The Relatives’ Big Five Personality Influences the Trajectories of Recovery of Patients After Severe TBI: A Multilevel Analysis

This study examines the influence of the personality of relatives on the trajectories of recovery of patients with severe traumatic brain injury (TBI). The present subsample (N = 376) of a larger population‐based, prospective, 12‐month multicenter cohort study in Switzerland (2007–2011) consists of patients with severe TBI (age ≥ 16) and their relatives. The predictors are the NEO Five‐Factor Inventory and time (trajectory of functioning of the patient over time). The outcomes are the patients’ (a) neurological functioning; (b) reported emotional, interpersonal, cognitive, and total functioning post‐injury; and (c) health‐related quality of life (HRQoL). The covariates included Abbreviated Injury Scale score of the head region and age. Results for patients > 50 are (a) relatives’ Extraversion influenced patients’ total, interpersonal, and cognitive functioning; (b) relatives’ Agreeableness influenced patients’ interpersonal functioning; and (c) relatives’ Conscientiousness influenced patients’ physical HRQoL (ps < .05). Results for patients ≤ 50 are (a) relatives’ Neuroticism influenced patients’ neurological and emotional functioning, and (b) relatives’ Extraversion influenced patients’ emotional functioning and psychological HRQoL (ps < .05). The personality traits of the relative covary with the functioning of the patient, and psychological adaptation to the loss of function may progress at a later stage after physical health improvements have been achieved. Thus, a biopsychosocial perspective on the rehabilitation process is needed.     

Levels and Domains In Personality: An Introduction

ABSTRACT This special issue is centered around the problem of levels and domains in personality functioning. What kind of constructs—and at what levels and in what domains—are needed to understand what a person is like? To account for the complexity and scope of human lives, personality psychologists have traditionally put forth lists and taxonomies of factors, features, and variables that must be taken into consideration in formulating an adequate psychological portrait of the whole person. The five-factor model of personality traits has recently been offered as a comprehensive framework; however, critical analyses of the trait concept have revealed the limitations of a trait-based model of personality. Recognizing that the concept of trait is indispensable to a vital psychology of personality, this special issue aims to (a) communicate recent developments and organizational frameworks for understanding the person at multiple levels and in varied domains, and (b) articulate and elaborate units of analysis that, when combined with trait assessments, yield a psychology of personality that is commensurate with the complexity of individual functioning and that offers greater potential for the attainment of the original goals of the discipline.     

Borderline Personality Disorder in Adolescence Through the Lens of the Interview of Personality Organization Processes in Adolescence (IPOP-A): Clinical Use and Implications

Borderline personality disorder can be assessed in adolescence mainly through a dimensional approach that takes into account strengths and weaknesses of emerging personality patterns. Clinical interviews could help clinicians to gather information about adolescent’s functioning, fostering therapeutic alliance and promoting a mentalizing stance during the assessment of borderline adolescents. In this article, the Interview of Personality Organization Processes in Adolescence (IPOP-A) is presented through clinical case material to show its usefulness in clinical and research settings. The IPOP-A assesses an adolescent’s emerging personality along three dimensions: identity, quality of object relations and affect regulation. These dimensions are the core of borderline personality in adolescence.     

The Influence of Perceived Versus Aerobic Fitness on Psychological Health and Physiological Stress Responsivity

This study sought to evaluate the association between perceived and aerobic physical fitness and both psychological functioning and physiological stress responsivity. Sixty nonsymptomatic participants (30 males, 30 females) participated in the experiment. Participants completed a series of personality and mood questionnaires as well as a laboratory procedure measuring cardiovascular responses (i.e., heart rate and blood pressure) while performing stressful laboratory tasks (i.e., the Stroop Color Naming Test and a sham IQ test). Aerobic fitness (i.e., VO ₂ max using the Bruce protocol) as well as perceived fitness were also determined. Results suggest that perceived fitness was generally associated with positive personality and mood variables while aerobic fitness was not. Overall results support the view that perception of fitness may be as important or perhaps even more important than aerobic fitness in its association with psychological but perhaps not physical functioning.     

