Abstract
Personality is formed by the interaction of genetic predisposition with early environment and the accumulation of experiences and learning, much of which is influenced by cultural and socio-economic factors. Genetic and experiential contributions to personality and the brain mechanisms underlying personality disorders are discussed. Short of disorder, patients’ personality types or styles interact with the sick role and hospitalization. Optimal approaches to patients’ personality types are discussed.
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Amaro, H., Magno-Gatmaytan, C., Melendez, M., Cortes, D. E., Arevalo, S., & Margolin, A. (2010). Addiction treatment intervention: An uncontrolled prospective pilot study of spiritual self-schema therapy with Latina women. Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse, 31, 117–125.
APA. (2013). DSM-5. Diagnostic and statistical manual of mental disorders-5. Washington, DC: American Psychiatric Press.
Ball, S. A. (1998). Manualized treatment for substance abusers with personality disorders: Dual focus schema therapy. Addictive Behaviors, 23, 883–891.
Bamelis, L. L., Evers, S. M., Spinhoven, P., & Arntz, A. (2013). Results of a multicenter randomized controlled trial of the clinical effectiveness of schema therapy for personality disorders. The American Journal of Psychiatry, 171, 305–322.
Bamelis, L. L., Evers, S. M., & Arntz, A. (2012). Design of a multicentered randomized controlled trial on the clinical and cost effectiveness of schema therapy for personality disorders. BMC Public Health, 12, 75.
Bamelis, L. L., Renner, F., Heidkamp, D., & Arntz, A. (2011). Extended schema mode conceptualizations for specific personality disorders: An empirical study. Journal of Personality Disorders, 25, 41–58.
Barnow, S., Stopsack, M., Grabe, H. J., Meinke, C., Spitzer, C., Kronmuller, K., et al. (2009). Interpersonal evaluation bias in borderline personality disorder. Behaviour Research and Therapy, 47, 359–365.
Bartz, J. A., Zaki, J., Bolger, N., & Ochsner, K. N. (2011). Social effects of oxytocin in humans: Context and person matter. Trends in Cognitive Sciences, 15, 301–309.
Bateman, A., & Fonagy, P. (2009). Randomized controlled trial of outpatient mentalization-based treatment versus structured clinical management for borderline personality disorder. The American Journal of Psychiatry, 166, 1355–1364.
Bateman, A., & Fonagy, P. (2010). Mentalization based treatment for borderline personality disorder. World Psychiatry, 9, 11–15.
Bertsch, K., Gamer, M., Schmidt, B., Schmidinger, I., Walther, S., Kastel, T., et al. (2013). Oxytocin and reduction of social threat hypersensitivity in women with borderline personality disorder. The American Journal of Psychiatry, 170, 1169–1177.
Bertsch, K., Schmidinger, I., Neumann, I. D., & Herpertz, S. C. (2013). Reduced plasma oxytocin levels in female patients with borderline personality disorder. Hormones and Behavior, 63, 424–429.
Bibring, G. L., & Kahana, R. J. (1968). Lectures in medical psychology; An introduction to the care of patients. New York, NY: International Universities Press.
Blair, R. J. (2013). The neurobiology of psychopathic traits in youths. Nature Reviews Neuroscience, 14, 786–799.
Bohus, M., Haaf, B., Simms, T., Limberger, M. F., Schmahl, C., Unckel, C., et al. (2004). Effectiveness of inpatient dialectical behavioral therapy for borderline personality disorder: A controlled trial. Behaviour Research and Therapy, 42, 487–499.
Butcher, L. M., Davis, O. S., Craig, I. W., & Plomin, R. (2008). Genome-wide quantitative trait locus association scan of general cognitive ability using pooled DNA and 500 K single nucleotide polymorphism microarrays. Genes, Brain and Behavior, 7, 435–446.
Butcher, L. M., & Plomin, R. (2008). The nature of nurture: A genomewide association scan for family chaos. Behavior Genetics, 38, 361–371.
