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Results for “Passive-Aggressive Personality Disorder”

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At least 19 recordsLinked to original sources

Personality connotations of psychiatric diagnoses. Implications for a similarity model.

The major concern of this study was to identify the personality traits connotated by a number of diagnostic labels such as paranoid, schizoid, hysterical, and cyclothymic. Twenty psychiatrists were given a list of nonpsychotic personality disorders and were asked to indicate what personality traits were typically associated with them. Results showed good agreement among psychiatrists on the personality traits they believed to be implied by the diagnostic terms. A factor analysis of the ratings showed a circular configuration of relative similarity among the different diagnoses. The results are interpreted as indicating that diagnostic labels are types of codes for various sectors of an implicit space of traits, signs, and symptoms.

Antisocial Personality Disorder

Some personality patterns and dimensions of male alcoholics: a multivariate description.

The assumption that alcoholics form a homogeneous population has been found to be questionable. Recent research has been done to empirically define possible personality subtypes of alcoholics. This study extended the typological work done previously by Goldstein and Linden (1969a) and Whitelock, Overall, and Patrick (1971). They each found four alcoholic subtypes, three of which replicated across studies. For this research, MMPI profiles of 208 male alcoholics were submitted to a hierarchical clustering procedure. Seven subtypes were found. These results were compared to the results of the prior two studies, in addition to actuarial MMPI types previously delineated in clinical settings. Using a hierarchical factor analysis, these data were analyzed to determine the higher order interrelationships among MMPI scales for this alcoholic sample. These results were discussed, especially in terms of the implications for treatment and further research in alcoholism.

Adolescent

Further experience in conjoint psychotherapy of marital pairs.

Conjoint therapy of marital partners is a technique that lends itself to the counseling efforts of health professionals. Its growing use has, however, brought with it seemingly inevitable pitfalls, such as inadequate assessment of individual needs and psychopathology, overzealous application and disregard of certain contraindications, management problems and goal definition that may be unclear to patients or more related to the therapist's personality than to an objective view of the marriage dynamics. Despite the difficulties and pitfalls of this relatively new field, conjoint therapy can be the treatment of choice when the primary difficulties are related to the inability to cope in the marital situation, even though functioning in other social roles is adequate.

Adult

Empirical descriptions of mental patient syndromes and types.

Used a cluster analytic procedure to describe mental illness. Data for 2,600 mental patients from a research record system were clustered into six symptom and four antecedent dimensions. The patients were typed into seven antecedent and seven symptom types according to their patterns of scores over these dimensions. The types were related to diagnostic data, the antecedent and symptom dimensions, impairment ratings, outcomes and biodata. Significant relationships of the types with all the classes of data are reported. The relationships of the types with four diagnostic classes and the merits of typing as a means of defining mental illnesses are discussed.

Adjustment Disorders

Carving nature at its joints? Observations on a revised psychiatric nomenclature.

The recent decision by the American Psychiatric Association to revise its Diagnostic and Statistical Manual of Mental Disorders provides an opportunity for psychologists and other interested professionals to examine assumptions that underlie classification systems used in mental health settings. The present article attempts to underscore the influence of classification systems in this field on our cognitive activity as clinicians, to place the medical model that underlies DSM-III in perspective within contemporary thought in the philosophy of science, and to comment on some specific changes in the new manual.

Diagnosis, Differential

Borderline diagnoses.

The author describes the development of the borderline concept and the apparent inaccuracy of the original hypothetical framework. The signs and symptoms used to describe a "borderline syndrome" are often shared with other psychiatric illnesses. The author recommends that clinicians consider patients with only those features as "undiagnosed" until further research determines whether a distinct syndrome exists.

Humans

Children's understanding of their emotionally disturbed peers: a replication.

Despite increasing recognition of the early importance of peer relations, virtually no systematic information exists on the way in which normal children view their emotionally disturbed peers. This paper reports a replication of recent findings on children's use of the concept of emotional disturbance. Ss were 40 fourth and sixth graders. Five vignettes that described one normal and four emotionally disturbed boys were read to individual Ss; who were interviewed about their understanding of the central figures (CFs). Interviews were coded to a 5-point scale of degree of perceived emotional disturbance. Earlier findings were replicated to a remarkable degree. Ss differentiated among the CFs in a manner congruent with clinician judges' ratings. Grade differences indicate the differential attention to and valuing of specific behaviors, rather than global differences in perception of emotional disturbance.

Affective Symptoms

Chronic neurotic encopresis as a paradigm of a multifactorial psychiatric disorder.

Chronic neurotic encopresis (CNE), a childhood psychiatric disorder characterized by inappropriate fecal soiling, necessitated the formation of the following specific etiological factors: a) a neurologically immature developmental musculature, an organic condition which may complicate toilet training; b) premature or harsh toilet training; c) a family constellation in which the father is frequently absent and the mother erratic, emotionally inappropriate, and distant; d) the child's formation of a noncommunicative, passive, dependent personality. All of these factors are helpful in explaining the occurrence of CNE, which is thus seen as the result of a synergistic interaction among them. The complexity of etiological agents dictates a multifactorial rather than unicausal model of mental illness. Future research and tactics of psychotherapeutic intervention should focus on the interplay among these factors rather than attempting to single out one primary predisposing factor.

Central Nervous System

Behavioral correlates for spike-4, spike-9, and 4-9/9-4 MMPI profiles in students at a university mental health center.

Numerous investigators have noted that spike-4, spike-9, and 4-9/9-4 profiles occur with an unusually high frequency in college students. Five hundred and fifty files of college students who requested outpatient psychiatric services were reviewed, and the data from 47 files were extracted in which the student patient had a clinically elevated spike-4, spike-9, or 4-9/9-4 profile. Numerous significant psychopathological behavioral correlates were found for each profile type, which supports the contention that these profile types are reflective of significant psychopathology and are not examples of benign deviations of a particular sample from the original normative group.

Adolescent

The treatment of enuresis: an overview.

The treatment of enuresis has had a long and colorful history in world medical literature. Although some reasonable approaches to the problem exist, there are many conflicting theories about its etiology and consequently there are many recommended therapies. A perspective of literature encompassing the diverse fields of psychoanalysis, behavioral psychology, urology, pharmacology and sleep physiology is provided for the psychiatrist consultant dealing with the problem of enuresis.

Adolescent

Life threatening self-mutilation of the nose.

Potentially life threatening self-mutilation of the nose in a patient with a severe passive aggressive character disorder is described. The phenomenological and psychodynamic features of this case are contrasted with those of schizophrenia and factitious dermatoses with similar excoriations.

Adult