Psychosocial Well‐Being and a Multicultural Personality Disposition

This study examined the relationship between psychosocial well‐being and a multicultural personality disposition in undergraduates (N = 124). Measures of universal‐diverse orientation, hardiness, psychosocial‐interpersonal functioning, self‐esteem, and political correctness ideology were administered. Results indicated that the multicultural personality disposition of universal‐diverse orientation significantly predicted psychological hardiness, psychosocial‐interpersonal functioning, and self‐esteem beyond the influence of politically correct responding. These findings suggest that having a multicultural personality disposition (universal‐diverse orientation) may be positively related to psychosocial well‐being.     

Validation of Self-Report Impairment Measures for Section III Obsessive–Compulsive and Avoidant Personality Disorders

This study examined the validity of newly developed disorder-specific impairment scales (IS), modeled on the Level of Personality Functioning Scale, for obsessive–compulsive (OCPD) and avoidant (AvPD) personality disorders. The IS focused on content validity (items directly reflected the disorder-specific impairments listed in DSM-5 Section III) and severity of impairment. A community sample of 313 adults completed personality inventories indexing the DSM-5 Sections II and III diagnostic criteria for OCPD and AvPD, as well as measures of impairment in the domains of self- and interpersonal functioning. Results indicated that both impairment measures (for AvPD in particular) showed promise in their ability to measure disorder-specific impairment, demonstrating convergent validity with their respective Section II counterparts and discriminant validity with their noncorresponding Section II disorder and with each other. The pattern of relationships between scores on the IS and scores on external measures of personality functioning, however, did not indicate that it is useful to maintain a distinction between impairment in the self- and interpersonal domains, at least for AvPD and OCPD.     

Adolescent Personality: Associations With Basal,Awakening, and Stress‐Induced Cortisol Responses

The purpose of the present study was to investigate the associations between personality facets and hypothalamic‐pituitary‐adrenal (HPA) axis functioning. Previous studies have mainly focussed on stress‐induced HPA‐axis activation. We hypothesized that other characteristics of HPA‐axis functioning would have a stronger association with personality based on the neuroendocrine literature. Data (n = 343) were used from the TRacking Adolescents' Individual Lives Survey (TRAILS), a large prospective cohort study of Dutch adolescents. We studied the association between facets of Neuroticism, Extraversion, and Conscientiousness and basal cortisol, the cortisol awakening response (CAR), and four measures of stress‐induced HPA‐axis activity. Basal cortisol levels were related to facets of all three personality traits. The CAR and stress‐induced cortisol were not related to personality. Possibly due to its more trait‐like nature, basal cortisol seems more informative than stress‐induced cortisol when investigating trait‐like characteristics such as personality facets.     

Personality functioning in people living with HIV

This investigation adopted a multiple case study approach to determine the personality functioning in people living with HIV/ AIDS (PLWHA). Participants comprised a convenience sample of four PLWHA (male?=?3, female?=?1). The majority of the participants were white (n?=?3) and one was black African. Only one participant was married at the time of participation. Data on aspects such as their suicidal ideation, affect, problem solving styles, ego functioning, self-perception, and interpersonal functioning were collected using the Rorschach inkblot test and clinical interview. The data were actuarially analysed and organised under themes, namely; dominant personality style, capacity for control and stress, situational related stress, affect, interpersonal relations and self-perception. Findings revealed that participants had high levels of potential mood disorders and interpersonal difficulties for which targeted psychological services may be needed.     

