About This Product
BY JOHN H. WINEMAN, PHD
The Axis II Personality Checklist (A-II) is a rapid and effective way to gather and organize information regarding the possible presence of personality disorders in older adolescents and adults. Checklist items ask about beliefs, attitudes, and behaviors that characterize each of the 10 DSM-IV Axis II personality disorders:
Composed of 184 yes-or-no items written at a fifth-grade reading level, the A-II takes only 10 to 20 minutes to complete so it is useful to the clinician almost instantly.
The client simply checks “Yes” in response to those items that describe behaviors, beliefs, or attitudes that describe him or her, and “No” to those items that do not. Responses are automatically transferred to a four-page Interview Guide. The Interview Guide contains critical item designations, a Consistency Check, groupings of the items that correspond to DSM-IV personality disorders, and a list of Axis-II general diagnostic criteria.
The primary purpose of the Checklist is to help generate hypotheses about a client’s personality functioning. The A-II can be administered before an initial interview to help establish the most fruitful direction for the interview and follow-up evaluation. Endorsed items can be discussed in depth during the interview. The clinician can save time by discussing with the client those behaviors or attitudes that are self-defeating or that interfere with therapeutic progress. A client’s A-II responses offer a shared focus for specific therapeutic objectives aimed at decreasing reported behaviors and increasing appropriate alternatives.
Many items on the Checklist may indicate an Axis I disorder as well as a personality disorder. Endorsement of these items may suggest one or more Axis I disorders, in which case the clinician may want to supplement the interview with the adult symptom screening form of the Problem Behavior Inventory for Axis I disorders.