

Graduate Thesis and Dissertation 2023-2024

A review of the literature reveals a high incidence of body-image distress among breast cancer survivors who have undergone surgery, which is a natural response to the significant changes in their appearance. Reconstructive surgery, utilizing implants or flaps, may be employed to restore breast size and shape. Medical tattooing can simulate the nipple-areola complex and decorative appliques can conceal scars and skin color variations. Both reconstructive surgery and medical tattoos are associated with patient-reported satisfaction, yet further research is necessary to understand their combined impact on body-image distress. To investigate this, a survey was distributed among national breast cancer support …


Is The Relationship Between Adverse Childhood Experiences And Adult Belief In Paranormality Moderated By Locus Of Control?, Michelle Alessia Cardone M.S., M.A. Jan 2023

Is The Relationship Between Adverse Childhood Experiences And Adult Belief In Paranormality Moderated By Locus Of Control?, Michelle Alessia Cardone M.S., M.A.

Selected Full Text Dissertations, 2011-

Research has established a relationship between adverse childhood experiences (ACEs) and belief in paranormal phenomena (Lawrence et al., 1994). In the present study, I sought to replicate this finding in more detail by examining seven dimensions of paranormality. Further, the current study investigated whether locus of control moderated the relationship between ACEs and paranormal belief. I hypothesized that ACEs positively correlated with paranormal belief. Further, I hypothesized that the relationship between ACEs and paranormal belief would be moderated by locus of control, such that, the stronger the internal locus of control, the weaker the relationship between ACEs and paranormal belief. …


Shared Screens: A Qualitative Study Of Therapist Self-Disclosure Over Telehealth, Nathan Fordsham M.S. Jan 2023

Shared Screens: A Qualitative Study Of Therapist Self-Disclosure Over Telehealth, Nathan Fordsham M.S.

Selected Full Text Dissertations, 2011-

The following qualitative study explored how psychodynamic clinicians approach and use self-disclosure with patients over telehealth platforms. There is an abundance of research on therapist self-disclosure, with discussion of this topic dating back as early as Freud (1912) and Ferenczi (1933), and since spanning the spectrum of theoretical orientation and practice. There is some literature on psychotherapy over telehealth, with a recent surge in research as a response to the COVID-19 pandemic. There is less research on psychodynamic therapy or psychoanalysis over telehealth (Wolson, 2021), and to the author’s knowledge, no research on therapist self-disclosure and telehealth. This study aimed …


Does Perceived Emotional Invalidation Moderate The Relation Between Occupational Stress And Mental Health Outcomes In Law Enforcement Officers?, Sahar Jaafar M.S.; M.A. Jan 2023

Does Perceived Emotional Invalidation Moderate The Relation Between Occupational Stress And Mental Health Outcomes In Law Enforcement Officers?, Sahar Jaafar M.S.; M.A.

Selected Full Text Dissertations, 2011-

Police officers are exposed to operational stressors while on duty, including child abuse, domestic violence, car crashes, and homicides (Jetelina et al., 2020). Repeated exposure to these stressors is associated with the development of mental illness (Jetelina et al., 2020). Organizational stressors, including lack of support/validation, demand, job pressure, administrative/organizational pressure, and long working hours, may be an even greater source of stress for police officers (Purba & Demou, 2019). Exposure to such organizational stressors can result in psychological distress, burnout, and suicidal ideation (Purba & Demou, 2019). However, there is a dearth of research on invalidation and the role …


Psychologists' Experiences Providing Cognitive-Behavioral Therapy (Cbt) To Children Via Telehealth, Carly Apar M.S. Jan 2023

Psychologists' Experiences Providing Cognitive-Behavioral Therapy (Cbt) To Children Via Telehealth, Carly Apar M.S.

Selected Full Text Dissertations, 2011-

Due to COVID-19, psychologists were forced to rapidly transition to telehealth. While about 1% of American Psychological Association (APA) clinicians used telehealth for most clients pre-pandemic, 92% used telehealth post-pandemic onset (APA, 2020). However, research has not yet thoroughly assessed psychologists’ experiences providing child teletherapy. This study fills that gap by exploring psychologists’ experiences providing virtual child cognitive-behavioral therapy (CBT). This study is important for teletherapy’s potential use for children lacking access to care. Eighteen clinical psychologists who provided CBT to children (ages 7-12) were recruited by sending a flyer to the researcher’s graduate program’s alumni and training sites, child …


Transgender Family Transitions: A Sibling Perspective, Mariessa Robles M.S. Jan 2023

Transgender Family Transitions: A Sibling Perspective, Mariessa Robles M.S.