Relationship between Mental Health and Burden among Primary Caregivers of Outpatients with Schizophrenia

There is growing recognition that caring for a patient with schizophrenia often results in high levels of perceived burden and poorer overall mental health for caregivers. A quantitative cross‐sectional design and standardized instruments were used to collect data from 355 primary caregivers of adults in outpatient care with schizophrenia in China. Structural equation modeling was used to examine the association between caregiver burden and mental health among primary caregivers and whether this association is influenced by personality, coping style, and family functioning, based on a diathesis–stress perspective. Goodness‐of‐fit indices (χ²/df = 1.406, GFI = 0.919, CFI = 0.957, etc.) confirmed that the modified model fit the data well. In line with the diathesis–stress model, and with this study's hypotheses, we found that caregiver burden was significantly related to mental health outcomes directly. The final model showed that personality traits, coping style, and family function influenced the relationship between caregiver burden and mental health. The neuroticism personality traits have a direct effect on caregiver burden and family functioning in this sample. Coping style had a direct effect on the caregiver burden, and family functioning had a direct effect on the caregiver burden. Our final model about primary caregivers can be applied clinically to predict mental health outcomes from caregiver burden.     

Human Psychological Autonomy: Reflections on the Debates about its Understanding in Modern Psychology

This article addresses the centuries old but recently revived topic of human autonomy and its relation to people’s functioning: physiological, psychological, and socio‐cultural. It provides a review of current debates about status, nature, and perspectives of studying autonomy, agency, free will and self‐determination in neuro‐ and cognitive sciences, motivation, personality and cultural psychology. This review starts with the theoretical definitions of the concepts and differentiates personal, intrapsychic, and motivational autonomy as well as behavioral freedom; delineates the distinction between autonomous and controlled forms of human agency; and relates all these concepts to the notion of human happiness and optimal functioning. It supports the idea of the universality of psychological autonomy as a fundamental capability of human species and argues that this capability is a real natural power that does not contradict the principle of determinism. Special attention is paid to the debates about the role culture plays in enabling and regulating human autonomy. The idea of dialectical relations between culture and human autonomy is presented and defended.     

Lean on me: The importance of one's own and partner's intercultural personality for expatriate's and expatriate spouse's successful adjustment abroad

This research explores the role of three intercultural personality traits—emotional stability, social initiative, and open-mindedness—as coping resources for expatriate couples’ adjustment. First, we examined the direct relationships of expatriates’ and expatriate spouses’ personality trait levels with psychological and sociocultural adjustment. Psychological adjustment refers to internal psychological outcomes such as mental health and personal satisfaction, whereas sociocultural adjustment refers to more externally oriented psychological outcomes that link the individual to the new environment. Second, we examined the association of expatriates’ personality trait levels with professional adjustment, which was defined in terms of job performance and organizational commitment. Cross-sectional analyses among 196 expatriates and expatriate spouses (i.e., 98 expatriate couples) revealed that the three dimensions are each associated with specific facets of adjustment. A longitudinal analysis among a subsample (45 couples) partially confirmed these findings. Furthermore, we obtained evidence for a resource compensation effect, that is, the compensatory process whereby one partner's lack of sufficiently high levels of a certain personality trait is compensated for by the other partner's high(er) levels of this traits. Through this resource compensation effect, the negative consequences of a lack of sufficient levels of a personality trait on adjustment can be diminished. Apparently, in the absence of sufficiently high trait levels, individuals can benefit from personality resources in their partners.     

Reevaluating the link between dispositional optimism and positive functioning using a temporally expanded perspective

Dispositional optimism is typically defined in terms of generalized positive expectancies for personal future life outcomes. Yet, multiple lines of inquiry have demonstrated fundamental interconnections among all three temporal perspectives (past, present, and future). Hence, in the present work, we examine the commonality underlying dispositional optimism and individuals’ evaluations of their past, present, and anticipated future lives. Results (n = 459; 80% female; M age = 19.68) suggest that dispositional optimism loads strongly on an underlying (latent) tendency to evaluate one’s life positively across temporal perspectives. This latent tendency was significantly associated with each Big Five personality dimension; independent of this latent tendency dispositional optimism was associated only with neuroticism. Controlling for personality dimensions, the latent tendency was predictive of positive functioning (mental health, coping, physical health, and social resources); in contrast, independent of this latent tendency dispositional optimism had no significant residual associations with any of the various functioning indicators.     

