Anaclitic-sociotropic and introjective-autonomic personality dimensions and depressive symptoms: a systematic review

Sociotropy (anaclitic) and autonomy (introjective) are conceptualised as two personality dimensions that confer vulnerability to depression. According to Blatt and Beck’s theories, sociotropic individuals exhibit distinctive patterns of symptoms such as prominent anxiety, depressed mood, helplessness, crying and somatic concerns, while self-critical ones seem to exhibit a pattern of symptoms including prominent guilt, hopelessness, feelings of failure and worthlessness and other cognitive symptoms.This systematic review was performed with the aim of investigating whether and to what extent psychological dimensions of anaclitic-sociotropic and introjective-autonomy are related to a specific core of depressive symptoms. The search was conducted in three databases (PubMed, PsycINFO and Scopus) and 27 articles were selected.Results showed a weak association between somatic symptoms and dependent personality traits, while the relationship between self-criticism and cognitive symptomatology was significantly higher. These findings are discussed in the context of future research, necessary to corroborate the existence of a form of depression characterised by somatic features usually ignored by diagnostic criteria, essential to direct psychological treatments to these depressive personality differences.

Psychometric origins of depression

This article examines the historical construction of depression over about a hundred years, employing the social life of methods as an explanatory framework. Specifically, it considers how emerging methodologies in the measurement of psychological constructs contributed to changes in epistemological approaches to mental illness and created the conditions of possibility for major shifts in the construction of depression. While depression was once seen as a feature of psychotic personality, measurement technologies made it possible for it to be reconstructed as changeable and treatable. Different types of scaling techniques (Likert versus dichotomous scales) enabled the separation of depressive personality from reactive depression, paving the way for measuring the severity and intensity of emotions. Techniques to test sensitivity to change provided a means of demonstrating the efficacy of new psychoactive drug treatments. Later, more advanced techniques of precision scaling enabled the management of a new measurement problem, clinician unreliability, associated with the growing number of professionals involved in mental health care. Through statistical management of unreliability, the construct of depression has dramatically reduced over this period from hundreds of questionnaire items to potentially just two. Exploring the history of depression through this lens produces an alternative narrative to those that have emerged as a result of medicalisation and the actions of individuals and pressure groups.

Insomnia Symptom Severity is Associated with Increased Suicidality and Death by Suicide in a Sample of Patients with Psychiatric Disorders

Study Objectives Insomnia is a risk factor for suicidal behavior including attempts and death by suicide. We investigated whether insomnia symptom severity was associated with suicidality and death by suicide in patients with psychiatric disorders. Methods The sample included 180 deceased patients with psychiatric disorders seen at Weber Human Services between 2008 and 2018 who completed the Outpatient Questionnaire-45.2 (OQ) prior to death. Insomnia symptom severity was assessed using item 41 from the OQ. Manner of death was determined by death records and autopsy reports. History of suicidality was determined through electronic medical records. Cases were grouped into 4 lifetime categories: non-suicidal (n=30), suicidal ideation (n=36), suicide attempt (n=95), and death by suicide (n=19). Demographic, medical, and psychiatric features of each group were compared using linear regression. Logistic regression was used to determine whether insomnia symptom severity was associated with lifetime suicidality severity grouping, adjusting for psychiatric disorders commonly linked to suicidality. Results Lifetime suicidality was associated with sleep problems, fatigue, headaches, and psychiatric disorders (i.e., depressive, personality, and trauma-related disorders). Referenced to the non-suicidal group, greater insomnia symptom severity was significantly associated with suicide attempts and death by suicide, with odds ratios (OR) of OR=2.67, p=0.011, and OR=5.53, p=0.002, respectively, even after adjusting important psychiatric diagnoses. Conclusions Results suggest that insomnia symptom severity endorsed during a clinical visit is associated with heightened suicidality, especially suicidal behavior. The presence of insomnia symptoms in patients with psychiatric disorders may indicate risk for suicide and is a target for suicide prevention.

Is there a connection of anxiety as a personality trait with depressive personality traits?

Introduction/Aim: The results of previous research indicate that there is a connection between the symptoms of depression and anxiety, and that the occurrence of these symptoms is partly conditioned by personality traits. The aim of this study was to examine the correlation between anxiety as a personality trait and depressive personality traits among the respondents from Montenegro, in order to obtain guidance for the application of mental health programs. Method: The cross-sectional study included 355 respondents. Data were collected online, through the Google Forms platform In addition to the general questionnaire, questionnaires for the evaluation of anxiety-related traits and depressive personality traits (DP) were used. Results: Of 355 respondents, aged 18 to 68, 74.6% were women. A high positive correlation between the anxiety-related traits and depressive personality traits was significant (r = 0.82, p <0.01). In addition, we found that both of these traits were more pronounced in women, in respondents with lower educational levels and poorer material status. Younger respondents and unemployed persons had significantly more pronounced anxiety-related traits, but there was no significant difference regarding depressive personality traits. There was no significant difference regarding the pronounced anxious and depressive personality traits related to marital status and employment. Conclusion: Having in mind the fact that anxious and depressive personality traits occur simultaneously in a significant number of cases, it is important to detect these traits early and implement prevention programs in order to prevent them from developing into anxiety or depression.