Selected Full Text Dissertations, 2011-

As more families are seeking professional help to navigate issues surrounding gender, there is a growing need for clinicians who can assist in the family transition that accompanies an individual’s gender transition process (Coolhart, Ritenour, & Grodzinski, 2018). While family therapy literature is currently expanding to address families with a transgender member, existing psychological thought mostly centers therapeutic focus on the identified transgender individuals and their parents, neglecting the roles and experiences of siblings in this process (Blumer, Green, Knowles, & Williams, 2012). The purpose of this qualitative study was to explore the experiences of those who had a sibling …


Exploring The Benefits Of A Collaboration Between Behavioral Health Coaches And Clinicians, Devan White Jan 2023

Exploring The Benefits Of A Collaboration Between Behavioral Health Coaches And Clinicians, Devan White

Walden Dissertations and Doctoral Studies

This case study addressed how to best use health coaches in the field of behavioral health to improve the accessibility and outreach of a new program launched by the target organization that emphasizes coaching as an intervention for improving well-being and mental fitness. The purpose of this qualitative case study was to investigate the potential influence of coaching within the behavioral health field and explore how health coaches could partner with clinicians or behavioral health leaders to allow for more collaboration and accessibility to services. The RQs centered on how health coaches might support the treatment of those who have …


Religiosity, Daily Rosary, And Well-Being Of Catholics In College During The Pandemic, Michael Raul Rios Jan 2023

Religiosity, Daily Rosary, And Well-Being Of Catholics In College During The Pandemic, Michael Raul Rios

Walden Dissertations and Doctoral Studies

Before and since the Coronavirus pandemic, college students suffered from increasing rates of mental health conditions affecting their well-being. Researchers have requested more studies on prayer as a strategy to address well-being issues. The purpose of this anonymous online survey study (N = 59) was to discover if there were any associations between religiosity and well-being, daily Rosary frequency and well-being, and if daily Rosary frequency mediated an association between religiosity and well-being of Catholic students in college in the United States during the pandemic in 2021. Participants were recruited via social media, listservs, email, one nationwide organization, the Walden …


Implicit Motivations In Personality Systems Interactions Predictive Of Burnout In Mental Health Professionals, Yi-Chien Hung Jan 2023

Implicit Motivations In Personality Systems Interactions Predictive Of Burnout In Mental Health Professionals, Yi-Chien Hung

Walden Dissertations and Doctoral Studies

Burnout among mental health professionals (MHPs) has been of interest to scholars and practitioners since the 1970s. For MHPs, burnout leads to less effective client treatment outcomes, increased turnover rate, and decreased overall wellbeing. Despite a significant body of literature on MHP burnout, there is little literature on how MHPs’ implicit motivations (IMs) may influence and contribute to their burnout. Understanding how IMs correlate with burnout may help with self-awareness and specific therapeutic treatments, both of which are important in preventing and alleviating burnout. Grounded in motive disposition theory, personality systems interaction theory, and theory on dimensions of burnout, this …


Occupational Burnout Factors Among Correctional Mental Health Providers, Morgan Gruhot Jan 2023

Occupational Burnout Factors Among Correctional Mental Health Providers, Morgan Gruhot

Walden Dissertations and Doctoral Studies

Burnout rates of correctional employees are higher than employees in the general public. The purpose of this study was to identify how occupational factors impact burnout rates among correctional mental health workers. Grounded in the job-demands theoretical model, this study compared burnout rates among mental health staff within county jails and state prisons. Burnout was measured using the Maslach Burnout Inventory and Occupational factors were measured using the Areas of Work life Survey and Pandemic Experience and Perception Survey. Data was analyzed using IBM SSPS software to address multiple a priori directional research questions. Research questions considered how occupational factors …


