Thomson Shannon M, Bornstein Robert F
Adelphi University, Garden City, New York, USA.
J Pers Assess. 2024 Jul-Aug;106(4):496-508. doi: 10.1080/00223891.2023.2289468. Epub 2023 Dec 12.
Avoidant personality disorder was introduced in DSM-III (American Psychiatric Association [APA], 1980), and debate persists regarding the utility of having two separate variants of the "detached personality." The present study addressed this issue through ratings of open-ended self-descriptions provided by community adults with high scores on schizoid versus avoidant personality traits ( = 229). The self-concept of individuals with avoidant personality style reflected a lack of positive self-regard and low self-efficacy/agency. Regarding schizoid personalities, neither positive nor negative self-regard, self-complexity, or self-efficacy/agency was found. Examination of specific variables yielded a relationship between avoidant personality styles, depression, and anxiety, consistent with literature noting simultaneous desire and fear of interpersonal relationships in avoidant patients (APA, 1980; Sheldon & West, 1990). Similarly, examination of individual variables yielded a negative association between schizoid personality styles and tolerance for contradictory aspects of the self, consistent with theoretical writings in this area (Kernberg, 1976; McWilliams, 2006). Results support the argument that these two personality styles represent distinct constructs. Findings support the utility of self-concept assessment to assist treatment planning and differential diagnosis. Treatment implications include using open-ended descriptions of patients' self-concepts to explore changes that may not be accessible more structured forms of patient self-report.
回避型人格障碍在《精神疾病诊断与统计手册》第三版(美国精神病学协会[APA],1980年)中被引入,关于“分离型人格”存在两种不同变体的效用的争论仍在持续。本研究通过对具有分裂样人格特质与回避型人格特质高分的社区成年人(n = 229)提供的开放式自我描述进行评分来解决这个问题。回避型人格风格个体的自我概念反映出缺乏积极的自我关注以及低自我效能感/能动性。关于分裂样人格,未发现积极或消极的自我关注、自我复杂性或自我效能感/能动性。对特定变量的检验得出回避型人格风格、抑郁和焦虑之间的关系,这与文献中指出回避型患者对人际关系同时存在渴望和恐惧一致(APA,1980年;谢尔登和韦斯特,1990年)。同样,对个体变量的检验得出分裂样人格风格与对自我矛盾方面的容忍度之间呈负相关,这与该领域的理论著作一致(克恩伯格,1976年;麦克威廉姆斯,2006年)。结果支持了这两种人格风格代表不同结构的观点。研究结果支持自我概念评估对辅助治疗计划和鉴别诊断的效用。治疗意义包括使用患者自我概念的开放式描述来探索通过更结构化的患者自我报告形式可能无法获取的变化。