Personality Disorders Revisited: A Newly Proposed Mental Illness

Overview

Journal Cureus

Specialty Biomedical Engineering

Date 2020 Sep 14

PMID 32923235

Authors

Glen Ramsay

Ayodeji Jolayemi

Affiliations

Soon will be listed here.

Abstract

Personality disorders such as dependent personality disorder (DPD), among others, have shown limited academic development in terms of a more in-depth understanding or subtypes that may exist as a mental illness or associated condition. DPD was first published as a distinct personality disorder in the Diagnostic and Statistical Manual for Mental Disorders, 3rd edition (DSM III) psychiatry manual in 1980. Since its revision in the DSM IIIR in 1987, no significant advancements have been proposed to date. This case study reported a patient with suicidal ideation and offered a new type of DPD to advance personality disorders research. The new subtype of dependent personality disorder has a few key characteristics of the traditional disorder yet reveals features that mirror nearly opposite symptom criteria, making it unique as a distinct subtype or possibly a separate personality disorder of its kind. The case study patient report proposes comorbid diagnoses of adjustment disorder and dependent personality disorder, the altruistic depressive type. Recommendations for further research were made.

References

Bornstein R, Becker-Matero N, Winarick D, Reichman A . Interpersonal dependency in borderline personality disorder: clinical context and empirical evidence. J Pers Disord. 2010; 24(1):109-27. DOI: 10.1521/pedi.2010.24.1.109. View

van Dijk S, Hanssen D, Naarding P, Lucassen P, Comijs H, Oude Voshaar R . Big Five personality traits and medically unexplained symptoms in later life. Eur Psychiatry. 2016; 38:23-30. DOI: 10.1016/j.eurpsy.2016.05.002. View

Bornstein R . From dysfunction to adaptation: an interactionist model of dependency. Annu Rev Clin Psychol. 2012; 8:291-316. DOI: 10.1146/annurev-clinpsy-032511-143058. View

Disney K . Dependent personality disorder: a critical review. Clin Psychol Rev. 2013; 33(8):1184-96. DOI: 10.1016/j.cpr.2013.10.001. View

Gude T, Karterud S, Pedersen G, Falkum E . The quality of the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition dependent personality disorder prototype. Compr Psychiatry. 2006; 47(6):456-62. DOI: 10.1016/j.comppsych.2006.02.007. View

Krueger R, Derringer J, Markon K, WATSON D, Skodol A . Initial construction of a maladaptive personality trait model and inventory for DSM-5. Psychol Med. 2011; 42(9):1879-90. PMC: 3413381. DOI: 10.1017/S0033291711002674. View

Jacob K . Psychiatric assessment and the art and science of clinical medicine. Indian J Psychiatry. 2012; 54(2):184-7. PMC: 3440915. DOI: 10.4103/0019-5545.99538. View

ODonnell M, Agathos J, Metcalf O, Gibson K, Lau W . Adjustment Disorder: Current Developments and Future Directions. Int J Environ Res Public Health. 2019; 16(14). PMC: 6678970. DOI: 10.3390/ijerph16142537. View

Ampollini P, Marchesi C, Signifredi R, Ghinaglia E, Scardovi F, Codeluppi S . Temperament and personality features in patients with major depression, panic disorder and mixed conditions. J Affect Disord. 1999; 52(1-3):203-7. DOI: 10.1016/s0165-0327(98)00048-2. View

10.

Loas G, Atger F, Perdereau F, Verrier A, Guelfi J, Halfon O . Comorbidity of dependent personality disorder and separation anxiety disorder in addictive disorders and in healthy subjects. Psychopathology. 2002; 35(4):249-53. DOI: 10.1159/000063830. View

11.

Trull T, Widiger T . Dimensional models of personality: the five-factor model and the DSM-5. Dialogues Clin Neurosci. 2013; 15(2):135-46. PMC: 3811085. View

12.

Loas G, Guilbaud O, Perez-Diaz F, Verrier A, Stephan P, Lang F . Dependency and suicidality in addictive disorders. Psychiatry Res. 2005; 137(1-2):103-11. DOI: 10.1016/j.psychres.2004.06.022. View

13.

Bornstein R, Cecero J . Deconstructing dependency in a five-factor world: a meta-analytic review. J Pers Assess. 2000; 74(2):324-43. DOI: 10.1207/S15327752JPA7402_11. View

14.

Samuel D, Widiger T . A meta-analytic review of the relationships between the five-factor model and DSM-IV-TR personality disorders: a facet level analysis. Clin Psychol Rev. 2008; 28(8):1326-42. PMC: 2614445. DOI: 10.1016/j.cpr.2008.07.002. View

15.

Bachrach N, Croon M, Bekker M . Factor structure of self-reported clinical disorders and personality disorders: a review of the existing literature and a factor analytical study. J Clin Psychol. 2012; 68(6):645-60. DOI: 10.1002/jclp.21841. View

16.

Fegan J, Doherty A . Adjustment Disorder and Suicidal Behaviours Presenting in the General Medical Setting: A Systematic Review. Int J Environ Res Public Health. 2019; 16(16). PMC: 6719096. DOI: 10.3390/ijerph16162967. View