Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-848d4c4894-wzw2p Total loading time: 0 Render date: 2024-06-08T06:52:02.962Z Has data issue: false hasContentIssue false

15 - Personality

Published online by Cambridge University Press:  16 March 2023

By
Joel Paris
Edited by
Stephen Hupp  and
Cara L. Santa Maria
Stephen Hupp
Affiliation:
Southern Illinois University Edwardsville
Cara L. Santa Maria
Affiliation:
Fielding Graduate University, California
Get access

Summary

This chapter describes pseudoscience and questionable ideas related to personality disorders with a primary emphasis on borderline personality disorder. The chapter opens by discussing diagnostic controversies and myths that influence treatment. For example, the chapter debunks the myth that diagnoses should be avoided in order to decrease the likelihood of stigma. Psychoanalysis is described as a dubious treatment. The chapter closes by reviewing research-supported approaches.

Keywords

borderline personality disorderalternative model of personality disordersstigmamisdiagnosispsychoanalysisemotion dysregulationdialectical behavior therapy
Type
Chapter
Information
Pseudoscience in Therapy
A Skeptical Field Guide
 , pp. 247 - 260
Publisher: Cambridge University Press
Print publication year: 2023

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Akiskal, H. S. (2002). Classification, diagnosis and boundaries of bipolar disorders. Bipolar Disorder, 5, 1–95.Google Scholar
Aviram, R. B., Brodsky, B. S., & Stanley, B. (2006). Borderline personality disorder, stigma, and treatment implications. Harvard Review of Psychiatry, 14, 249–256.CrossRefGoogle ScholarPubMed
American Psychiatric Association.(2022). Diagnostic and statistical manual of mental disorders, fifth edition, text revision (DSM-5-TR). American Psychiatric Association.Google Scholar
Belsky, J., & Pluess, M. (2009). The nature (and nurture?) of plasticity in early human development. Perspectives in Psychological Science, 4, 345–351.Google Scholar
Binks, C. A., Fenton, M., McCarthy, L., Lee, T., Adams, C. E., & Duggan, C. (2012). Pharmacological interventions for people with borderline personality disorder. Cochrane Database of Systematic Reviews, (1), CD005653.Google Scholar
Black, D. W. (2013). Bad boys, bad men: Confronting antisocial personality disorder. 2nd ed. Oxford University Press.Google Scholar
Brewin, C. R., Cloitre, M., Hylandc, P., Shevlind, M., Maerker, A., Bryant, R. A., Humayun, A., Jones, L. M., Kagee, A., Rousseau, C., Somasundaram, D., Suzuki, Y., Wessely, S., van Ommeren, M., & Reed, G. M. (2017). A review of current evidence regarding the ICD-11 proposals for diagnosing PTSD and complex PTSD. Clinical Psychology Review, 58, 1–15.Google Scholar
Campbell, W. K., & Miller, J. D. (2011). Handbook of narcissism and narcissistic personality disorder. Wiley.Google Scholar
Chanen, A. M., & McCutcheon, L. (2013). Prevention and early intervention for borderline personality disorder: Current status and recent evidence. British Journal of Psychiatry, 202, S24–29.Google Scholar
Chartonas, D., Kyratsous, M., Dracass, S., Lee, T., & Bhui, K. (2017). Personality disorder: Still the patients that psychiatrists dislike? BJPsych Bulletin, 41, 12–17.Google Scholar
Crawford, M., Sanatinia, R., Barrett, B. M., & Cunningham, G. (2018). The clinical effectiveness and cost-effectiveness of lamotrigine in borderline personality disorder: A randomized placebo-controlled trial. American Journal of Psychiatry, 175, 576–580.Google Scholar
Deblinger, E., Mannarino, A. P., Cohen, J. A., & Steer, R. A. (2006). A follow-up study of a multisite, randomized, controlled trial for children with sexual abuse-related PTSD symptoms. Journal of the American Academy of Child & Adolescent Psychiatry, 45, 1474–1484.Google Scholar
Diedrich, A., & Voderholzer, U. (2015). Obsessive-compulsive personality disorder: A current review. Current Psychiatry Reports, 17(2), 2. https://doi.org/10.1007/s11920-014-0547-8.Google Scholar
Frances, A. (2013). The past, present and future of psychiatric diagnosis. World Psychiatry, 12(2), 111–112.Google Scholar
Horwitz, A. V. (2018). PTSD. Johns Hopkins Press.Google Scholar
Kotov, R., Krueger, R. F., Watson, D., Achenbach, T. M., Althoff, R. R., Bagby, R. M., & Zimmerman, M. (2017). The Hierarchical Taxonomy of Psychopathology (HiTOP): A dimensional alternative to traditional nosologies. Journal of Abnormal Psychology, 126, 454–477.Google Scholar
Krueger, R. F., & Markon, K. E. (2014). The role of the DSM-5 personality trait model in moving toward a quantitative and empirically based approach to classifying personality and psychopathology. Annual Review of Clinical Psychology, 10, 477–501.Google Scholar
Lampe, L., &Malhi, G. S. (2018). Avoidant personality disorder: Current insights. Psychology Research and Behavior Management, 11, 55–66.CrossRefGoogle ScholarPubMed
Laporte, L., Paris, J., Zelkowitz, P., & Cardin, J. F. (2018). Clinical outcomes of a Stepped Care program for the treatment of borderline personality disorder. Personality and Mental Health, 12, 252–264.Google Scholar