Chen, E. Y., Matthews, L., Allen, C., Kuo, J. R., & Linehan, M. M. (2008). Dialectical behavior therapy for clients with binge-eating disorder or bulimia nervosa and borderline personality disorder. The International Journal of Eating Disorders, 41, 505–512.
Cohen, L. J., Tanis, T., Bhattacharjee, R., Nesci, C., Halmi, W., & Galynker, I. (2013). Are there differential relationships between different types of childhood maltreatment and different types of adult personality pathology? Psychiatry Research, 215, 192–201.
Coolidge, F. L., Thede, L. L., & Jang, K. L. (2001). Heritability of personality disorders in childhood: a preliminary investigation. Journal of Personality Disorders, 15, 33–40.
Crowell, S. E., Beauchaine, T. P., & Linehan, M. M. (2009). A biosocial developmental model of borderline personality: Elaborating and extending Linehan’s theory. Psychological Bulletin, 135, 495–510.
Domes, G., Czieschnek, D., Weidler, F., Berger, C., Fast, K., & Herpertz, S. C. (2008). Recognition of facial affect in borderline personality disorder. Journal of Personality Disorders, 22, 135–147.
Duclot, F., & Kabbaj, M. (2013). Individual differences in novelty seeking predict subsequent vulnerability to social defeat through a differential epigenetic regulation of brain-derived neurotrophic factor expression. The Journal of Neuroscience, 33, 11048–11060.
Gibbon, S., Duggan, C., Stoffers, J., Huband, N., Vollm, B.A., Ferriter, M., Lieb, K. (2010). Psychological interventions for antisocial personality disorder. The Cochrane Database of Systematic Reviews, CD007668.
Gunderson, J. G. (1986). Pharmacotherapy for patients with borderline personality disorder. Archives of General Psychiatry, 43, 698–700.
Gunderson, J. G. (2009). Borderline personality disorder: ontogeny of a diagnosis. The American Journal of Psychiatry, 166, 530–539.
Gunderson, J. G., & Singer, M. T. (1975). Defining borderline patients: An overview. The American Journal of Psychiatry, 132, 1–10.
Gunter, T. D., Chibnall, J. T., Antoniak, S. K., Philibert, R. A., & Black, D. W. (2013). Childhood trauma, traumatic brain injury, and mental health disorders associated with suicidal ideation and suicide-related behavior in a community corrections sample. The Journal of the American Academy of Psychiatry and the Law, 41, 245–255.
Harned, M. S., Korslund, K. E., Foa, E. B., & Linehan, M. M. (2012). Treating PTSD in suicidal and self-injuring women with borderline personality disorder: development and preliminary evaluation of a dialectical behavior therapy prolonged exposure protocol. Behaviour Research and Therapy, 50, 381–386.
Hazlett, E. A., Zhang, J., New, A. S., Zelmanova, Y., Goldstein, K. E., Haznedar, M. M., et al. (2012). Potentiated amygdala response to repeated emotional pictures in borderline personality disorder. Biological Psychiatry, 72, 448–456.
Higgitt, A., & Fonagy, P. (1992). Psychotherapy in borderline and narcissistic personality disorder. The British Journal of Psychiatry, 161, 23–43.
Hink, L. K., Rhee, S. H., Corley, R. P., Cosgrove, V. E., Hewitt, J. K., Schulz-Heik, R. J., et al. (2013). Personality dimensions as common and broadband-specific features for internalizing and externalizing disorders. Journal of Abnormal Child Psychology, 41, 939–957.
Kahana, R. J., & Bibring, G. L. (1964). Personality types in medical management. In N. Zinberg (Ed.), Psychiatry and Medical Practice in a General Hospital (pp. 108–123). New York: International Universities Press.