Pals,Problems, and Personality: The Moderating Role of Personality in the Longitudinal Association Between Adolescents’ and Best Friends’ Delinquency

We examined the potential moderating role of Block's personality types (i.e., overcontrollers, undercontrollers, and resilients) on the longitudinal associations between adolescents’ and their best friends’ delinquency. Across three annual waves, 497 Dutch adolescents (283 boys, M_Age = 13 years at Wave 1) and their best friends reported on their delinquent behaviors. Adolescents’ three personality types were obtained by latent class growth analysis on their annual reports on Big Five personality. A three‐group cross‐lagged panel analysis was performed on three waves of data. Delinquency of overcontrollers was predicted by their best friends’ delinquency, whereas delinquency of undercontrollers and resilients was not. Delinquency of undercontrollers and resilients predicted their best friends’ delinquency, but overcontrollers’ delinquency did not. These findings suggest that personality may play an important role in adolescents’ susceptibility to the influence of friends’ delinquency, as well as in youths’ ability to influence friends through their own delinquency.     

Trauma,personality disorders and chronic depression – the role of the conversational model of psychodynamic psychotherapy in treatment resistant depression

Objective: To report preliminary data describing the interim treatment outcome of 44 patients referred with treatment-resistant depression (TRD), comorbid personality disorders and histories of early childhood trauma using the Conversational Model (CM) of psychodynamic psychotherapy. Method: Patients (N = 44), 13 males and 31 females with long histories of depression ranging from 2 to 30 years, resistant to multiple trials of treatment, were referred by mental health practitioners, including psychiatrists. They were treated with twice weekly CM psychotherapy by multidisciplinary trainees and supervised by experienced trained clinicians. Questionnaires were administered at assessment and at 12 months to assess symptoms, functioning, self-esteem, history of trauma, personality functioning and suicidality. In this preliminary study, there was no separate control group, and patients served as their own controls. Results: Patients with TRD were found to have comorbid severe personality disorders and histories of early childhood trauma. Significant improvement in symptoms, self-esteem, functioning and suicidality was noted after 12 months. Conclusion: Patients responded with symptomatic and functional improvement to twice weekly CM therapy.     

Assessment and DSM-IV Diagnosis of Personality Disorders: A Primer for Counselors

The DSM-IV categorizes 10 personality disorders, long-term patterns of personality traits that result in impairment of social and occupational functioning. The author details steps in the recognition and diagnosis of personality disorders, with emphasis on using the DSM-IV diagnostic framework.     

ADHD Behaviors and Social Functioning in Preschool Children: The Moderating Role of Emotion Recognition

This study examined the moderating role of emotion recognition on the association between preschoolers’ ADHD behaviors and social functioning outcomes. Sixty preschoolers (48.3% female; M_age?=?3.94, SD_age?=?.56) were recruited from Head Start-affiliated classrooms. Teacher-rated ADHD behaviors and an objective measure of children’s emotion recognition were assessed at the beginning of the school year. Teacher ratings of social functioning outcomes were obtained approximately three months after the start of school. Hierarchical regressions examined the unique and interactive effects of ADHD behaviors and emotion recognition on preschoolers’ social functioning outcomes (i.e., oppositional behaviors, peer behavior problems, and social-emotional school readiness). The interaction between ADHD behaviors and emotion recognition predicted oppositional behaviors, peer behavior problems and social-emotional school readiness such that higher levels of emotion recognition appear to buffer the negative association between ADHD behaviors and adaptive social functioning. Preliminary considerations for interventions aimed at promoting preschoolers’ social functioning are discussed.

