Definition
A prototype approach to personality disorders (PDs) conceptualizes personality pathology as discrete clinical phenotypes composed of related features. The similarity of a person’s personality features to a given PD prototype represents how prototypical he/she is of the phenotype.
Introduction
Although psychological theories of personality disorders largely trace their origins to psychoanalytic thinking about character a century ago, the notion of personality types emerged in different cultures and contexts over the past two millennia. Perhaps the best-known historical example of personality prototypes is the four temperaments articulated by Hippocrates in his treatise On the Nature of Man:sanguine, phlegmatic, melancholic, and choleric. Whereas today we might describe a person as extraverted and agreeable, Hippocrates would have categorized this person as sanguine. Modern prototype approaches to...
References
American Psychiatric Association. (1980). Diagnostic and Statistical manual of mental disorders (DSM-III) (3rd ed.). Washington, DC: American Psychiatric Publishing.
American Psychiatric Association. (2013). Diagnostic and Statistical manual of mental disorders: DSM-5 (5th ed.). Washington, DC: American Psychiatric Publishing.
Anderson, J. R. (1991). The adaptive nature of human categorization. Psychological Review, 98(3), 409.
Bagge, C., Nickell, A., Stepp, S. D., Durrett, C., Jackson, K., & Trull, T. J. (2004). Borderline personality disorder features predict negative outcomes 2 years later. Journal of Abnormal Psychology, 113(2), 279–288.
Benjamin, L. S. (1996). Interpersonal diagnosis and treatment of personality disorders (Vol. Vol. xvi, 2nd ed.). New York: Guilford Press.
Black, D. W. (2015). The natural history of antisocial personality disorder. Canadian Journal of Psychiatry, 60(7), 309–314.
Block, J. (1961). The Q-sort method in personality assessment and psychiatric research. Springfield, IL: Charles C. Thomas.
Block, J. (2008). The Q-sort in character appraisal: Encoding subjective impressions of persons quantitatively (Vol. x). Washington, DC: American Psychological Association.
Clark, L. A. (2007). Assessment and diagnosis of personality disorder: Perennial issues and an emerging reconceptualization. Annual Review of Psychology, 58(1), 227–257. doi:10.1146/annurev.psych.57.102904.190200.
Clifton, A., & Pilkonis, P. A. (2007). Evidence for a single latent class of diagnostic and Statistical manual of mental disorders borderline personality pathology. Comprehensive Psychiatry, 48(1), 70–78.
Compton, W. M., & Guze, S. B. (1995). The neo-Kraepelinian revolution in psychiatric diagnosis. European Archives of Psychiatry and Clinical Neuroscience, 245(4–5), 196–201.
Copeland, W. E., Shanahan, L., Costello, E. J., & Angold, A. (2009). Childhood and adolescent psychiatric disorders as predictors of young adult disorders. Archives of General Psychiatry, 66(7), 764–772. doi:10.1001/archgenpsychiatry.2009.85.
Crocq, M.-A. (2013). Milestones in the history of personality disorders. Dialogues in Clinical Neuroscience, 15(2), 147–153.
Crowell, S. E., Beauchaine, T. P., & Linehan, M. M. (2009). A biosocial developmental model of borderline personality: Elaborating and extending Linehan’s theory. Psychological Bulletin, 135(3), 495–510. doi:10.1037/a0015616.
Eissler, K. R. (1953). The effect of the structure of the ego on psychoanalytic technique. Journal of the American Psychoanalytic Association, 1(1), 104–143.
Feighner, J. P., Robins, E., Guze, S. B., Woodruff, R. A., Winokur, G., & Munoz, R. (1972). Diagnostic criteria for use in psychiatric research. Archives of General Psychiatry, 26(1), 57–63.
Gunderson, J. G. (1979). The relatedness of borderline and schizophrenic disorders. Schizophrenia Bulletin, 5(1), 17–22.
Gunderson, J. G. (2010). Commentary on “personality traits and the classification of mental disorders: Toward a more complete integration in DSM-5 and an empirical model of psychopathology.”. Personality Disorders: Theory, Research, and Treatment, 1(2), 119–122. doi:10.1037/a0019974.