Lilienfeld, S. O., Lynn, S. J., Kirsch, I., Chaves, J. F., Sarbin, T. R., Ganaway, G. K., & Powell, R. A. (1999). Dissociative identity disorder and the sociocognitive model: Recalling the lessons of the past.Psychological Bulletin, 125, 507–523.Google Scholar
Linehan, M. (1993). Cognitive Behavior Therapy for Borderline Personality Disorder. Guilford.Google Scholar
Livesley, W. J., & Jang, K. L. (2008). The behavioral genetics of personality disorder. Annual Review of Clinical Psychology, 4, 247–274.Google Scholar
McNally, R. J. (2016). The expanding empire of psychopathology: The case of PTSD. Psychological Inquiry, 27(1), 46–49.Google Scholar
Newton-Howes, G., Tyrer, P., & Johnson, T. (2006). Personality disorder and the outcome of depression: Meta-analysis of published studies. British Journal of Psychiatry, 188, 13–20.Google Scholar
Olfson, M., Blanco, C., Wang, S., & Greenhill, L. L. (2013). Trends in office-based treatment of adults with stimulants in the United States. Journal of Clinical Psychiatry, 74, 43–50.Google Scholar
Paris, J. (2012). The rise and fall of dissociative disorders. Journal of Nervous and Mental Diseases, 200, 1076–1079.Google Scholar
Paris, J. (2015). A concise guide to personality disorders. American Psychological Association.Google Scholar
Paris, J. (2019). An evidence-based critique of contemporary psychoanalysis. Routledge.Google Scholar
Paris, J. (2020a). Treatment of borderline personality disorder: A guide to evidence-based practice, 2nd ed., revised and updated. Guilford.Google Scholar
Paris, J. (2020b). Overdiagnosis in psychiatry, 2nd ed. Oxford University Press.Google Scholar
Paris, J., Bhat, V., & Thombs, B. (2015). Is adult ADHD being over-diagnosed?Canadian Journal of Psychiatry, 60, 324–328.Google Scholar
Paris, J., Gunderson, J., & Weinberg, I. (2007). The interface between borderline personality disorder and bipolar spectrum disorders. Comprehensive Psychiatry, 48(2), 145–154.Google Scholar
Piper, A., & Merskey, H. (2004). The persistence of folly: A critical examination of dissociative identity disorder. Part I. The excesses of an improbable concept. Canadian Journal of Psychiatry, 49, 592–600.Google Scholar
Soloff, P. H., Lis, J. A., Kelly, T., Cornelius, J., & Ulrich, R. (2005). Risk factors for suicidal behavior in borderline personality disorder: A review and update. Medical Psychiatry, 31, 333–367.Google Scholar
Smith, M. (2017). Hyperactive around the world? The history of ADHD in global perspective. Social History of Medicine, 30(4), 767–787.Google Scholar
Stern, A. (1938). Psychoanalytic investigation of and therapy in the borderline group of neuroses. Psychoanalytic Quarterly, 7, 467–489.CrossRefGoogle Scholar
Torgersen, S., Edwardsen, P., Øien, S., Onstad, S., Skre, I., Lygren, S., & Kringlen, E. (2002). Schizotypal personality disorder inside and outside the schizophrenic spectrum. Schizophrenia Research, 54, 33–40.Google Scholar
Trull, T. J., Jahng, S., & Tomko, R. L. (2010). Revised NESARC personality disorder diagnosis: Gender, prevalence, and comorbidity with substance dependence disorders. Journal of Personality Disorders, 24, 412–426.Google Scholar
Voineskos, D., Daskalakis, Z. J., & Blumberger, D. M. ( 2020). Management of treatment-resistant depression: Challenges and strategies. Neuropsychiatric Disease and Treatment, 16, 221–234.Google Scholar
World Health Organization. (2018). International classification of diseases, 11th ed. WHO.Google Scholar
Zanarini, M. C. (2005). Textbook of borderline personality disorder. Taylor & Francis.Google Scholar
Zimmerman, M., & Mattia, J. (1999). Differences between clinical and research practices in diagnosing borderline personality disorder. American Journal of Psychiatry, 156, 1570–1574.Google Scholar
Zimmerman, M., Rothschild, L., & Chelminski, I. (2005). The prevalence of DSM-IV personality disorders in psychiatric outpatients. American Journal of Psychiatry, 162, 1911–1918.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

  • Personality
  • Edited by Stephen Hupp, Southern Illinois University Edwardsville, Cara L. Santa Maria, Fielding Graduate University, California
  • Book: Pseudoscience in Therapy
  • Online publication: 16 March 2023
  • Chapter DOI: https://doi.org/10.1017/9781009000611.016
Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

  • Personality
  • Edited by Stephen Hupp, Southern Illinois University Edwardsville, Cara L. Santa Maria, Fielding Graduate University, California
  • Book: Pseudoscience in Therapy
  • Online publication: 16 March 2023
  • Chapter DOI: https://doi.org/10.1017/9781009000611.016
Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Personality
  • Edited by Stephen Hupp, Southern Illinois University Edwardsville, Cara L. Santa Maria, Fielding Graduate University, California
  • Book: Pseudoscience in Therapy
  • Online publication: 16 March 2023
  • Chapter DOI: https://doi.org/10.1017/9781009000611.016
Available formats
×