Kendler, K. S., Aggen, S. H., Czajkowski, N., Roysamb, E., Tambs, K., Torgersen, S., et al. (2008). The structure of genetic and environmental risk factors for DSM-IV personality disorders: A multivariate twin study. Archives of General Psychiatry, 65, 1438–1446.
Kendler, K. S., Czajkowski, N., Tambs, K., Torgersen, S., Aggen, S. H., Neale, M. C., et al. (2006). Dimensional representations of DSM-IV cluster A personality disorders in a population-based sample of Norwegian twins: A multivariate study. Psychological Medicine, 36, 1583–1591.
Khalifa, N., Duggan, C., Stoffers, J., Huband, N., Vollm, B.A., Ferriter, M., Lieb, K. (2010). Pharmacological interventions for antisocial personality disorder. The Cochrane Database of Systematic Reviews, CD007667
Kim, S., Kochanska, G., Boldt, L. J., Nordling, J. K., & O’Bleness, J. J. (2013). Developmental trajectory from early responses to transgressions to future antisocial behavior: Evidence for the role of the parent-child relationship from two longitudinal studies. Development and Psychopathology, 1–18, 93–109.
Knobloch, H. S., Charlet, A., Hoffmann, L. C., Eliava, M., Khrulev, S., Cetin, A. H., et al. (2012). Evoked axonal oxytocin release in the central amygdala attenuates fear response. Neuron, 73, 553–566.
Koenigsberg, H. W., Denny, B. T., Fan, J., Liu, X., Guerreri, S., Mayson, S. J., et al. (2013). The neural correlates of anomalous habituation to negative emotional pictures in borderline and avoidant personality disorder patients. The American Journal of Psychiatry, 171, 81–90.
Koerner, K., & Linehan, M. M. (2000). Research on dialectical behavior therapy for patients with borderline personality disorder. The Psychiatric Clinics of North America, 23, 151–167.
Laborey, M., Masson, F., Ribereau-Gayon, R., Zongo, D., Salmi, L. R., & Lagarde, E. (2013). Specificity of postconcussion symptoms at 3 months after mild traumatic brain injury: Results from a comparative cohort study. The Journal of Head Trauma Rehabilation, 29, E28–E36.
Larsson, H., Viding, E., Rijsdijk, F. V., & Plomin, R. (2008). Relationships between parental negativity and childhood antisocial behavior over time: A bidirectional effects model in a longitudinal genetically informative design. Journal of Abnormal Child Psychology, 36, 633–645.
Leigh, H., & Reiser, M. F. (1980). The patient: Biological, psychological, and social dimensions of medical practice. New York: Plenum Medical Book Co.
Linehan, M. M. (1987). Dialectical behavior therapy for borderline personality disorder. Theory and Method. Bulletin of the Menninger Clinic, 51, 261–276.
Linehan, M. (1993a). Cognitive-behavioral treatment of borderline personality disorder. New York: Guilford Press.
Linehan, M. (1993b). Skills training manual for treating borderline personality disorder. New York: Guilford Press.
Linehan, M. M. (1993c). Dialectical behavior therapy for treatment of borderline personality disorder: Implications for the treatment of substance abuse. NIDA Research Monograph, 137, 201–216.
Linehan, M. M. (1995). Combining pharmacotherapy with psychotherapy for substance abusers with borderline personality disorder: strategies for enhancing compliance. NIDA Research Monograph, 150, 129–142.
Linehan, M. M., Comtois, K. A., Murray, A. M., Brown, M. Z., Gallop, R. J., Heard, H. L., et al. (2006). Two-year randomized controlled trial and follow-up of dialectical behavior therapy vs therapy by experts for suicidal behaviors and borderline personality disorder. Archives of General Psychiatry, 63, 757–766.
Linehan, M. M., McDavid, J. D., Brown, M. Z., Sayrs, J. H., & Gallop, R. J. (2008). Olanzapine plus dialectical behavior therapy for women with high irritability who meet criteria for borderline personality disorder: A double-blind, placebo-controlled pilot study. Journal of Clinical Psychiatry, 69, 999–1005.