Gunderson, J. G. (2013). Seeking clarity for future revisions of the personality disorders in DSM-5. Personality Disorders: Theory, Research, and Treatment, 4(4), 368–376. doi:10.1037/per0000026.
Gunderson, J. G., & Singer, M. T. (1975). Defining borderline patients: An overview. American Journal of Psychiatry, 132(1), 1–10.
Hopwood, C. J., Morey, L. C., Markowitz, J. C., Pinto, A., Skodol, A. E., Gunderson, J. G., et al. (2009). The construct validity of passive-aggressive personality disorder. Psychiatry, 72(3), 256–267. doi:10.1521/psyc.2009.72.3.256.
Kernberg, O. F. (1967). Borderline personality organization. Journal of the American Psychoanalytic Association, 15, 641–685.
Kernberg, O. F. (1975). Borderline conditions and pathological narcissism. New York: Jason Aronson.
Kernberg, O. F., & Caligor, E. (2005). A psychoanalytic theory of personality disorders. In M. F. Lenzenweger & J. F. Clarkin (Eds.), Major theories of personality disorder (2nd ed., pp. 114–156). New York: Guilford Press.
Klein, M. (1946). Notes on some schizoid mechanisms. The International Journal of Psycho-Analysis, 27, 99–110.
Kohut, H. (1971). The Analysis of the self: A systematic approach to the psychoanalytic treatment of narcissistic personality disorders (Reprint ed.). Chicago: University Of Chicago Press.
Krueger, R. F. (2013). Personality disorders are the vanguard of the post-DSM-5.0 era. Personality Disorders, 4(4), 355–362. doi:10.1037/per0000028.
Krueger, R. F., Hopwood, C. J., Wright, A. G., & Markon, K. E. (2014). DSM-5 and the path toward empirically based and clinically useful conceptualization of personality and psychopathology. Clinical Psychology: Science and Practice, 21(3), 245–261.
Lenzenweger, M. F. (2006). The longitudinal Study of personality disorders: History, design considerations, and initial findings. Journal of Personality Disorders, 20(6), 645–670.
Luyten, P., & Blatt, S. J. (2011). Integrating theory-driven and empirically-derived models of personality development and psychopathology: A proposal for DSM V. Clinical Psychology Review, 31(1), 52–68. doi:10.1016/j.cpr.2010.09.003.
Masterson, J. F. (1981). The narcissistic and borderline disorders: An integrated developmental approach. New York: Brunner-Routledge.
Miller, J. D. (2012). Five-factor model personality disorder prototypes: A Review of their development, validity, and comparison to alternative approaches. Journal of Personality, 80(6), 1565–1591. doi:10.1111/j.1467-6494.2012.00773.x.
Miller, J. D., Reynolds, S. K., & Pilkonis, P. A. (2004). The validity of the five-factor model prototypes for personality disorders in two clinical samples. Psychological Assessment, 16(3), 310–322. doi:10.1037/1040-3590.16.3.310.
Moffitt, T. E. (1993). Adolescence-limited and life-course-persistent antisocial behavior: A developmental taxonomy. Psychological Review, 100(4), 674–701. doi:10.1037/0033-295X.100.4.674.
Morey, L. C., Benson, K. T., & Skodol, A. E. (2016). Relating DSM-5 section III personality traits to section II personality disorder diagnoses. Psychological Medicine, 46(3), 647–655. doi:10.1017/S0033291715002226.
Morey, L. C., Skodol, A. E., & Oldham, J. M. (2014). Clinician judgments of clinical utility: A comparison of DSM-IV-TR personality disorders and the alternative model for DSM-5 personality disorders. Journal of Abnormal Psychology, 123(2), 398–405. doi:10.1037/a0036481.
Novais, F., Araújo, A., & Godinho, P. (2015). Historical roots of histrionic personality disorder. Frontiers in Psychology, 6. doi:10.3389/fpsyg.2015.01463.
O’Connor, B. P., & Dyce, J. A. (2001). Rigid and extreme: A geometric representation of personality disorders in five-factor model space. Journal of Personality and Social Psychology, 81(6), 1119.
Paris, J. (2007). The nature of borderline personality disorder: Multiple dimensions, multiple symptoms, but one category. Journal of Personality Disorders, 21(5), 457–473.
