Why, How, and When to Integrate Narrative Identity Within Dimensional Approaches to Personality Disorders

2022 ◽  
pp. 1-22
Author(s):  
Majse Lind ◽  
Carla Sharp ◽  
William L. Dunlop

Researchers and clinicians are beginning to adopt dimensional approaches in the study and treatment of personality disorders (PD). Although dimensional approaches in the DSM-5 and ICD-11 hold considerable benefit, they need to better incorporate an appreciation of individuals’ life stories, or narrative identities. Doing so will be necessary to flesh out the emphasis that both frameworks place on the role of identity in personality pathology. In this article, the authors review why, how, and when narrative identity theory and research can be integrated within dimensional approaches to PD. The authors describe established ways to assess narrative identity, review extant research on this construct in relation to PD, and signal areas crucial for future research. Stories lie at the heart of what it means to be human. The authors conclude that a greater consideration of the ways in which the self is storied can help further understanding and treatment of PD.

Author(s):  
Ericka Ball Cooper ◽  
Jaime L. Anderson ◽  
Carla Sharp ◽  
Hillary A. Langley ◽  
Amanda Venta

Abstract Background The mentalization theory posits that interpersonal difficulties and maladaptive personality traits develop from an insecure attachment pattern with one’s caregiver and corresponding deficits in mentalizing—the ability to understand others’ and one’s own mental states. Mentalizing deficits have been theorized as the basis for all psychopathology, with the paradigmatic case being Borderline Personality Disorder. Nevertheless, developments in the personality field indicate personality pathology is best represented dimensionally, and such a proposal was outlined by the Alternative DSM-5 Model for Personality Disorders (AMPD). Despite evidence linking the mentalization theory to personality disorders, however, it has yet to be applied to Criterion B of the AMPD. The aim of the present study was to evaluate the moderating role of mentalizing in the relation between attachment and Criterion B maladaptive trait function in a sample of undergraduates. We hypothesized a model in which: (1) attachment insecurity would be positively associated with the Negative Affectivity, Antagonism, and Disinhibition personality domains; (2) mentalizing ability would be negatively associated with these domains; and, (3) there would be an interaction effect between attachment and mentalizing when predicting these same domains. Methods Personality domains were measured dimensionally via the Personality Inventory for DSM-5 (PID-5-SF), while the dependence and avoidance domains of attachment were assessed via the Relationship Questionnaire (RQ). Mentalizing ability was tapped by the Movie for the Assessment of Social Cognition (MASC). The AMPD personality domains and trait facets were examined as dependent variables; attachment dependence, attachment avoidance, and overall mentalizing ability were entered as independent variables; and interaction terms between mentalizing and each attachment dimension were used to test moderation via MANCOVAs. Results Consistent with expectations, results indicated overall mentalizing moderated the relation between attachment avoidance and Negative Affectivity. Posthoc analyses revealed similar effects on the relations between attachment avoidance and the Emotional Lability, Hostility, and Perseveration trait facets; however, there were no significant moderation findings related to attachment dependence. Conclusions These results support the mentalization theory’s application to Criterion B of the AMPD, particularly in relation to the links between Negative Affectivity and borderline-related traits, and encourage future research of dimensional maladaptive personality. They further bolster support for understanding maladaptive personality as a dimensional construct.


2021 ◽  
Vol 49 (2) ◽  
pp. 339-360
Author(s):  
Monica Carsky

The clinical and technical difficulties presented by patients with personality disorders are well documented. This article focuses on the challenges faced by therapists when managing their emotional reactions, that is, their countertransferences, to patients with personality disorders. While leaving room for therapists' unique and idiosyncratic countertransferences to the patient with personality pathology, Kernberg emphasized the role of a more general form of countertransference, one reflective largely of the patient's conflicts and defenses, in the treatments of personality disordered individuals. Here, the nature of the patient's internal and external functioning can be seen to lead to similar reactions among different therapists, opening the possibility of utilizing countertransference to better understand the patient's difficulties. In transference-focused psychotherapy (TFP), countertransferences arising in the patient–therapist interaction are first identified and contained by the therapist and then utilized to clarify and explore how the patient's internal object relations are being enacted in the clinical process. This article describes this process and how TFP therapists work with their countertransference to help illuminate the patient's split representational world, paving the way for interpretation and integration.


2022 ◽  
Vol 7 (1) ◽  
pp. 243-263
Author(s):  
Mohd Fadhli Shah Khaidzir ◽  
Ruzy Suliza Hashim ◽  
Noraini Md. Yusof

Background and Purpose: The absence of psychogeographical awareness is a critical factor contributing to the lackadaisical attitudes towards the place and its environment. As a result, it enables an individual to fully experience a location, both physically and intellectually, while also gaining a feeling of self-discovery and self-realisation.   Methodology: The purpose of this study was to examine the responses of a group of individuals who participated in a field observation. 40 participants from a Malaysian university's foundation level were brought to Malacca to experience the environment's geographical scenery at their own leisure. The survey data was then manually transcribed and analysed in accordance with the study's aim.   Findings: Interactions with individuals and observation of features in the countryside and urban surroundings enabled participants to go on a psychogeographical journey that influenced their way of thinking and behaving. All participants felt that the journey had influenced their experiences and perspectives on their thinking and behaviour, highlighting the critical role of this notion in establishing the connection between place and self.   Contributions:  The findings of this study provide a solid foundation for future research in the field of psychogeography. The data may be used as a baseline for future studies to determine whether a comparable impact exists in other locations, with or without significant features like those found in Malacca.   Keywords: Psychogeography, place attachment, place meaning, self-discovery, Malacca.   Cite as: Khaidzir, M. F. S., Hashim, R. S., & Md. Yusof, N. (2022). Psychogeographical experience between the self and the place.  Journal of Nusantara Studies, 7(1), 243-263. http://dx.doi.org/10.24200/jonus.vol7iss1pp243-263


2017 ◽  
Author(s):  
Marissa Jennings

The recently published DSM-5 included a dimensional model of personality pathology, which includes pathological traits. This model is a response to the many criticisms and problems documented with the traditional categorical modal of personality disorders. To date, numerous studies have demonstrated that the trait model is more valid and reliable than the traditional categorical model (Krueger and Markon 2013). This study expands research on the trait model by assessing the association between the DSM-5 traits and propensity for, or attitudes about, violence.