Factors Leading To Alcohol Relapse During The Covid-19 Pandemic, Robert Michael Ibraham Jan 2023

Factors Leading To Alcohol Relapse During The Covid-19 Pandemic, Robert Michael Ibraham

Walden Dissertations and Doctoral Studies

Little research has been conducted exploring contributing stressors from the COVID-19 pandemic that may have led to alcohol relapse among individuals diagnosed with alcohol use disorders (AUDs). Prior to the pandemic, alcohol use was at an all-time high; during the pandemic, the rates of substance use rose significantly more. AUDs are a leading mental health problem with over 32.6 million meeting diagnostic criteria in the United States. This study was conducted to explore self-identified factors leading up to relapse during the COVID-19 pandemic among individuals diagnosed with AUDs, with a focus on the circumstances and events leading up to relapse. …


Evaluating The Efficacy Of Video Self-Modeling Social Skills In Children With Autism Spectrum Disorder, Brittany Londer Jan 2023

Evaluating The Efficacy Of Video Self-Modeling Social Skills In Children With Autism Spectrum Disorder, Brittany Londer

Walden Dissertations and Doctoral Studies

The inability to display social reciprocity is a hallmark criterion of autism spectrum disorder (ASD). This lack of proper social skills (i.e., eye contact, cooperative play, and reciprocal interaction) indicates the importance of purposeful interaction, about which a research gap exists. The theoretical framework for this study was social learning theory, by which Bandura (1977) posited that learning occurs by observing the behavior of others. The current study involved examining the effectiveness of an intervention conducted with children who have ASD. The purpose of the intervention was to increase children’s playground social skills by having them watch themselves at play …


An Evaluation Of Community-Based Juvenile Firesetting Programs Through The Custodial Lens, Peter William Blaich Jan 2023

An Evaluation Of Community-Based Juvenile Firesetting Programs Through The Custodial Lens, Peter William Blaich

Walden Dissertations and Doctoral Studies

Using general strain theory and social learning theory as the foundation, this generic qualitative study addressed whether interventions and prevention services for juvenile firesetters in the City of Charlotte–Mecklenberg County met needs from the perspectives of critical stakeholders. Data were collected through in-depth interviews with 12 parents/guardians of justice-involved adolescent fire offenders. Interviews were transcribed and analyzed using a six-step procedure for thematic analysis by Braun and Clarke. The study's results revealed that the current juvenile firesetters intervention and prevention program is perceived as inadequate when applied without input from the adolescent’s parent or guardian. The participants perceived the need …


Exploring The Benefits Of A Collaboration Between Behavioral Health Coaches And Clinicians, Devan White Jan 2023

Exploring The Benefits Of A Collaboration Between Behavioral Health Coaches And Clinicians, Devan White

Walden Dissertations and Doctoral Studies

This case study addressed how to best use health coaches in the field of behavioral health to improve the accessibility and outreach of a new program launched by the target organization that emphasizes coaching as an intervention for improving well-being and mental fitness. The purpose of this qualitative case study was to investigate the potential influence of coaching within the behavioral health field and explore how health coaches could partner with clinicians or behavioral health leaders to allow for more collaboration and accessibility to services. The RQs centered on how health coaches might support the treatment of those who have …


Effects Of Supermax On Inmate Mental Health: Phenomenological Experiences Of Knowledgeable Professionals, Lea Michelle Miller Jan 2023

Effects Of Supermax On Inmate Mental Health: Phenomenological Experiences Of Knowledgeable Professionals, Lea Michelle Miller

Walden Dissertations and Doctoral Studies

It may or may not be true that the conditions and practices associated with supermax sentencing are both creating and exacerbating psychological harm for the inmates who are exposed to them. To date, there is evidence that both supports and refutes the contention that supermax sentencing is psychologically harmful; thus, the literature necessitates additional research into this phenomenon. This qualitative study was conducted to add to the extant body of knowledge relevant to supermax prisons and populations by exploring the lived experiences of professionals who have worked with them. This research was conceptually based in the current understanding of social …


Factors Leading To Alcohol Relapse During The Covid-19 Pandemic, Robert Michael Ibraham Jan 2023

Factors Leading To Alcohol Relapse During The Covid-19 Pandemic, Robert Michael Ibraham

