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The current study examined the occurrence of identity dimensions, clinically relevant identity impairments and personality pathology, and associations between these constructs in 92 forensic patients and 139 healthy controls. Patients showed higher levels of almost all identity dimensions, identity impairments, personality disorders, and almost all maladaptive personality traits than controls. Various identity dimensions were associated with consolidated identity as well as identity impairments in both groups. Both patients and controls with high ruminative exploration and identity malfunctioning showed more personality pathology. Different associations between identity functioning and particularly antisocial and borderline personality disorder showed to be stronger in patients than in controls. Our results highlight the importance of identity impairment as a crucial criterion to assess and treat personality pathology in forensic patients.<\/jats:p>","DOI":"10.1177\/0306624x241248364","type":"journal-article","created":{"date-parts":[[2024,4,23]],"date-time":"2024-04-23T06:31:05Z","timestamp":1713853865000},"page":"1558-1578","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Identity and Personality Pathology in Adult Forensic Psychiatric Patients and Healthy Controls"],"prefix":"10.1177","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3906-5149","authenticated-orcid":false,"given":"Deni","family":"Tressov\u00e1","sequence":"first","affiliation":[{"name":"Tilburg University, The Netherlands"},{"name":"Fivoor Science and Treatment Innovation, Poortugaal, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6639-6739","authenticated-orcid":false,"given":"Elien","family":"De Caluw\u00e9","sequence":"additional","affiliation":[{"name":"Tilburg University, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan","family":"Bogaerts","sequence":"additional","affiliation":[{"name":"Tilburg University, The Netherlands"},{"name":"Fivoor Science and Treatment Innovation, Poortugaal, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,4,23]]},"reference":[{"key":"bibr1-0306624X241248364","doi-asserted-by":"publisher","DOI":"10.1080\/00223891.2015.1107572"},{"key":"bibr2-0306624X241248364","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"bibr3-0306624X241248364","doi-asserted-by":"publisher","DOI":"10.5812\/ircmj.17(5)2015.19885"},{"key":"bibr4-0306624X241248364","doi-asserted-by":"publisher","DOI":"10.1037\/a0018362"},{"key":"bibr5-0306624X241248364","volume-title":"SCL-90. 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