Little, J. C. (1969). The athlete’s neurosis—A deprivation crisis. Acta Psychiatrica Scandinavica, 45, 187–197.
Martin-Blanco, A., Soler, J., Villalta, L., Feliu-Soler, A., Elices, M., Perez, V., et al. (2013). Exploring the interaction between childhood maltreatment and temperamental traits on the severity of borderline personality disorder. Comprehensive Psychiatry, 55, 311–318.
Meaburn, E. L., Harlaar, N., Craig, I. W., Schalkwyk, L. C., & Plomin, R. (2008). Quantitative trait locus association scan of early reading disability and ability using pooled DNA and 100 K SNP microarrays in a sample of 5760 children. Molecular Psychiatry, 13, 729–740.
Montag, C., Markett, S., Basten, U., Stelzel, C., Fiebach, C., Canli, T., et al. (2010). Epistasis of the DRD2/ANKK1 Taq Ia and the BDNF Val66Met polymorphism impacts novelty seeking and harm avoidance. Neuropsychopharmacology, 35, 1860–1867.
Neacsiu, A. D., Rizvi, S. L., & Linehan, M. M. (2010). Dialectical behavior therapy skills use as a mediator and outcome of treatment for borderline personality disorder. Behaviour Research and Therapy, 48, 832–839.
Newnham, E. A., & Janca, A. (2014). Childhood adversity and borderline personality disorder: A focus on adolescence. Current Opinion in Psychiatry, 27, 68–72.
Okuyama, Y., Ishiguro, H., Nankai, M., Shibuya, H., Watanabe, A., & Arinami, T. (2000). Identification of a polymorphism in the promoter region of DRD4 associated with the human novelty seeking personality trait. Molecular Psychiatry, 5, 64–69.
Olff, M., Frijling, J. L., Kubzansky, L. D., Bradley, B., Ellenbogen, M. A., Cardoso, C., et al. (2013). The role of oxytocin in social bonding, stress regulation and mental health: An update on the moderating effects of context and interindividual differences. Psychoneuroendocrinology, 38, 1883–1894.
Ono, Y., Manki, H., Yoshimura, K., Muramatsu, T., Mizushima, H., Higuchi, S., et al. (1997). Association between dopamine D4 receptor (D4DR) exon III polymorphism and novelty seeking in Japanese subjects. American Journal of Medical Genetics, 74, 501–503.
Perez-Rodriguez, M. M., Weinstein, S., New, A. S., Bevilacqua, L., Yuan, Q., Zhou, Z., et al. (2010). Tryptophan-hydroxylase 2 haplotype association with borderline personality disorder and aggression in a sample of patients with personality disorders and healthy controls. Journal of Psychiatric Research, 44, 1075–1081.
Rafaeli, E., Bernstein, D. P., & Young, J. E. (2010). Schema therapy: Distinctive features. Hove, East Sussex: Routledge.
Reichborn-Kjennerud, T., Czajkowski, N., Neale, M. C., Orstavik, R. E., Torgersen, S., Tambs, K., et al. (2007). Genetic and environmental influences on dimensional representations of DSM-IV cluster C personality disorders: A population-based multivariate twin study. Psychological Medicine, 37, 645–653.
Reichborn-Kjennerud, T., Czajkowski, N., Torgersen, S., Neale, M. C., Orstavik, R. E., Tambs, K., et al. (2007). The relationship between avoidant personality disorder and social phobia: A population-based twin study. The American Journal of Psychiatry, 164, 1722–1728.
Rhee, S. H., Friedman, N. P., Boeldt, D. L., Corley, R. P., Hewitt, J. K., Knafo, A., et al. (2013). Early concern and disregard for others as predictors of antisocial behavior. Journal of Child Psychology and Psychiatry, 54, 157–166.