2020 ◽  
Author(s):  
Ariawan ◽  
Titien Agustina

Nowadays a Social entrepreneurship is most important field in all service and public sectors. In other ways it gives all way ofthinking in a social terms like poverty and hunger. Also it is compelling life stories and it gives a progress against increasingWorld issues of poor living and sickness. This term offers the opportunities of living and money for poor people by representinghigher level of social problems. It also gives a chance of improvement by insights process of social entrepreneur’s analysis. Inthe little business these social things, usually reinvent the fact that they have to struggle for maintaining and managing sm allbusiness with comparatively other variety of business. So usually a management can be done in social entrepreneurs in rarebasis for the self fulfilment of all data, in company these issues is ahead from many years by doing isolation, these are hoppingfor complete impact in these issues for better economic growth. There are lots of challenging changes has to do to performthese management in all over World. The most important thing is done in this paper is to make a high level of quality analysis insocial entrepreneurship as on the demand of sectors. These is made so fast as it affect all others analysis like educationdepartment of tenure and recognition


1998 ◽  
Vol 43 (2) ◽  
pp. 148-153 ◽  
Author(s):  
Joel Paris

Objective: To examine the relationship between trauma in childhood and personality disorders in adulthood. Method: A review of the literature was conducted. Results: The reported associations between trauma and personality pathology are illuminated by the following research findings: 1) personality is heritable; 2) only a minority of patients with severe personality disorders report childhood trauma; and 3) children are generally resilient, and traumatic experiences do not consistently lead to psychopathology. Conclusions: The role of trauma in the personality disorders is best understood in the context of gene–environment interactions.


2009 ◽  
Vol 15 (4) ◽  
pp. 514-525 ◽  
Author(s):  
Muayyad Jabri

AbstractThis paper calls on cultural studies as a resource for rethinking East and West management cultures. An analysis of East and West management cultures reveals that much of our prevailing knowledge of East and West management cultures is derived from cross-national comparisons of culture. These comparisons are predicated on assumptions of instrumental rationality and the cultural homogeneity of the self with social others, which effectively presume an ontology of the self as stable, enduring, and the same as social others. For promoting exchange between East and West management cultures, there is a need to move beyond this mistaken assumption of ontological ‘sameness’. To achieve this, the paper argues that at least two changes are required: (i) reversing the tendency to treat culture as an entity that is separate from the individual; and (ii) reversing the tendency to treat the narrative identity of the individual as stable and enduring. With a view to realising these changes, the paper proposes the notion of ‘dialogical encounter’ as a means of enabling individuals to be given a role in determining how their culture is ‘made known’ to others.


1997 ◽  
Vol 12 (4) ◽  
pp. 307-322 ◽  
Author(s):  
Zvi Eisikovits ◽  
Guy Enosh

The purpose of this article is to examine the role of moral feelings—guilt and shame —in the emergence and aftermath of intimate violence, and the way in which these emotions affect the self and behaviors of those involved. This is a phenomenological study using content analysis of in-depth interviews with 20 male batterers and their female partners. The findings indicate that the extent of authenticity and assumption of responsibility concerning moral feelings will determine whether these will or will not lead to intimate violence. Thus it becomes possible to trace five alternative paths of the relationship between moral feelings and intimate violence. Implications for theorizing and future research about the role of moral feelings in intimate violence are suggested.


2013 ◽  
Vol 7 (1) ◽  
pp. 27 ◽  
Author(s):  
Klaus Schmeck ◽  
Susanne Schlüter-Müller ◽  
Pamela A Foelsch ◽  
Stephan Doering
Keyword(s):  

2011 ◽  
Vol 42 (8) ◽  
pp. 1705-1713 ◽  
Author(s):  
L. C. Morey ◽  
C. J. Hopwood ◽  
J. C. Markowitz ◽  
J. G. Gunderson ◽  
C. M. Grilo ◽  
...  

BackgroundSeveral conceptual models have been considered for the assessment of personality pathology in DSM-5. This study sought to extend our previous findings to compare the long-term predictive validity of three such models: the Five-Factor Model (FFM), the Schedule for Nonadaptive and Adaptive Personality (SNAP), and DSM-IV personality disorders (PDs).MethodAn inception cohort from the Collaborative Longitudinal Personality Disorder Study (CLPS) was followed for 10 years. Baseline data were used to predict long-term outcomes, including functioning, Axis I psychopathology, and medication use.ResultsEach model was significantly valid, predicting a host of important clinical outcomes. Lower-order elements of the FFM system were not more valid than higher-order factors, and DSM-IV diagnostic categories were less valid than dimensional symptom counts. Approaches that integrate normative traits and personality pathology proved to be most predictive, as the SNAP, a system that integrates normal and pathological traits, generally showed the largest validity coefficients overall, and the DSM-IV PD syndromes and FFM traits tended to provide substantial incremental information relative to one another.ConclusionsDSM-5 PD assessment should involve an integration of personality traits with characteristic features of PDs.


Sign in / Sign up

Export Citation Format

Share Document