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Personality pathology and structure among prisoners based on Kernberg’s model

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Published: 7 April 2026
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This study examined the prevalence of personality styles and disorders (PSDs) and their association with dimensions of personality organization, based on Kernberg’s model, among 97 male prisoners in Zahedan, Iran. The most prevalent PSD was antisocial personality disorder (25.8%), followed by schizoid, narcissistic, schizotypal, and negativistic (passive-aggressive) types, while depressive personality disorder was the least common (10.3%). Pearson correlation and regression analyses revealed that certain PSDs, specifically passive-aggressive, dependent, borderline, and depressive types, were significantly correlated with the subdomains of personality organization, including reality testing, primitive defenses, and identity diffusion. Notably, depressive personality disorder was a significant predictor for disturbances in reality testing and primitive defenses, while dependent and depressive types predicted greater identity diffusion. Antisocial, paranoid, schizoid, avoidant, obsessive-compulsive, schizotypal, rhapsodic, narcissistic, histrionic, and altruistic PSDs showed no significant associations with personality organization dimensions. These findings highlight both the high prevalence and the heterogeneity of PSDs among inmates and demonstrate that specific PSDs are related to structural aspects of personality organization, underscoring the importance of dimensional assessment for clinical intervention and rehabilitation planning in correctional settings.

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Kuhl J, Kazén M. Persönlichkeits-Stil- und -Störungs-Inventar (PSSI). Göttingen, Germany: Hogrefe; 2009. [Manual in German]
Kernberg OF, Caligor E. A psychoanalytic theory of personality disorders. In: JF Clarkin, MF Lenzenweger, eds. Major theories of personality disorder. New York, NY, USA: Guilford; 2005. pp 114-56.
Cunha O, Castro Rodrigues A, Caridade S, et al. The impact of imprisonment on individuals’ mental health and society reintegration: study protocol. BMC Psychol 2023;11:215.
Yousefi F, Talib MA. Predictors of personality disorders in prisoners. J Med Life 2022;15:454-61.
Fazel S, Danesh J. Serious mental disorder in 23000 prisoners: a systematic review of 62 surveys. Lancet 2002;359:545-50.
Math S, Murthy P, Parthasarthy R, et al. Personality disorders with serious implications in prisons. In: Mental health care in prisons. 2011. Available from: https://www.antoniocasella.eu/archipsy/Math_2011.pdf
Hussein AG, Rasool AA. Prevalence of personality disorders among female sentenced prisoners in Erbil Adult Reformatory Prison. J Kirkuk Med Coll 2017;5:121-9.
Fakhrzadegan S, Gholami-Doon H, Shamloo B, Shokouhi-Moqhaddam S. The relationship between personality disorders and the type of crime committed and substance used among prisoners. Addict Health 2017;9:64-71.
Chow RTS, Yu R, Geddes JR, Fazel S. Personality disorders, violence and antisocial behaviour: updated systematic review and meta-regression analysis. Br J Psychiatry 2025;227:481-91.
Mazza M, Lisci FM, Marzo EM, et al. Why do they do it? The psychology behind antisocial behavior in children and adolescents. Pediatr Rep 2025;17:26.
Silagadze T, Jijikhia R. Personality disorders and crime. World Science 2023;2:1-7.
Jacobs LA, Ashcraft LE, Sewall CJR, et al. Ecologies of juvenile reoffending: a systematic review of risk factors. J Crim Justice 2020;66:101638.
Wathen MV, Decker PLF, Richards MH, et al. Towards improving engagement of youth of color in cross-age mentoring programs in high poverty, high crime neighborhoods. Children Youth Serv Rev 2021;128:106032.
McFadden NR, Kahn DR, Utter GH. Injuries sustained during incarceration among prisoners. J Surg Res 2021;264:386-93.
Bowen K, Jarrett M, Stahl D, et al. The relationship between exposure to adverse life events in childhood and adolescent years and subsequent adult psychopathology in 49,163 adult prisoners: a systematic review. Pers Individ Dif 2018;131:74-92.
Pousset M, Tremblay RE, Falissard B. Multivariate dependencies between difficult childhood, temperament and antisocial personality disorder in a population of French male prisoners. Rev Epidemiol Sante Publique 2011;59:169-74.
Fariba KA, Gupta V, Torrico TJ, Kass E. Personality disorder. Treasure Island, FL, USA: StatPearls Publishing; 2024.
Mazaheri M, Khalighi N, Raghibi M, Sarabandi H. Prevalence of personality disorders among female prisoners of Zahedan prison. Zahedan J Res Med Sci 2011;13:e94018.
Kernberg OF. Psychotic personality structure. Psychodyn Psychiatry 2019;47:353-72.
Moore KE, Gobin RL, McCauley HL, et al. The relation of borderline personality disorder to aggression, victimization, and institutional misconduct among prisoners. Compr Psychiatry 2018;84:15-21.
Fontana A, De Panfilis C, Casini E, et al. Rejection sensitivity and psychopathology symptoms in early adolescence: The moderating role of personality organization. J Adolesc 2018;67:45-54.
Palahang H, Vakilzadeh SB, Deris F. The prevalence of personality disorders in male prisoners of Shahr-e-Kord prison. Iranian J Psychiatry Clin Psychol 2003;8:57-64.
Livanou M, Furtado V, Winsper C, et al. Prevalence of mental disorders and symptoms among incarcerated youth: a meta-analysis of 30 studies. Int J Forensic Ment Health 2019;18:400-14.
Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behav Res Methods 2009;41:1149-60.
Sharifi G, Abdollahi A, Hosseinian S. Psychometric properties of the Persian version of Personality Style and Disorder Inventory (PSDI-S) in Iranian students. Rooyesh 2021;9:43-54.
Mohammadi N, Albehebahani M. Psychometric properties of the Kernberg Personality Organization Inventory. Psychology 2007;42:185-97.
Lenzenweger MF, Clarkin JF. Major theories of personality disorder. London, UK: Guilford Publications; 2005.
Boland RJ, Verduin ML, Sadock BJ. Kaplan & Sadock’s concise textbook of clinical psychiatry. Philadelphia, PA, USA: Wolters Kluwer; 2022.
Lackinger F. Using transference-focused psychotherapy (TFP) principles in the treatment of forensic patients. In: Caligor E, Clarkin JF, Yeomans FE, eds. Implementing transference-focused psychotherapy principles: general psychiatric care for personality disorders. Cham: Springer Nature Switzerland; 2025. pp 265-307.
Schalast N, Lebbing C, Völlm B. Evidence-based treatment in forensic settings. In: Völlm B, Braun B, eds. Forensic psychiatry and psychology in Europe: a cross-border study guide. Cham: Springer International Publishing; 2018. pp 239-48.

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1.
Personality pathology and structure among prisoners based on Kernberg’s model. Mental Wellness [Internet]. 2026 Apr. 7 [cited 2026 Apr. 8];4. Available from: https://www.mental-wellness-journal.net/mw/article/view/41