Skip to main content Accessibility help
×
Hostname: page-component-cd9895bd7-hc48f Total loading time: 0 Render date: 2024-12-23T08:15:48.241Z Has data issue: false hasContentIssue false

4c - Bridging Diverging Perspectives: Author Rejoinder to Commentaries on Personality Pathology in Youth

from Part I - Etiology

Published online by Cambridge University Press:  24 February 2020

Carl W. Lejuez
Affiliation:
University of Kansas
Kim L. Gratz
Affiliation:
University of Toledo, Ohio
Get access

Summary

This rejoinder is aimed at responding to the respective commentaries by Vernberg and Abel and Beauchaine; however, most of the rejoinder focuses on the commentary by Vernberg and Abel given the fact that Vernberg and Abel appear to challenge the basic premise that maladaptive traits denote personality disturbance beyond that of externalizing and internalizing disorder, which according to them, renders the concept of youth BPD obsolete. The authors of this rejoinder provide two points of rebuttal in this regard. First, while it is true that Axis I and II show a very similar empirical structure and can thus be represented from a unified perspective, the construct of youth BPD lies in the co-occurrence and interplay of specific symptoms. BPD is therefore more than a sum of its symptoms, and assessing these symptoms individually from established internalizing-externalizing measures (as Vernberg and Abel suggest) would not adequately capture the dynamics between symptoms that largely account for the downward spiral of BPD functioning. Second, they view the DSM-5 Criterion A function as the feature of personality pathology that distinguishes it from trait function; in particular the self-concept manifestations of Criterion A that are not readily captured by trait (Criterion B) personality function.

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2020

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

American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.Google Scholar
Bender, D. S., & Skodol, A. E. (2007). Borderline personality as a self–other representational disturbance. Journal of Personality Disorders, 21(5), 500517.CrossRefGoogle ScholarPubMed
Chorpita, B. F., & Weisz, J. R. (2009). MATCH-ADTC: Modular Approach to Therapy for Children with Anxiety, Depression, Trauma, or Conduct Problems. Satellite Beach, FL: PracticeWise.Google Scholar
Clark, L. A., Nuzum, H., & Ro, E. (2017). Manifestations of personality impairment severity: Comorbidity, course/prognosis, psychosocial dysfunction, and ‘borderline’ personality features. Current Opinion in Psychology, 21, 117121.Google Scholar
Fonagy, P., Gergely, G., Jurist, E. L., & Target, M. (2002). Affect Regulation, Mentalization, and the Development of Self. New York: Other Press.Google Scholar
Kernberg, O. (1967). Borderline personality organization. Journal of the American Psychoanalytic Association, 15(3), 641685.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(4), 454477.CrossRefGoogle ScholarPubMed
Krueger, R. F. (2005). Continuity of axes I and II: Toward a unified model of personality, personality disorders, and clinical disorders. Journal of Personality Disorders, 19(3), 233261.CrossRefGoogle Scholar
Krueger, R. F., & Eaton, N. R. (2015). Transdiagnostic factors of mental disorders. World Psychiatry, 2, 2729.CrossRefGoogle Scholar
McCrae, R. R., & Costa, P. T. Jr. (1996). Toward a new generation of personality theories: Theoretical contexts for the five-factor model. In Wiggins, J. S. (Ed.), The Five-Factor Model of Personality (pp. 5178). New York: Guilford Press.Google Scholar
Rosen, K. (2016). Social and Emotional Development: Attachment Relationships and the Emerging Self. Basingstoke: Palgrave Macmillan.CrossRefGoogle Scholar
Sharp, C., Vanwoerden, S., & Wall, K. (2018). Adolescence as a sensitive period for the development of personality pathology. Psychiatric Clinics of North America, 41(4), 669–83.CrossRefGoogle Scholar
Sharp, C., & Wall, K. (2018a). Invited commentary on Hopwood: Maladaptive interpersonal signatures as “re-descriptions” of Criterion B. European Journal of Personality.Google Scholar
Sharp, C., & Wall, K. (2018b). Personality pathology grows up: Adolescence as a sensitive period. Current Opinion in Psychology, 21, 111116.Google Scholar
Sharp, C., & Wright, A. (2018). Editorial: Personality pathology is what personality pathologists do. Current Opinion in Psychology, 21, ivvii.CrossRefGoogle Scholar
Tackett, J. L., Herzhoff, K., Balsis, S., & Cooper, L. (2016). Toward a unifying perspective on personality pathology across the lifespan. In Cicchetti, D. C. (Ed.), Developmental Psychopathology, Volume 3: Risk, Disorder, and Adaptation (3rd ed., pp. 10391078). New York: Wiley.Google Scholar
Widiger, T. A., Bach, B., Chmielewski, M., Clark, L. A., DeYoung, C., Hopwood, C. J., … Thomas, K. M. (2019). Criterion A of the AMPD in HiTOP. Journal of Personality Assessment, 101(4), 345?355.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] 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.

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.

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.

Available formats
×