     

Assessing DSM–5 Level of Personality Functioning From Videotaped Clinical Interviews: A Pilot Study With Untrained and Clinically Inexperienced Students

Several authors have raised the concern that the DSM–5 Level of Personality Functioning Scale (LPFS) is relatively complex and theory laden, and thus might put high requirements on raters. We addressed this concern by having 22 untrained and clinically inexperienced students assess the personality functioning of 10 female psychotherapy inpatients from videotaped clinical interviews, using a multi-item version of the LPFS. Individual raters’ LPFS total scores showed acceptable interrater reliability, and were significantly associated with 2 distinct expert-rated measures of the severity of personality pathology. These findings suggest that, contrary to the previously mentioned concerns, successfully applying the LPFS to clinical cases might require neither extensive clinical experience nor training.     

Motivation and anxiety for dental treatment and dental attendance: The roles of the locus of causality personality and treatment styles

The purpose of the present study was to test a self-determination theory model with the following hypotheses: (1) Patients’ autonomous causality personality orientation and oral health care professionals’ autonomy-supportive treatment styles, as perceived by patients, would both be positively indirectly associated with dental attendance through patients’ autonomous motivation for dental treatment. (2) Patients’ controlled causality personality orientation and oral health care professionals’ controlling treatment styles, as perceived by patients, would both be positively indirectly associated with avoidance of making a dental clinic appointment through patients’ anxiety for dental treatment. A sample size of about 200 patients was estimated to be acceptable in detecting moderate effect sizes (independent variables: 5–6; power: .80; p < .05). Student patients (N = 226) responded to a survey with validated questionnaires. Using LISREL, both hypotheses were supported. In addition, patients’ perception of a controlling treatment style moderated the controlled personality—dental anxiety relation, so that a lower controlling treatment style mitigated dental anxiety substantially among patients with a high control orientation. Effect sizes were moderate to large. Analyses (Z-scores) also revealed that the autonomous personality is more strongly linked to situational autonomous motivation than situational autonomy support, whereas a controlled personality and a perceived controlling treatment style are equally and significantly associated to dental anxiety. Both patient personalities and oral health care professionals’ treatment styles are substantially linked to autonomous motivation and anxiety for dental treatment, which are relatively strongly associated with dental attendance and avoiding dental clinic appointments, respectively.     

Introduction to the Special Section on the Personality Psychopathology Five (PSY–5) and DSM–5 Trait Dimensional Diagnostic Systems for Personality Disorders: Emerging Convergence

In this Special Section, 7 studies focusing on the PSY–5 model of individual differences relevant to adaptive functioning are presented. The first study by Harkness, McNulty, et al. (this issue) describes the development of the revised PSY–5 scales for the MMPI–2–RF, followed by another article by Harkness, Reynolds, and Lilienfeld (this issue) arguing for the adoption of a review of systems strategy for evaluating psychological functioning. McNulty and Overstreet (this issue) describe an alternative hierarchical strategy for organizing the interpretation of the MMPI–2–RF using the PSY–5 scales. Extending the PSY–5 model to adolescents, Veltri et al. (this issue) examine the convergent and discriminant validity of the MMPI–A PSY–5 in predicting violent delinquent behavior. Bagby and colleagues (this issue) examine the hierarchical structure of the PSY–5 model across nonclinical and clinical samples and, with a few notable exceptions, find the PSY–5 model to map well onto the DSM–5 personality trait dimensional model. Finn, Arbisi, Erbes, Polusny, and Thuras (this issue) examine the convergence between the DSM–5 proposed trait dimensions and PSY–5 model demonstrating the potential for the MMPI–2–RF PSY–5 scales to serve as a bridge between DSM–5 and DSM–IV personality disorder diagnoses. Finally, Sellbom, Smid, de Saeger, Smit, and Kamphuis(this issue) directly examine the convergence of MMPI–2–RF PSY–5 scales with DSM–IV personality disorder categories and proposed DSM–5 trait dimensions further establishing the potential for the PSY–5 scales to serve as a bridge between DSM categorical and dimensional diagnostic schemas.