Evaluating Psychological Insight in a Clinical Sample Using the Shedler-Westen Assessment Procedure
- 1 May 2011
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in Journal of Nervous & Mental Disease
- Vol. 199 (5), 354-359
- https://doi.org/10.1097/nmd.0b013e3182175138
Abstract
Using the Shedler-Westen Assessment Procedure (SWAP)-200 Q-Sort items in a large clinical sample of outpatients (N = 105), we developed the SWAP insight scale. The rationale, psychometric properties, and convergent validity of this insight scale are reported. Through factor analysis, six of the SWAP-200 items were identified as psychometrically optimal in the assessment of insight (presence or absence) with an alpha coefficient of 0.78. We examined the construct validity of this SWAP insight scale using independent clinical videotape ratings of the Capacity for Dynamic Process Scale, specifically the items "appears introspective" and "manifests insight." We also examined the relationship between the SWAP insight scale using independent clinical videotape ratings of the Social Cognition and Object Relations Scale-Global Ratings, specifically ratings of "complexity of representations" and "social causality." The results demonstrated significant positive correlation between the SWAP insight scale and all five of these criterion measures. Partial correlations demonstrated that, even when the effects of global psychiatric severity are controlled for, the SWAP insight scale maintains a significant relationship with independent clinical videotape ratings of patients manifesting insight during sessions. Future research directions and clinical implications of the SWAP insight scale are discussed.This publication has 35 references indexed in Scilit:
- Borderline Pathology and the Personality Assessment Inventory (PAI): An Evaluation of Criterion and Concurrent ValidityJournal of Personality Assessment, 2007
- A programmatic study of short-term psychodynamic psychotherapy: Assessment, process, outcome, and trainingPsychotherapy Research, 2007
- Reliability and validity of the Social Cognition and Object Relations Scale in clinical usePsychotherapy Research, 2006
- Using the SWAP-200 in a personality-disordered forensic population: is it valid, reliable and useful?Criminal Behaviour and Mental Health, 2005
- Personality Diagnoses in Adolescence: DSM-IV Axis II Diagnoses and an Empirically Derived AlternativeAmerican Journal of Psychiatry, 2003
- PROGRESSIVE CHANGES IN PATIENTS' LIVES AFTER PSYCHOTHERAPY: WHICH TREATMENT EFFECTS SUPPORT THEM?Psychotherapy Research, 2003
- Information-gathering and therapeutic models of assessment: Complementary paradigms.Psychological Assessment, 1997
- Transference, insight, and the course of time-limited therapy.Journal of Counseling Psychology, 1997
- The role of insight in exploratory psychodynamic psychotherapyPsychology and Psychotherapy: Theory, Research and Practice, 1994
- Countertransference love and theoretical modelPsychoanalytic Dialogues, 1994