From narcissistic personality disorder to frontotemporal dementia: a case report

Premorbid personality characteristics could have a pathoplastic effect on behavioral symptoms and personality changes related to neurodegenerative diseases. Patients with personality disorders, in particular of the dramatic cluster, may present functional frontolimbic abnormalities. May these neurobiological vulnerabilities linked to a premorbid personality disorder predispose or represent a risk factor to subsequently develop a neurodegenerative disorder? Are subjects with personality disorders more at risk to develop a dementia than mentally healthy subjects? This topic is discussed presenting the clinical case of a patient who suffered of a probable Narcissistic Personality Disorder and subsequently developed a clinically diagnosed Frontotemporal Dementia.     

Effects of phenobarbitol on aggressive behaviors in a program of required relaxation: A case study

A naturally occurring experiment of the effects of two dosage levels of phenobarbitol on aggressive behaviors in a program of required relaxation is described. A required relaxation program was initiated as a consequence for throwing and hitting by a 13-year-old developmentally disabled male resident of an institutional cottage. The resident had been receiving 50 mg of phenobarbitol twice per day to control seizure activity for two years prior to the introduction of this program. Aggressive behavior decreased from an average of 7.2 incidents a day during baseline to 1.7 per day after six weeks of the required relaxation program. Following several reported seizures, medical staff increased phenobarbitol dosage to 100 mg twice per day and hitting behavior increased beyond baseline levels. After five weeks at this dosage, medication was returned to 50 mg twice a day and hitting behavior returned quickly to the lower intervention levels, while seizure activity remained stable. All observations of behavior were collected during unstructured and regularly occurring events of the individual's daily life. These data suggested that changes in medication influenced observed changes in behavior.     

A motivational perspective on risky behaviors: the role of personality and affect regulatory processes

The present study tested a motivational model in which personality influences on risky behaviors were hypothesized to be primarily indirectly mediated, by shaping the nature and quality of emotional experience as well as characteristic styles of coping with these emotions. This model was tested in a representative community sample of 1,666 young adults, aged 18 to 25 years old. Results revealed strong support for the model, indicating that broad traits related to neuroticism and extraversion promote involvement in alcohol use and risky sex via distinct pathways. Neurotic individuals were prone to engage in risky behaviors as a way to cope with aversive mood states, whereas extraverted individuals were more likely to engage in risky behaviors as a way to enhance positive affective experience. In contrast, impulsivity directly predicted some forms of risk taking, and interacted with extraversion and neuroticism to predict motives for risky behaviors. The model provides a highly general though not complete account of risky behaviors.     

Effects on an adult of incest in childhood: a case report

Recognition of the widespread incidence of overt incest in childhood has significantly increased in recent years. The described long-term effects range from severe psychopathology and behavioral disorder to mild and subtle manifestations. The interplay of the child's sexual developmental processes and intrapsychic fantasies with the overtly incestuous behaviors adds complexity to the understanding of longterm effects. In this case presentation successful analysis revealed previously repressed extensive father-daughter incest resulting in typically autoplastic neurotic symptomatology and character formation. Effects on ego development and function were traced, and an attempt was made to develop recognition of cues suggestive of past overt incest. The case suggests that many additional factors contribute to the final long-term effects of overt incest in childhood.     

A case of phallic-narcissistic personality

A case of phallic-narcissistic personality is presented to demonstrate the intermingling of oedipal and narcissistic transferences and to suggest a therapeutic rationale for the analytic treatment of similar cases. The therapeutic approach to dealing with the narcissistic configurations involves: Empathic and receptive listening to the patient's material relating to and reflecting narcissistic motifs. This early objective extends only to gaining access to the detailed scope of the narcissistic material in its multiple aspects. Clarifying and identifying the relevant narcissistic configurations, both superior and inferior aspects, so that the patient becomes increasingly aware of their pervasive influence, and increasingly able to identify the respective motifs. Interpretively linking the narcissistically inferior and superior configurations into a common gestalt, so that the patient comes to understand that these opposing aspects are mutually linked, defensively interconnected, and reciprocally reinforcing. Identification and interpretation of interlocking patterns of projection and introjection, particularly as they reflect and express narcissistic configurations. Modification of patterns of projection and introjection through the medium of the ongoing interaction (partly interpretive, partly extra-interpretive) that characterizes the relationship between analyst and patient. Patient projections are thus modified and replaced by more autonomous and adaptive introjections derived from the analytic relation that facilitate the alteration of pathogenic narcissistic formations.     

Diagnosis of personality disorders: a case study

In this article, I report a case highlighting diagnostic uncertainty about psychopathology on both Axes I and II. It concerns in part the problem of comorbidity in relation to diagnostic classification of Axis II personality disorders. After commenting on these uncertainties in relation to categorical and dimensional models, I also consider a psychoanalytic explanation to illustrate an example in which a theoretical model informs diagnostic interviewing. I emphasize how the clinical information that unfolds from an interview based on this theoretical model generates inferences about psychopathology that extend clinical understanding beyond the formal diagnostic assessment of Axes I and II disorders and assessment by self-report.     

