+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Personality disorders as maladaptive, extreme variants of normal personality: borderline personality disorder and neuroticism in a substance using sample

Personality disorders as maladaptive, extreme variants of normal personality: borderline personality disorder and neuroticism in a substance using sample

Journal of Personality Disorders 27(5): 625-635

Although the current diagnostic manual conceptualizes personality disorders (PDs) as categorical entities, an alternative perspective is that PDs represent maladaptive extreme versions of the same traits that describe normal personality. Existing evidence indicates that normal personality traits, such as those assessed by the five-factor model (FFM), share a common structure and obtain reasonably predictable correlations with the PDs. However, very little research has investigated whether PDs are more extreme than normal personality traits. Utilizing item-response theory analyses, the authors of the current study extend previous research to demonstrate that the diagnostic criterion for borderline personality disorder and FFM neuroticism could be fit along a single latent dimension. Furthermore, the authors' findings indicate that the borderline criteria assessed the shared latent trait at a level that was more extreme (d = 1.11) than FFM neuroticism. This finding provides further evidence for dimensional understanding of personality pathology and suggests that a trait model in DSM-5 should span normal and abnormal personality functioning, but focus on the extremes of these common traits.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 054947482

Download citation: RISBibTeXText

PMID: 24044664

DOI: 10.1521/pedi.2013.27.5.625

Related references

The Personality Disorders Institute/Borderline Personality Disorder Research Foundation randomized control trial for borderline personality disorder: rationale, methods, and patient characteristics. Journal of Personality Disorders 18(1): 52-72, 2004

The Personality Disorders Institute/Borderline Personality Disorder Research Foundation Randomized Control Trial for Borderline Personality Disorder: reliability of Axis I and II diagnoses. Psychiatric Quarterly 78(1): 15-24, 2006

Clinical study of the relation of borderline personality disorder to Briquet's syndrome (hysteria), somatization disorder, antisocial personality disorder, and substance abuse disorders. American Journal of Psychiatry 153(12): 1598-1606, 1996

New onsets of substance use disorders in borderline personality disorder over 7 years of follow-ups: findings from the Collaborative Longitudinal Personality Disorders Study. Addiction 104(1): 97-103, 2009

Dimensional personality profiles of borderline personality disorder in comparison with other personality disorders and healthy controls. Journal of Personality Disorders 16(2): 135-147, 2002

Tryptophan-hydroxylase 2 haplotype association with borderline personality disorder and aggression in a sample of patients with personality disorders and healthy controls. Journal of Psychiatric Research 44(15): 1075-1081, 2011

Exploring the interface of neurobehaviorally linked personality dimensions and personality organization in borderline personality disorder: the Multidimensional Personality Questionnaire and Inventory of Personality Organization. Journal of Personality Disorders 26(6): 902-918, 2013

Quality of depressive experiences in borderline personality disorders: differences between patients with borderline personality disorder and patients with higher levels of personality organization. Bulletin of the Menninger Clinic 68(1): 9-22, 2004

The Investigation of Construct Validity of Diagnostic and Statistical Manual of Mental Disorder-5 Personality Traits on Iranian sample with Antisocial and Borderline Personality Disorders. International Journal of Preventive Medicine 5(12): 1601-1607, 2015

Does comorbid substance use disorder exacerbate borderline personality features? A comparison of borderline personality disorder individuals with vs. without current substance dependence. Personality Disorders 1(4): 239-249, 2012

Sexually Transmitted Disease Rates and High-Risk Sexual Behaviors in Borderline Personality Disorder Versus Borderline Personality Disorder With Substance Use Disorder. Yearbook of Psychiatry and Applied Mental Health 2008: 93-94, 2008

Sexually transmitted disease rates and high-risk sexual behaviors in borderline personality disorder versus borderline personality disorder with substance use disorder. Journal of Nervous and Mental Disease 195(2): 125-129, 2007

Narcissism vicissitudes in personality disorders Schizoid personality disorder and borderline personality disorder. Archivio di Psicologia Neurologia e Psichiatria 55(6): 1043-1058, 1994 ( ), 1995

Borderline personality disorder in adolescents: evidence in support of the Childhood Interview for DSM-IV Borderline Personality Disorder in a sample of adolescent inpatients. Comprehensive Psychiatry 53(6): 765-774, 2013

Personality Disorders as Maladaptive Variants of Common Personality Traits: Implications for Treatment. Journal of Contemporary PsychoTherapy 27(4): 265-282, 1997