Walden Dissertations and Doctoral Studies

Little research has been conducted exploring contributing stressors from the COVID-19 pandemic that may have led to alcohol relapse among individuals diagnosed with alcohol use disorders (AUDs). Prior to the pandemic, alcohol use was at an all-time high; during the pandemic, the rates of substance use rose significantly more. AUDs are a leading mental health problem with over 32.6 million meeting diagnostic criteria in the United States. This study was conducted to explore self-identified factors leading up to relapse during the COVID-19 pandemic among individuals diagnosed with AUDs, with a focus on the circumstances and events leading up to relapse. …


Relationship Between Length Of Nicu Stay And Mothers’ Trauma And Self-Efficacy For Childcare Post-Nicu Discharge, Suzanne Switzer Jan 2023

Relationship Between Length Of Nicu Stay And Mothers’ Trauma And Self-Efficacy For Childcare Post-Nicu Discharge, Suzanne Switzer

Walden Dissertations and Doctoral Studies

Recent research has shown that having an infant admitted to the neonatal intensive care unit (NICU) can be a traumatic experience for parents. However, less is known about whether this trauma is related to later parenting self-efficacy for childcare after NICU discharge and whether that relationship is affected by the length of NICU stay. This quantitative study, guided by Bandura’s self-efficacy theory and Ehlers and Clark’s cognitive model of post-traumatic stress disorder (PTSD), examined the relationship between mothers’ trauma of having had a child in the NICU and maternal parenting self-efficacy related to childcare post-NICU discharge, with length of NICU …


Deconstructing Orthorexia In An Age Of Healthism And Social Media, Maddison Paul Jan 2023

Deconstructing Orthorexia In An Age Of Healthism And Social Media, Maddison Paul

Antioch University Dissertations & Theses

Orthorexia, a pathological fixation with healthy eating, has recently emerged as a construct of interest in the field of clinical psychology. Despite its growing recognition, the origin of this construct remains unclear. This dissertation aims to contribute to the understanding of orthorexia by examining its emergence and contextual factors through a constructivist lens. The study found that the cultural, economic, and moralistic landscape of healthism and social medially have played a role in the development of orthorexia. The dominant clinical perspective of orthorexia was also deconstructed, revealing potential biases that may lead to pathologizing the experiences of those who demonstrate …


"The Power To Heal And Cure": Adaptations Of Western Therapy By American Indian And Alaska Native Therapists, Calleaghn B. Kinnamon Jan 2023

"The Power To Heal And Cure": Adaptations Of Western Therapy By American Indian And Alaska Native Therapists, Calleaghn B. Kinnamon

Antioch University Dissertations & Theses

The legacy of colonialism has created a modern-day reality where Indigenous populations of the United States (US) experience mental, physical, and emotional distress at disproportionately higher rates than other cultural groups in the country. Increased distress translates to an increased need for supportive services. Because the field of Western Psychology is based in colonialistic EuroWestern worldviews which positions that worldview as superior, Indigenous clients and communities have often experienced further harm in their encounters with mental health services. In recent decades, there has been increasing attention to adapting research, training, academic and clinical work in ways that are culturally appropriate …


Autism Paradigms And Mental Well-Being Among Autistic Adults: A Quantitative Exploration, Libbey Walker Jan 2023

Autism Paradigms And Mental Well-Being Among Autistic Adults: A Quantitative Exploration, Libbey Walker

Antioch University Dissertations & Theses

Autistic populations experience significant mental health challenges. A growing body of research supports addressing autistic mental health problems using the framework of minority stress theory, the social model of disability, and the neurodiversity paradigm (e.g., Botha & Frost, 2018; Cage et al., 2018). This quantitative study explored how identification with the neurodiversity paradigm versus the pathology paradigm related to mental well-being in autistic adults. Participants (N = 135) completed an online survey in which they rated their identification with autism descriptions representing both paradigms. Participants also completed measures of psychological distress, self-esteem, personal autism acceptance, and internalized autism stigma. Most …


How Racial Trauma Manifests In Black Women From Direct And Indirect Encounters With Police Brutality, Ashley Turner Jan 2023

