Temperament, personality, and developmental psychopathology as childhood antecedents of personality disorders

To contribute to the case for a dimensional conceptualization of psychopathology in general and maladaptive personality or personality disorders in particular, the present paper reviews the evidence for a dimensional representation of childhood temperament and personality. The review of temperament and variable-centered as well as person-centered approaches to childhood personality leads us to propose five broadband dimensions that capture individual differences in children and adolescents: extraversion, emotional stability, agreeableness, conscientiousness, and openness/intellect. Our analysis of the CBCL (Achenbach, 1991) and the DIPSI (currently under development at Ghent University), two dimensional models for childhood psychopathology, suggests two common broadband factors, internalizing and externalizing. The relations between the dimensional representation of childhood temperament/personality and psychopathology are documented with data from general population and clinical samples of children and adolescents. The article concludes with a proposal on how the higher-order dimensions emerging from studies of adaptive and maladaptive individual differences in childhood could be integrated in a common dimensional model.     

Temperament as a unifying basis for personality and psychopathology

Personality and psychopathology long have been viewed as related domains, but the precise nature of their relations remains unclear. Through most of the 20th century, they were studied as separate fields; within psychopathology, clinical syndromes were separated from personality disorders in 1980. This division led to the revelation of substantial overlap among disorders both within and across axes and to the joint study of normal and abnormal personality. The author reviews these literatures and proposes an integrative framework to explain personality-psychopathology relations: Three broad, innate temperament dimensions--negative affectivity, positive affectivity, and disinhibition--differentiate through both biologically and environmentally based developmental processes into a hierarchical personality trait structure and, at their extremes, are risk factors (diatheses) for psychopathology, especially given adverse life experiences (stress).     

Temperament, character, and attachment patterns in borderline personality disorder.

The aim of this study was to assess the specificity of the association between temperamental vulnerability, character deficits, and Borderline personality disorder (BPD), controlling for the effects of attachment patterns. A total of 44 BPD patients were compared with 98 non-BPD patients with other cluster B Personality Disorder (PD) diagnoses, 39 patients with any cluster A or cluster C PD diagnoses, 70 patients with no PD diagnosis, and 206 nonclinical patients. All patients were administered the Temperament and Character Inventory, the Parental Bonding Instrument, and the Attachment Style Questionnaire. Multivariate and univariate tests showed that BPD patients differed significantly from all control groups on Novelty Seeking and Cooperativeness. These differences remained significant when controlling for the effect of attachment.     

Childhood personality foreshadows adult personality and life outcomes two decades later

In a normative sample of 205 children ages 8-12, tracked into adulthood, we examined the predictive links between four childhood personality traits--Mastery Motivation, Academic Conscientiousness, Surgency, and Agreeableness--and adult personality and adaptation 20 years later. Personality demonstrated modest to moderate continuity over those two decades and showed significant predictive validity for success in adult life, including academic attainment, work competence, rule-abiding versus antisocial conduct, and romantic and friend relationships. Results indicated that personality shows coherent patterns over time in terms of both stability and linkages to adaptive behavior. Explicating the processes underlying such patterns is the next frontier for a truly developmental science of personality.     

The ripple effect of personality on social structure: self-monitoring origins of network brokerage

Despite growing interest in social network brokerage, its psychological antecedents have been neglected. One possibility is that brokerage relates to self-monitoring personality orientation. High self-monitors, relative to low self-monitors, in adapting their self-presentations to the demands of different groups, may occupy positions as brokers between disconnected social worlds. For 162 Korean expatriate entrepreneurs in a Canadian urban area, the results showed that those high in self-monitoring tended to occupy direct brokerage roles within the Korean community--in terms of their direct acquaintances being unconnected with each other. Those high in self-monitoring also tended to occupy indirect brokerage roles--in terms of the acquaintances of their acquaintances being unconnected with each other. Finally, for recent arrivals, those high in self-monitoring tended to establish ties to a wider range of important non-Korean position holders outside the community. These results (which controlled for strongly significant effects of network size on individuals' brokerage within the community) suggest a ripple effect of self-monitoring on social structure and contribute to a clearer understanding of how personality relates to brokerage at different levels.     

