This paper describes the aims, background, design, and methods used in a co
llaborative longitudinal study of Axis II personality disorders (PDs). This
study examines the putative stability of selected PD diagnoses and criteri
a, what factors affect their course, and whether their stability and course
distinguishes them from a representative Axis I disorder, This article als
o describes the acquisition and demographics of the sample on whom the stud
y is being done.
A prospective, repeated measures investigation of the stability of PDs is n
ow underway at multiple clinical settings in four collaborating urban sites
in Boston, New Haven, New York, and Providence, Diagnostic assignments are
based on semistructured interview assessments (by clinically trained rater
s) and confirmed by at least one additional contrasting diagnostic method.
The sample consists of 668 treatment seeking and reliably diagnosed adults
recruited from a broad range of clinical sites, By design, patients in the
sample met standards for one of five diagnostic subgroups: (a) schizotypal
(N = 86); (b) borderline (N = 175); (c) avoidant (N = 157); (d) obsessive-c
ompulsive (N = 153) personality disorders or a control group having (e) maj
or depressive disorder without personality disorder (N = 97).