Rhee, S. H., & Waldman, I. D. (2002). Genetic and environmental influences on antisocial behavior: A meta-analysis of twin and adoption studies. Psychological Bulletin, 128, 490–529.
Rizvi, S. L., Dimeff, L. A., Skutch, J., Carroll, D., & Linehan, M. M. (2011). A pilot study of the DBT coach: An interactive mobile phone application for individuals with borderline personality disorder and substance use disorder. Behavior Therapy, 42, 589–600.
Ronald, A., Simonoff, E., Kuntsi, J., Asherson, P., & Plomin, R. (2008). Evidence for overlapping genetic influences on autistic and ADHD behaviours in a community twin sample. Journal of Child Psychology and Psychiatry, 49, 535–542.
Sela-Kaufman, M., Rassovsky, Y., Agranov, E., Levi, Y., & Vakil, E. (2013). Premorbid personality characteristics and attachment style moderate the effect of injury severity on occupational outcome in traumatic brain injury: Another aspect of reserve. Journal of Clinical and Experimental Neuropsychology, 35, 584–595.
Sharp, C., Pane, H., Ha, C., Venta, A., Patel, A. B., Sturek, J., et al. (2011). Theory of mind and emotion regulation difficulties in adolescents with borderline traits. Journal of the American Academy of Child and Adolescent Psychiatry, 50(563–573), e561.
Shearin, E. N., & Linehan, M. M. (1994). Dialectical behavior therapy for borderline personality disorder: theoretical and empirical foundations. Acta Psychiatrica Scandinavica. Supplementum, 379, 61–68.
Sinha, S., Gunawat, P., Nehra, A., & Sharma, B. S. (2013). Cognitive, functional, and psychosocial outcome after severe traumatic brain injury: A cross-sectional study at a tertiary care trauma center. Neurology India, 61, 501–506.
South, S. C., & DeYoung, N. J. (2013a). Behavior genetics of personality disorders: Informing classification and conceptualization in DSM-5. Personality Disorders, 4, 270–283.
South, S. C., & DeYoung, N. J. (2013b). The remaining road to classifying personality pathology in the DSM-5: What behavior genetics can add. Personality Disorders, 4, 291–292.
Torgersen, S. (2005). Behavioral genetics of personality. Current Psychiatry Reports, 7, 51–56.
Torgersen, S., Czajkowski, N., Jacobson, K., Reichborn-Kjennerud, T., Roysamb, E., Neale, M. C., et al. (2008). Dimensional representations of DSM-IV cluster B personality disorders in a population-based sample of Norwegian twins: A multivariate study. Psychological Medicine, 38, 1617–1625.
Torgersen, S., Myers, J., Reichborn-Kjennerud, T., Roysamb, E., Kubarych, T. S., & Kendler, K. S. (2012). The heritability of Cluster B personality disorders assessed both by personal interview and questionnaire. Journal of Personality Disorders, 26, 848–866.
Viding, E., Jones, A. P., Frick, P. J., Moffitt, T. E., & Plomin, R. (2008). Heritability of antisocial behaviour at 9: Do callous-unemotional traits matter? Developmental Science, 11, 17–22.
Wardle, J., Carnell, S., Haworth, C. M., & Plomin, R. (2008). Evidence for a strong genetic influence on childhood adiposity despite the force of the obesogenic environment. The American Journal of Clinical Nutrition, 87, 398–404.
Young, J. E. (1990). Cognitive therapy for personality disorders: A schema-focused approach. Sarasota, FL: Professional Resource Exchange.
Young, J. E., Klosko, J. S., & Weishaar, M. E. (2003). Schema therapy: A practitioner’s guide. New York: The Guilford Press.
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Leigh, H. (2015). The Patient’s Personality, Personality Types, Traits, and Disorders in the CL Setting. In: Leigh, H., Streltzer, J. (eds) Handbook of Consultation-Liaison Psychiatry. Springer, Cham. https://doi.org/10.1007/978-3-319-11005-9_25
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