PERSONALITY DISORDERAS SEEN IN THE JOKER MOVIE BY TODD PHILLIP

This research discusses personality disorder as seen in main character in the movie Joker. Personality disorder can be recognized in adolescence because the structure of disfunctional characteristics at that stage is similar to the structure of personality disorder in adulthood (Westen et al. 2003). Biological and psychological considerations, personality disorder develop in a socio structural context and appear to be socially sensitive. Through this movie, it can be concluded that there are five kinds of personality disorder reflected to the Joker as the main character in Joker movie by Todd phillips, they are borderline personality disorder, depressive personality disorder, sadistic personality disorder, antisocial personality disorder, and negativistic personality disorder. There are two causes of personality disorder that influence Joker as the main character they are psychological factors and environmental factors.

Introjective and anaclitic psychopathology in self-narratives: Idiographic assessment with Hermans’ Self-Confrontation Method

Within a hybrid framework of attachment and depression theory, we investigated whether introjective and anaclitic vulnerabilities can be detected in a person’s self-narrative as elicited with the Self-Confrontation Method (SCM). One hundred participants held a thorough self-investigation with one of five trainees, in which every person formulated ‘valuations’ (i.e., short sentences about personally relevant concerns) and, subsequently, rated to what degree certain feelings were evoked by every separate text. We extracted several measures from these idiographic data, including scales representing the prominence of certain themes according to the SCM typology (e.g., ‘unfulfilled longing and loss’, ‘anger and opposition’, and ‘powerlessness and isolation’). By analyzing the correlational patterns of the aggregated SCM-based measures and the questionnaire-based measures about attachment orientation and depressive personality vulnerability, we uncovered meaningful relationships. The results of a canonical correlational analysis indicated that an intensified sense of ‘powerlessness and isolation’ is a sign of a general psychopathological vulnerability (related to depression), ‘anger and opposition’ is associated with introjective features (distrust in others and need for control), and ‘unfulfilled longing and loss’ is associated with anaclitic features (pleasing and dependency). In an exploratory qualitative study, we used a cluster-based classification into attachment groups for the exhaustive screening of the content of negative valuations of (a selection of) insecurely attached persons (n = 15). This hermeneutic approach disclosed characteristic themes for each of the preoccupied, dismissive-avoidant and fearful-avoidant attachment styles which are discussed in great detail.

TA Treatment of Depression. A Simplified Hermeneutic Single-Case Efficacy Design. The Case of “Giovanni”

This study is inspired by previous case series replications of Hermeneutic Single-Case Efficacy Design which aim was to evaluate the effectiveness of a manualized transactional analysis treatment for depressive disorders and depressive personality. We address problems and difficulties emerged in previous case series, such as: spending time in training a group of people to conduct the hermeneutic analysis, organizing the involvement of external judges to give the final adjudication, and dealing with inconsistencies between quantitative and qualitative data. For these reasons, this study suggests a simplified method to conduct the hermeneutic analysis that require one person only, maintaining its validity. Therefore, we integrated hermeneutic design with the pragmatic case evaluation methodology in order to follow pre-defined criteria in analysing qualitative material. Furthermore, we present a way to use the Script System to detect changes in depressive symptomatology and depressive personality. We tested this approach to HSCED in the case of ‘Giovanni, a 17-years old white Italian boy who attended sixteen session of transactional analysis psychotherapy with a white Italian woman specializing in psychotherapy with 2 years of clinical experience. The patient satisfied DSM-5 criteria for moderate major depressive disorder and generalized anxiety disorder.This is the second investigation which has evaluated the effectiveness of Transactional Analysis psychotherapy for depressed adolescents.

TA Treatment of Depression. A Simplified Hermeneutic Single-Case Efficacy Design. The Case of “Margherita”

This study is the seventh of a series of seven and belongs to the second Italian systematic replication of findings from previous series that investigatedthe effectiveness of a manualized transactional analysistreatment for depressionthrough Hermeneutic Single-Case Efficacy Design. We address problems and difficulties emerged in previous case series, such as: spending time in training a group of people to conduct the hermeneutic analysis, organizing the involvement of external judges to give the final adjudication, and dealing with inconsistencies between quantitative and qualitative data. For these reasons, this study suggests a simplified method to conduct the hermeneutic analysis that require one person only, maintaining its validity. Therefore, we integrated hermeneutic design with the pragmatic case evaluation methodology in order to follow pre-defined criteria in analysing qualitative material. Furthermore, we present a way to use the Script System to detect changes in depressive symptomatology and depressive personality. We tested this approach to HSCED in the case of ‘Margherita’, a 56-years old white Italian woman who attended sixteen session of transactional analysis psychotherapy with a white Italian woman therapist with 5 years of clinical experience. The patient satisfied DSM-5 criteria for moderately severe major depressive disorder with anxious distress, and SWAP 200 criteria for traits of depressive, dependent, avoidant and hostile personality typeswith a high level of functioning.