Depressogenic cognitive styles: predictive validity, information processing and personality characteristics, and developmental origins.

Two of the major cognitive theories of depression, the theory of Beck [Beck, A. T. (1967). Depression: clinical, experimental and theoretical aspects. New York: Harper & Row. and Beck, A. T. (1987) Cognitive models of depression. Journal of Cognitive Psychotherapy: an International Quarterly, 1, 5-37] and the hopelessness theory [Abramson, Metalsky, & Alloy, (1989) Hopelessness depression: a theory-based subtype of depression. Psychological Review, 96, 358-372], include the hypothesis that particular negative cognitive styles increase individuals' likelihood of developing episodes of depression, in particular, a cognitively mediated subtype of depression, when they encounter negative life events. The Temple-Wisconsin Cognitive Vulnerability to Depression (CVD) project is a two-site, prospective longitudinal study designed to test this cognitive vulnerability hypothesis, as well as the other etiological hypotheses of Beck's and the hopelessness theories of depression. In this article, based on CVD project findings to date, we review evidence that the hypothesized depressogenic cognitive styles do indeed confer vulnerability for clinically significant depressive disorders and suicidality. In addition, we present evidence regarding moderators of these depressogenic cognitive styles, the information processing and personality correlates of these styles and the possible developmental antecedents of these styles. We end with a consideration of future research directions and the clinical implications of cognitive vulnerability to depression.     

Interpersonal problems of persons with personality disorders and group outcomes

This article examines the interpersonal problems of 42 persons referred for brief group treatment at a community mental health center. Measures of symptom severity, self-esteem, and interpersonal problems were administered pre- and posttreatment. Study participants' scores were analyzed to determine possible differences in the interpersonal problems experienced by those diagnosed with personality disorders and those without them. Results revealed that both groups improved significantly on the overall measure of symptom severity. Findings further revealed that self-esteem improved significantly more for those diagnosed with personality disorders. Analysis of interpersonal problems scores revealed differences between the two groups in the areas of support and involvement prior to treatment, but not after. Possible explanations for these differences and implications for treatment are discussed.     

A hierarchical investigation of personality and behavior: Examining Neo-Socioanalytic models of health-related outcomes

Based on proposed hierarchical relations derived from the Neo-Socioanalytic Theory of personality [Roberts, B. W., & Wood, D. (2006). Personality development in the context of the Neo-Socioanalytic Model of personality. In D. K. Mroczek & T. D. Little (Eds.), Handbook of personality development (pp. 11–39). Mahwah, NJ: Lawrence Erlbaum Associates Publishers], the present study examined the relationships between trait and motivation constructs and health-related outcomes. Participants (N = 201) completed a Big Five measure of personality traits, parallel exercise and diet behavioral identity trait measures, measures of personal values, exercise and diet-related personal strivings, and exercise and diet self-reports. Participants also completed a physical activity assessment and were weighed on a calibrated electronic scale from which body fat percentage could be determined. It was expected that contextualized trait and motivation constructs would mediate the relations between broad trait and motivation constructs and the health-related outcomes. The patterns of relations across trait and motivation constructs also were explored. The trait domain exhibited the expected pattern of hierarchical relations, but the motivation domain showed a more complex pattern of relations. The results are discussed in relation to a hierarchical model of personality and behavior that brings together trait and motivation constructs at multiple levels of analysis.     

