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8 - Interpersonal Models of Personality Pathology

from Part II - Models

Published online by Cambridge University Press:  24 February 2020

By
Michael J. Roche  and
Emily B. Ansell
Edited by
Carl W. Lejuez  and
Kim L. Gratz
Carl W. Lejuez
Affiliation:
University of Kansas
Kim L. Gratz
Affiliation:
University of Toledo, Ohio
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Summary

This chapter reviews how personality disorder assessment, conceptualization, and treatment can be enhanced by considering interpersonal models. Contemporary Integrative Interpersonal Theory (CIIT) provides conceptual grounding to interpersonal models, which are often constructed around the two dimensions of agency and communion. Agency captures the theme of achievement, status, control, and differentiation, whereas communion captures the theme of connectedness, union, solidarity, and friendship. The authors discuss how personality disorder patients often struggle with agency and communion, and review research articulating how personality disorders are associated with specific impairments in agency and communion in cross-sectional and longitudinal research designs. They also propose a fifth assumption to CIIT to integrate emerging literature on pathological interpersonal patterns in personality disorders. This assumption emphasizes the importance of context in characterizing non-normative social exchanges beyond simple deviations from complementarity. They conclude by discussing how concepts in interpersonal models can be used to inform and implement therapy for patients with a personality disorder.

Keywords

interpersonal theoryinterpersonal circumplexagency and communioncomplementaritypersonalitypsychopathologyecological momentary assessmentcontinuous assessment of interpersonal dynamicsintensive repeated measurespersonality disorder
Type
Chapter
Information
The Cambridge Handbook of Personality Disorders , pp. 171 - 184
Publisher: Cambridge University Press
Print publication year: 2020

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