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19a - A Functional Understanding of the Relationship between Personality and Clinical Diagnoses and Implications for Treatment Planning: Commentary on Using DSM-5 and ICD-11 Personality Traits in Clinical Treatment

from Part V - Treatment

Published online by Cambridge University Press:  24 February 2020

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

This commentary on the chapter from Bach and Presnall-Shvorin (this volume) describes the use of the five-factor model (FFM) in treatment planning. Specifically, Bach and Presnall-Shvorin describe how knowledge of a patient’s personality profile can enhance the therapeutic alliance and assist in the selection of treatment components. Their focus is largely at the facet level of the five broad domains, resulting in a large number of intervention strategies necessary to provide adequate coverage for disorder-based sequelae of the FFM. Using neuroticism as an exemplar, this commentary focuses on how clinicians can streamline treatment by understanding functional processes that explain associations between FFM domains and their downstream disorder manifestations. This may allow for a limited number of treatment elements (i.e., five) that may be applicable to the broad range of psychopathology, perhaps increasing treatment efficiency and increasing the likelihood that empirically supported interventions are routinely employed.

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Chapter
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Publisher: Cambridge University Press
Print publication year: 2020

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References

Allport, G. (1961). Pattern and Growth in Personality. Oxford: Holt, Reinhart & Winston.Google Scholar
Armstrong, L., & Rimes, K. A. (2016). Mindfulness-based cognitive therapy for neuroticism (stress vulnerability): A pilot randomized study. Behavior Therapy, 47(3), 287298.Google Scholar
Bagby, R. M., Young, L. T., Schuller, D. R., Bindseil, K. D., Cooke, R. G., Dickens, S. E., … Joffe, R. T. (1996). Bipolar disorder, unipolar depression and the Five-Factor Model of personality. Journal of Affective Disorders, 41(1), 2532.Google Scholar
Barlow, D. H., Sauer-Zavala, S., Carl, J. R., Bullis, J. R., & Ellard, K. K. (2014). The nature, diagnosis, and treatment of neuroticism: Back to the future. Clinical Psychological Science, 2(3), 344365.CrossRefGoogle Scholar
Brown, T. A., Chorpita, B. F., & Barlow, D. H. (1998). Structural relationships among dimensions of the DSM-IV anxiety and mood disorders and dimensions of negative affect, positive affect, and autonomic arousal. Journal of Abnormal Psychology, 107(2), 179192.Google Scholar
Campbell-Sills, L., Barlow, D. H., Brown, T. A., & Hofmann, S. G. (2006). Effects of suppression and acceptance on emotional responses of individuals with anxiety and mood disorders. Behaviour Research and Therapy, 44(9), 12511263.Google Scholar
Carl, J. R., Gallagher, M. W., Sauer-Zavala, S. E., Bentley, K. H., & Barlow, D. H. (2014). A preliminary investigation of the effects of the unified protocol on temperament. Comprehensive Psychiatry, 55(6), 14261434.Google Scholar
Carl, J. R., Soskin, D. P., Kerns, C., & Barlow, D. H. (2013). Positive emotion regulation in emotional disorders: A theoretical review. Clinical Psychology Review, 33(3), 343360.Google Scholar
Cattell, R. B. (1943). The description of personality: Basic traits resolved into clusters. Journal of Abnormal and Social Psychology, 38(4), 476506.Google Scholar
Clark, L. A., Watson, D., & Mineka, S. (1994). Temperament, personality, and the mood and anxiety disorders. Journal of Abnormal Psychology, 103(1), 103116.Google Scholar
Costa, P. T., & McCrae, R. R. (1992). Normal personality assessment in clinical practice: The Neo Personality Inventory. Psychological Assessment, 4(1), 513.Google Scholar
Eysenck, H. J. (1947). Dimensions of Personality. London: Routledge & Kegan Paul.Google Scholar
Harkness, A. R., & Lilienfeld, S. O. (1997). Individual differences science for treatment planning: Personality traits. Psychological Assessment, 9(4), 349360.CrossRefGoogle Scholar
Henriques-Calado, J., Duarte-Silva, M. E., Junqueira, D., Sacoto, C., & Keong, A. M. (2014). Five-factor model personality domains in the prediction of Axis II personality disorders: An exploratory study in late adulthood women non-clinical sample. Personality and Mental Health, 8(2), 115127.Google Scholar
Insel, T., Cuthbert, B., Garvey, M., Heinssen, R., Pine, D. S., Quinn, K., … Wang, P. (2010). Research domain criteria (RDoC): Toward a new classification framework for research on mental disorders. American Journal of Psychiatry, 167(7), 748751.Google Scholar
Khan, A. A., Jacobson, K. C., Gardner, C. O., Prescott, C. A., & Kendler, K. S. (2005). Personality and comorbidity of common psychiatric disorders. British Journal of Psychiatry, 186, 190196.Google Scholar
Krueger, R. F., & Markon, K. E. (2006). Understanding psychopathology: Melding behavior genetics, personality, and quantitative psychology to develop an empirically based model. Current Directions in Psychological Science, 15(3), 113117.Google Scholar
Leising, D., & Zimmermann, J. (2011). An integrative conceptual framework for assessing personality and personality pathology. Review of General Psychology, 15(4), 317330.Google Scholar
Purdon, C. (1999). Thought suppression and psychopathology. Behaviour Research and Therapy, 37(11), 10291054.Google Scholar
Quilty, L. C., Sellbom, M., Tackett, J. L., & Bagby, R. M. (2009). Personality trait predictors of bipolar disorder symptoms. Psychiatry Research, 169(2), 159163.Google Scholar
Rapee, R. M., Kennedy, S., Ingram, M., Edwards, S., & Sweeney, L. (2005). Prevention and early intervention of anxiety disorders in inhibited preschool children. Journal of Consulting and Clinical Psychology, 73(3), 488497.CrossRefGoogle ScholarPubMed
Rapee, R. M., Kennedy, S. J., Ingram, M., Edwards, S. L., & Sweeney, L. (2010). Altering the trajectory of anxiety in at-risk young children. American Journal of Psychiatry, 167(12), 15181525.Google Scholar
Roberts, B. W., Hill, P. L., & Davis, J. P. (2017). How to change conscientiousness: The sociogenomic trait intervention model. Personality Disorders: Theory, Research, and Treatment, 8(3), 199205.CrossRefGoogle ScholarPubMed
Sauer-Zavala, S., & Barlow, D. H. (2014). The case for borderline personality disorder as an emotional disorder: Implications for treatment. Clinical Psychology: Science and Practice, 21(2), 118138.Google Scholar
Trull, T. J., & Sher, K. J. (1994). Relationship between the five-factor model of personality and Axis I disorders in a nonclinical sample. Journal of Abnormal Psychology, 103(2), 350360.Google Scholar
Weinstock, L. M., & Whisman, M. A. (2006). Neuroticism as a common feature of the depressive and anxiety disorders: A test of the revised integrative hierarchical model in a national sample. Journal of Abnormal Psychology, 115(1), 6874.Google Scholar
Widiger, T. A., Lynam, D. R., Miller, J. D., & Oltmanns, T. F. (2012). Measures to assess maladaptive variants of the five-factor model. Journal of Personality Assessment, 94(5), 450455.Google Scholar

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