Antecedents and outcomes of career plateaus: The roles of mentoring others and proactive personality

Although mentoring others and career plateaus are both common experiences for seasoned employees, they are rarely examined together. In this study, we considered mentoring others as an antecedent of career plateaus and emotional exhaustion and turnover intentions as outcomes of career plateaus for mentors. We also examined the moderating role of mentors' proactive personality. Results of hierarchical regression analyses based on 188 mentoring dyads indicated that career-focused mentoring alleviated both hierarchical and job content plateauing perceptions. Mentors' proactive personality moderated the relationship between career-focused mentoring and hierarchical plateauing such that the negative relationship is stronger for low proactive personality mentors. Hierarchical plateaus were positively related to mentors' emotional exhaustion and turnover intentions whereas job content plateaus only positively related to turnover intentions. Proactive personality moderated the relationship between job content plateaus and mentors' work-related attitudes such that the positive relationships were stronger for more proactive mentors. The implications and future research suggestions are discussed.     

Age changes in personality and their origins: comment on Roberts, Walton, and Viechtbauer (2006)

Comments on the original article "Patterns of Mean-Level Change in Personality Traits Across the Life Course: A Meta-Analysis of Longitudinal Studies," by B. W. Roberts, K. W. Walton, and W. Viechtbauer. Although Roberts et al depicted the present authors as proponents of the immutability of traits, in fact we have always acknowledged the possibility of change, and we are pleased that the results of their meta-analysis are consistent with our conclusions about modest change after age 30. We agree with B.W. Roberts et al that analyses should be conducted at the level of more specific traits, but prefer the 30 facets of the Revised NEO Personality Inventory to the Social Dominance-Social Vitality distinction. The origins of age changes might be found either in environmental influences common to all cultures or in biologically based intrinsic maturation; we offer some reasons for preferring the latter interpretation. Meta-analyses are useful but not definitive, and the resolution of the origin question lies in further research.     

Temperament and Psychopathy: A Dual-Pathway Model

ABSTRACT— The concept of psychopathy refers to a pattern of chronic antisocial behavior and personality features, such as emotional detachment, lovelessness, and guiltlessness, attributable in part to a temperament deficit. Historically, that deficit has been seen as a low reactivity to fear, but recent research has documented a second temperament deficit in adults that involves poor emotional and behavioral control. Both pathways are found in the child psychopathology literature, pointing to multifactorial developmental pathways from childhood to adult psychopathy.     

Temperament and typology

This paper takes a cue from Harvard neuroscientists Jerome Kagan and Nancy Snidman's (2004) comment that Jung's work on typology has remarkable relevance to their research on neurobiological correlates of temperament and develops the links between the theorists separated by almost a century. The paper begins with a brief review of temperament traits in personality psychology. Kagan and Snidman's 11‐year longitudinal study is then analysed and correlated with Jung's psychological attitude types of introversion and extraversion, demonstrating that Jung's close empirical observations of human nature fit explicitly with objective measurements of neurobiological sensitivity thresholds and their expression in temperament. Emerging research on neurobiologically sensitive adults and children from Aron (1997, 2004, 2011) and differential susceptibility theory (DST) is presented as extrapolating the same links between temperament and physiological sensitivity found in Jung's introversion and Kagan and Snidman's high‐reactive type. The paper concludes with a consideration of the subjective psyche as a necessary aspect to understanding the self and human consciousness as whole.     

Reactive and Regulative Temperament in Youths: Psychometric Evaluation of the Early Adolescent Temperament Questionnaire-Revised

The present study examined the psychometric properties of the self-report version of the Early Adolescent Temperament Questionnaire-Revised (EATQ-R), which is a scale for measuring reactive and regulative temperament traits, in a large sample of children and adolescents (N = 1,055). The results indicated that the internal consistency was acceptable for most EATQ-R temperament scales. Further, principal components analysis of the instrument yielded a structure with nine components, which generally reflected the temperament scales of the EATQ-R. The test–retest stability of the scale was moderate to good, whereas the parent–child agreement was rather low. Finally, the scale correlated in a theoretically meaningful way with children’s self-reports of personality and psychopathology. It can be concluded that the EATQ-R is a useful scale for measuring aspects of reactive and regulative temperament in children and adolescents, although there is certainly room for improving the instrument.