Effects of personality on driving behaviors among professional truck drivers: The mediating effect of safety climate

Introduction: The number of traffic accidents involving truck drivers remains high, and strategies to eliminate the probability of such accidents have been proposed, among which enhancing the safety climate has attracted much interest. The main purpose of the current study was to validate the Chinese version of the safety climate scale for truck drivers and apply it to investigate the mediating effect of safety climate between truck driver personality and driving behavior. Method: A total of 389 male truck drivers completed the Big Five Inventory, the Chinese version of the trucking safety climate scale, the driver behavior questionnaire and the positive driver behavior scale. Results: The reliability and validity of the Chinese version of the organization-level safety climate scale and the group-level safety climate scale were confirmed through factor analysis. More importantly, a path analysis revealed that the organization-level safety climate mediated the effects of agreeableness and neuroticism on aggressive violations, ordinary violations and lapses, while the group-level safety climate mediated the influences of agreeableness, neuroticism and openness on positive behavior and all four kinds of aberrant driving behaviors. Conclusions: This study introduced the trucking safety climate scale into China and stressed the significance of improving both the organizational and the group levels of safety climate to reduce accidents involving professional truck drivers. Practical Applications: First, the adapted safety climate scale for Chinese truck drivers contributes to further investigating the role that safety climate plays in the safety problem of truck drivers in China. Moreover, the critical impacts of both levels of the trucking safety climate serve as reminders for relevant companies to not only pay attention to establishing an organization-level safety climate but also invest more effort into promoting the group-level safety climate.     

Towards a resolution of the personality triad: Persons,situations, and behaviors

The issue of the variant vs. invariant in personality often arises in different forms of the “person–situation” debate, which is based on a false dichotomy between the personal and situational determination of behavior. Previously reported data are summarized that demonstrate how behavior can vary as a function of subtle situational changes while individual consistency is maintained. Further discussion considers the personal source of behavioral invariance, the situational source of behavioral variation, the person–situation interaction, the nature of behavior, and the “personality triad” of persons, situations, and behaviors, in which each element is understood and predicted in terms of the other two. An important goal for future research is further development of theories and methods for conceptualizing and measuring the functional aspects of situations and of behaviors. One reason for the persistence of the person situation debate may be that it serves as a proxy for a deeper, implicit debate over values such as equality vs. individuality, determinism vs. free will, and flexibility vs. consistency. However, these value dichotomies may be as false as the person–situation debate that they implicitly drive.     

The link between personality disorder and parenting behaviors: A systematic review

ObjectiveTo systematically review the literature on the link between personality disorder and parenting capacity from an attachment theory perspective.MethodFour electronic databases were searched systematically. Those studies that met the pre-defined inclusion criteria were quality assessed. Data was then extracted and synthesized from the included studies using a qualitative approach.ResultsFifteen thousand and sixty one hits were found. A further 22 studies were identified through expert contact, and two from references lists. Two thousand eight hundred and eighty five duplicates were removed and a further 11,926 irrelevant studies were excluded. Of the remaining 250 articles, 229 did not meet the inclusion criteria and were therefore removed and two articles were unobtainable. A further 19 studies were removed following quality assessment, leaving a total of 11 studies to be reviewed. The majority of the findings supported the association between a diagnosis of personality disorder, poor parent–child interactions and problematic parenting practices.ConclusionsParental personality disorder was identified as a risk factor for impaired parenting behaviors and disturbed parent–infant. More rigorous research is required in relation to how co-morbidity and personality disorder alone influence the broad dimensions of parenting capacity for both mothers and fathers.     

The five-factor model of personality traits and organizational citizenship behaviors: a meta-analysis

Using meta-analytic tests based on 87 statistically independent samples, we investigated the relationships between the five-factor model (FFM) of personality traits and organizational citizenship behaviors in both the aggregate and specific forms, including individual-directed, organization-directed, and change-oriented citizenship. We found that Emotional Stability, Extraversion, and Openness/Intellect have incremental validity for citizenship over and above Conscientiousness and Agreeableness, 2 well-established FFM predictors of citizenship. In addition, FFM personality traits predict citizenship over and above job satisfaction. Finally, we compared the effect sizes obtained in the current meta-analysis with the comparable effect sizes predicting task performance from previous meta-analyses. As a result, we found that Conscientiousness, Emotional Stability, and Extraversion have similar magnitudes of relationships with citizenship and task performance, whereas Openness and Agreeableness have stronger relationships with citizenship than with task performance. This lends some support to the idea that personality traits are (slightly) more important determinants of citizenship than of task performance. We conclude with proposed directions for future research on the relationships between FFM personality traits and specific forms of citizenship, based on the current findings.     

Epidemiological personology: the unifying role of personality in population-based research on problem behaviors

Epidemiological personology refers to a paradigm in which a developmental perspective on individual differences is paired with a population-based sampling frame to yield insights about the role of personality in consequential social outcomes. We review our work in epidemiological personology, linking personality to diverse, problematic social outcomes: Mental disorders, health-risk behaviors, and violence. We conclude that broad-band personality measurement is both feasible and fruitful in large-scale research on problem behaviors, and we call for increased collaboration between personality psychologists and researchers in fields such as public health, epidemiology, and sociology.