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important indicators of Axis I diagnoses (Bagby et al, 1997; Trull & Sher, 1994), and personality profiles provide a wealth of information relevant to the development of rapport, the choice of therapies, and the prediction of treatment outcome (Costa & McCrae, 1992a; Mut n, 1991) T Miller (1991) discussed the clinical presentation, treatment implications, and outcome expectations for each pole of each of the five factors For example, he reported that patients low in A often report victimization because they are so easily offended (cf McCullough, Emmons, Kilpatrick, & Mooney, 2003); that they are skeptical of the process of psychotherapy and of the skills of the clinician; and that, at extremely low levels, they might terminate treatment prematurely (if, indeed, they began it at all) Miller argued that information on early in the course of therapy was essential to build a satisfactory treatment alliance.

features such as impulse control, synthesis, and integration of conceptual material, memory, and affect regulation shape individuals perception of their environment, their response to it, and their capacity to cope with stressors.

Given the close links between general personality traits and PDs, it follows that a complete PD diagnosis would yield some of the same information that assessment of the FFM does For example, patients who have paranoid PD are very low in A and would probably show the same pattern of clinical presentation, treatment implications, and outcome expectations that T Miller (1991) described for disagreeable patients However, most patients do not meet criteria for any PD, whereas all patients have personality profiles Further, measures of the FFM provide some information that PD diagnoses cannot In particular, none of the PDs is a reliable indicator of standing on O (Ball, Tennen, Poling, Kranzler, & Rounsaville, 1997; Egan, Austin, Elliot, Patel, & Charlesworth, 2003), despite the fact that O is central to the way clients understand the therapeutic enterprise As Miller (1991) said, O influences the client s reaction to interventions .

country (for national organizations) or across the region (for smaller regional conferences). Research papers are submitted about six months prior to the conference and are reviewed by experts in the field. Many have expressed concern that research findings tend to be communicated more to the research community than to the clinical community (e.g., Addis, 2002; Beutler, Williams, Wakefield, & Entwistle, 1995; Fensterheim & Raw, 1996; Hayes, 2002; Nezu, 1996). For example, practitioners often do not read many of the professional scientific journals nor do they regularly attend national or regional conferences. Rather, they learn of new techniques and strategies by attending continuing education workshops or hospital grand rounds presentations. Some argue that because research precision is so highly valued and many projects focus on such specialized areas of study that they are not useful to the average clinician practicing in the field. The dilemma is exacerbated by the fact that many researchers know few clinicians and many clinicians know few researchers. Hence, academic and clinical circles do not always overlap. This separation between research and practice has been an important issue in psychology since the field began in 1896 and continues to be a hotly debated topic (Addis, 2002; Clement, 1996; Fensterheim & Raw, 1996; Hayes, 1996; Nezu, 1996; Rice, 1997). Researchers often argue that some clinicians are misguided and uninformed in their efforts to help their patients and that quality research is needed to correct this problem (Davison & Lazarus, 1994; Garfield, 1994). Clinicians often feel that many research studies are oversimplified and that researchers are not in touch with the complicated challenges that clinicians face in trying to help their patients (Clement, 1996; Edelson, 1994; Havens, 1994). However, some studies suggest that clinicians value research more than researchers generally believe they do, and

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Some treatment methods are more unconventional than others, and clients differ in the extent to which they feel comfortable with novelty (pp 425 426) The small literature on trait-by-treatment interactions in psychotherapy includes demonstrations that O does affect treatment efficacy Weinstein and Smith (1992), for example, showed that anxious patients high in Absorption, a trait related to O, benefited more from meditation Five-factor model assessments, either from self-reports or from informant ratings, can rule out PD diagnoses, suggest (with modest accuracy) the presence of some PDs, and provide a broader portrait of the enduring characteristics of the individual, which can contribute unique information relevant to the choice of therapies..