How Racial Trauma Manifests In Black Women From Direct And Indirect Encounters With Police Brutality, Ashley Turner

Antioch University Dissertations & Theses

This phenomenological study explored Black women’s lived experiences with racial trauma stemming from direct and indirect encounters with police brutality. A total of nine participants living in Washington state participated in this study. They identified as Black, ciswomen, fluent in English, and at least 21-years-old. In-depth, semi-structured, qualitative interviews were conducted to explore participants’ experiences with police. Transcripts were analyzed using interpretative phenomenological analysis. The results consisted of the following five themes: (a) forms of police encounters, (b) influence of identity, (c) perceived reason for police brutality, (d) emotions stemming from police brutality, and (e) tactics to survive police interactions. …


A Theoretical Basis For Understanding And Researching The Relationship Between Music, Stress, And Biofeedback, Frederick Wang Jan 2023

A Theoretical Basis For Understanding And Researching The Relationship Between Music, Stress, And Biofeedback, Frederick Wang

Antioch University Dissertations & Theses

Music’s ability to influence emotional states and physical arousal has become an increasingly popular area of study. The wealth of literature around music and stress suggests a significant amount of interest in leveraging music to manage stress. However, as attention increases, the robustness of research becomes an increasing concern. This study investigates the current literature and proposes recommendations for the future studying of the psychological and physiological impacts of music as it relates to stress reduction. Existing literature was reviewed with a focus on the operationalization of key concepts of music and stress. The analysis showed considerable discrepancies in research …


Black Mental Health Clinicians' Experiences And Lessons From The Intersecting Crises Of Black Mental Health, Covid-19, And Racial Trauma: An Interpretive Phenomenological Study, Chanté Meadows Jan 2023

Black Mental Health Clinicians' Experiences And Lessons From The Intersecting Crises Of Black Mental Health, Covid-19, And Racial Trauma: An Interpretive Phenomenological Study, Chanté Meadows

Antioch University Dissertations & Theses

This study explored the experiences of African American mental health clinicians’ during the intersecting crises of the Black mental health crisis, the highly publicized racial tension tied to extrajudicial violence and over-policing of Black Americans, and the COVID-19 pandemic. The pandemic started a global crisis that affected millions of people’s physical and mental health and overall well-being. Shared trauma explores the duality of mental health clinicians’ personal and professional experiences. Grounded in critical race theory and models of trauma, this study explores Black mental health clinicians’ lived experiences and lessons. This is an interpretive phenomenological study with narrative interviews of …


The Role Of Maladaptive Emotion Socialization In Risk For Urgency And Problem Drinking In Adolescents, Emily Atkinson Jan 2023

The Role Of Maladaptive Emotion Socialization In Risk For Urgency And Problem Drinking In Adolescents, Emily Atkinson

Theses and Dissertations--Psychology

Negative urgency (NU; the tendency to act rashly when experiencing negative emotions) is a robust risk factor for a number of problem behaviors, including early adolescent drinking. Little is known about the factors that precede the development of NU, and hence the full etiology of this component of risk. The current study aimed to investigate the possibility that childhood maladaptive emotion socialization (MES; the tendency for children’s expressions of emotions to be met with punishment, minimized, or invoke a reaction of distress from their parents/caretakers) increases risk for the development of NU. Secondarily, the study tested whether MES predicts increased …


Bipolarity Of Maladaptive Personality Traits In The Alternative Model Of Personality Disorders, Alexandra Hines Jan 2023

Bipolarity Of Maladaptive Personality Traits In The Alternative Model Of Personality Disorders, Alexandra Hines

Theses and Dissertations--Psychology

It has been posited that extremely high or extremely low levels of any personality trait in the Five Factor Model of Personality can be maladaptive. However, the Alternative Model of Personality Disorders (AMPD) in Section III of the DSM-5 is composed almost exclusively of unipolar maladaptive traits. The lack of maladaptively low neuroticism and high extraversion fails to fully cover psychopathy; the lack of maladaptively high extraversion fails to cover histrionic personality disorder (HPD); the lack of maladaptively high agreeableness fails to cover dependent personality disorder (DPD); and the lack of maladaptively high conscientiousness fails to cover obsessive-compulsive personality disorder …