Temperament as Risk and Protective Factors in Obesogenic Eating: Relations Among Parent Temperament,Child Temperament,and Child Food Preference and Eating

Children’s food preferences and eating behaviors have implications for their health and weight status, serving as risk or protective factors for obesity. Although parent and child factors influence children’s eating, few studies have examined parent and child temperament simultaneously in relation to child food preference and eating behaviors. The authors addressed this research gap. Participants were 115 ethnically diverse children between 4 and 6?years old and their parents. Measures included parental temperament traits, parental anxiety, child temperament traits, and child food preference and eating behaviors observed using a laboratory procedure. Results show that children preferred candies over grapes, and that aspects of both child and adult temperament were related to child eating behaviors. Child surgency was linked to eating more candies, while child effortful control was linked to eating more grapes. Parent effortful control was related to children’s preference toward grapes. No relations were found between child eating behaviors and child or parent negative affectivity and parental anxiety. Overall, findings suggest that highly impulsive and poorly self-regulated children may be at risk for obesogenic eating habits.     

Developmental trajectories of marijuana use from adolescence to adulthood: personality and social role outcomes

Longitudinal trajectories of marijuana use from adolescence into adulthood were examined for adverse life-course outcomes among African-Americans and Puerto Ricans. Data for marijuana use were analyzed at four points in time and on participants' personality attributes, work functioning, and partner relations in adulthood using growth mixture modeling. Each of the three marijuana-use trajectory groups (maturing-out, late-onset, and chronic marijuana-users) had greater adverse life-course outcomes than a nonuse or low-use trajectory group. The chronic marijuana-use trajectory group was highly associated with criminal behavior and partners' marijuana use in adulthood. Treatment programs for marijuana use should also directly address common adverse life-course outcomes users may already be experiencing.     

Schizophrenia as split personality/Jekyll and Hyde: the origins of the informal usage in the English language

The entry into the English language of the informal usage of schizophrenia as split personality/Jekyll and Hyde is traced and commented upon. The metaphor of split personality is followed from Eugene Bleuler via his translators and the wider psychiatric community into the present day. It, and to a lesser extent the Jekyll-Hyde personality, is found to be as much a product of the psychological professions as a product of lay misinterpretation. The informal definition of schizophrenia as split personality has outlived the scientific theory with which it was initially associated.     

Measuring the core features of personality disorders in substance abusers using the Temperament and Character Inventory (TCI)

Personality disorders (PDs) are still classified through categorical taxonomies that are at odds with current research findings. Dimensional models provide a suitable alternative for measuring individual differences. However, as they have traditionally lacked a clear definition of the "disorder" construct, the clinical utility of these models has been limited. This study tests whether Cloninger's dimensional model is able to capture two domains: the features that differentiate PD subtypes from each other and the common core features underlying all PDs. Seventy-four drug dependent patients were independently assessed using the SCID-II and Cloninger's TCI. There was a slight relationship between TCI temperament dimensions and the DSM personality disorder subtypes, but the association was not specific enough to allow differential diagnosis. The character dimension Self-Directedness was strongly associated with the presence and severity of all PDs, irrespective of subtype, correctly classifying 77% of subjects. Character dimensions are a reliable, valid and low-cost tool for detecting PDs in drug abusers and may help to provide an operational definition of the common core features underlying all PDs.     

Temperament and early stuttering intervention: Two perspectives

PurposeTo discuss clinical applications of research findings about temperament and early stuttering.MethodA “1000-bytes” format (Onslow & Millard, 2012) was used to provide readers with contemporaneous observation of a “conversation” between the authors. The conversation is proceeded by a prologue and followed by concluding statements from each author.ResultsOne author contended that comprehensive, multidimensional assessment of temperament domains is essential during clinical management of early stuttering, and the results of that assessment are best incorporated into a multifactorial treatment approach. The other author contested that view, arguing that such an approach is not empirically justifiable at present.ConclusionsThe authors agree about the salience of research on temperament and early stuttering but have different perspectives about the topic when applied to providing health care for early stuttering.