October 26, 2017

Psychologists, Heal Thyselves

Cover of 'Psychologists, Heal Thyselves' article.One professor’s challenge to his profession

Mental health professionals are well aware of the fact that there is often a discrepancy between what people say and what they do. So why do they rely on patients’ responses to questionnaires as the foundation for most classifications in their field’s authoritative reference, the Diagnostic and Statistical Manual of Mental Disorders (DSM-5)?

That’s the question Robert Bornstein, Ph.D., professor in the Gordon F. Derner School of Psychology, has been asking for close to 20 years, most recently in an address, “What We Say and What We Do,” that he delivered as president of the Society for Personality Assessment.

“Psychology has developed an unhealthy reliance on self-report,” Dr. Bornstein explained. “Between 60 to 80 percent of the personality disorder symptom criteria in the DSM are based exclusively on questionnaires, which is a big problem. Self-reports bear little resemblance to what people do; in fact, they tend to correlate with actual behavior very modestly—at about .20 to .30 in most studies.”

But while the lack of accuracy would seem to make patients’ responses worthless, Dr. Bornstein says that is not necessarily the case. Self-reports are an excellent measure of how people perceive and present themselves—although they must be supplemented with objective information to develop more accurate classifications and deeper understandings, especially in the area of personality disorders like narcissism.

Dr. Bornstein argues that DSM assessments, which serve as a guide to treatments and have an impact on reimbursements for healthcare providers, should also incorporate detailed observations by professionals and others who know the patients well. And he calls for continued research into issues surrounding self-reports, particularly the psychological processes that occur when people choose their answers to questionnaires.

Will the profession address Dr. Bornstein’s concerns about the overreliance on self-reports? “It’s a tough problem to combat,” he said. “People in the field always say, ‘That’s a really good point,’ then move on. No one is willing to get into the ring to fight about it.”

Robert Bornstein, Ph.D.’s research into personality disorders and assessment, unconscious processes, and interpersonal dependency has been funded by the National Institute of Mental Health and the National Science Foundation. More recently, his work has also considered the growing problem of technology dependency. In 2016, he was voted Adelphi University Professor of the Year by the Student Government Association and Adelphi Psychology Professor of the Year by the Undergraduate Psychology Club.
More Adelphi News

About Adelphi: A modern metropolitan university with a personalized approach to higher learning.

Adelphi University, New York, is a highly awarded, nationally ranked, powerfully connected doctoral research university dedicated to transforming students’ lives through small classes with world-class faculty, hands-on learning and innovative ways to support academic and career success. Adelphi offers exceptional liberal arts and sciences programs and professional training, with particular strength in our Core Four—Arts and Humanities, STEM and Social Sciences, the Business and Education Professions, and Health and Wellness.

Recognized as a Best College by U.S. News & World Report, Adelphi is Long Island’s oldest private coeducational university. It serves more than 8,100 students at its beautiful main campus in Garden City, New York—just 23 miles from New York City’s cultural and internship opportunities—and at dynamic learning hubs in Manhattan, the Hudson Valley and Suffolk County, as well as online.

More than 115,000 Adelphi graduates have gained the skills to thrive professionally as active, engaged citizens, making their mark on the University, their communities and the world.