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Understanding and evaluating an adolescent's struggles are rarely straightforward. Although mood,
behavior, and common developmental challenges can appear similar on the surface, they are often
driven by distinct underlying factors.
User's Guide for the Structured Clinical Interview for the DSM-5 Alternative Model for Personality Disorders, Module I, Adolescent Version, helps clinicians go deeper by asking better questions, allowing for clearer, well-supported conclusions when administering and scoring the Module I-A interview for the Level of Personality Functioning Scale (LPFS) in adolescents.
This guide outlines a semistructured interview process that focuses on understanding how adolescents function as people in their relationships—with themselves and others. By evaluating the four LPFS domains—Identity, Self-Direction, Empathy, and Intimacy—and applying clear scoring anchors, clinicians can translate observations into clear ratings that support treatment planning and collaboration with care teams.
Designed for psychiatrists, psychologists, behavioral pediatricians, and other mental health professionals, this User's Guide is a practical, reliable companion to the Module I-A interview for assessing adolescent personality functioning.
Ingvild K.J. Aurebekk, M.D., is Child and Adolescent Psychiatrist in the Department of
Child and Adolescent Psychiatry and Habilitation at Østfold Hospital Trust, Åsebråten Child and
Adolescent Psychiatry Clinic, in Fredrikstad, Norway.
Benjamin Hummelen, M.D., Ph.D., is Consultant Psychiatrist and Senior Research Fellow
in the Department of Research and Innovation, Clinical Mental Health and Addiction, at Oslo
University Hospital in Oslo, Norway.
Anette Fjeldstad, M.D., Ph.D., is Child and Adolescent Psychiatrist and Researcher in
the Department of Child and Adolescent Psychiatry and Habilitation at Østfold Hospital Trust in
Fredrikstad, Norway.
Donna S. Bender, Ph.D., is Director and Clinical Professor at New York University in the
Postdoctoral Program in Psychotherapy and Psychoanalysis in New York, New York.
Introduction
Specific Modules of the SCID-5-AMPD
Adolescence and Personality Disorder
Sources of Information
Preevaluation of Other Mental Disorders
Module-Specific Instructions and Sample Cases
Module I-A
Structured Clinical Interview for the Level of Personality Functioning Scale
Self and Interpersonal Functioning
Purpose of Module I-A
Use of Module I-A
Module I-A Case Vignettes, Completed Examples of Module I and Commentary
Module I-A Case Vignette 1: "Sensitive and Spicy"
Completed Example Module I-A for "Sensitive and Spicy"
Commentary: Module I-A Example for "Sensitive Spicy Soul"
Consequences for treatment
Module I-A Case Vignette 2: "Sporty and Silent"
Completed Example Module I-A for "Sporty and Silent"
Commentary: Module I-A Example for "Sporty and Silent"
Consequences for treatment