Pilkonis, P. A., Hallquist, M. N., Morse, J. Q., & Stepp, S. D. (2011). Striking the (Im)proper balance between scientific advances and clinical utility: Commentary on the DSM–5 proposal for personality disorders. Personality Disorders: Theory, Research, and Treatment, 2(1), 68–82.
Reich, W. (1949). Character Analysis. New York: Orgone Institute Press.
Robins, E., & Guze, S. B. (1970). Establishment of diagnostic validity in psychiatric illness: Its application to schizophrenia. American Journal of Psychiatry, 126(7), 983–987.
Rottman, B. M., Ahn, W., Sanislow, C. A., & Kim, N. S. (2009). Can clinicians recognize DSM-IV personality disorders from five-factor model descriptions of patient cases? American Journal of Psychiatry, 166(4), 427–433. doi:10.1176/appi.ajp.2008.08070972.
Shedler, J., Beck, A., Fonagy, P., Gabbard, G. O., Gunderson, J., Kernberg, O., et al. (2010). Personality disorders in DSM-5. American Journal of Psychiatry, 167(9), 1026–1028.
Shedler, J., & Westen, D. (2004a). Dimensions of personality pathology: An alternative to the five-factor model. American Journal of Psychiatry, 161(10), 1743–1754.
Shedler, J., & Westen, D. (2004b). Refining personality disorder diagnosis: Integrating science and practice. American Journal of Psychiatry, 161(8), 1350–1365.
Shedler, J., & Westen, D. (2007). The Shedler-Westen Assessment Procedure (SWAP): Making personality diagnosis clinically meaningful. Journal of Personality Assessment, 89(1), 41–55.
Skodol, A. E., Bender, D. S., Morey, L. C., Clark, L. A., Oldham, J. M., Alarcon, R. D., et al. (2011). Personality disorder types proposed for DSM-5. Journal of Personality Disorders, 25(2), 136.
Skodol, A. E., Gunderson, J. G., Shea, M. T., McGlashan, T. H., Morey, L. C., Sanislow, C. A., et al. (2005). The collaborative longitudinal personality disorders Study (CLPS): Overview and implications. Journal of Personality Disorders, 19(5), 487–504.
Spitzer, R. L., First, M. B., Shedler, J., Westen, D., & Skodol, A. E. (2008). Clinical utility of five dimensional Systems for Personality Diagnosis: A “consumer preference” Study. The Journal of Nervous and Mental Disease, 196(5), 356–374. doi:10.1097/NMD.0b013e3181710950.
Stephenson, W. (1953). The study of behavior; Q-technique and its methodology. Chicago, IL: University of Chicago Press.
Stern, A. (1938). Psychoanalytic investigation of and therapy in the borderline group of neuroses. Psychoanalytic Quarterly, 7, 467–489.
Tenenbaum, J. B., & Griffiths, T. L. (2001). Generalization, similarity, and Bayesian inference. Behavioral and Brain Sciences, 24(4), 629–640.
Trull, T. J., & Durrett, C. A. (2005). Categorical and dimensional models of personality disorder. Annual Review of Clinical Psychology, 1, 355–380. doi:10.1146/annurev.clinpsy.1.102803.144009.
Trull, T. J., & McCrae, R. R. (2002). A five-factor perspective on personality disorder research. In P. T. Costa & T. A. Widiger (Eds.), Personality disorders and the five-factor model of personality (2nd ed., pp. 45–57). Washington, DC: American Psychological Association.
Verheul, R., & Widiger, T. A. (2004). A meta-Analysis of the prevalence and usage of the personality disorder not otherwise specified (PDNOS) diagnosis. Journal of Personality Disorders, 18(4), 309–319. doi:10.1521/pedi.2004.18.4.309.
Westen, D., & Shedler, J. (1999). Revising and assessing axis II, part II: Toward an empirically based and clinically useful classification of personality disorders. American Journal of Psychiatry, 156(2), 273–285.
Westen, D., & Shedler, J. (2000). A prototype matching approach to diagnosing personality disorders: Toward DSM-V. Journal of Personality Disorders, 14(2), 109–126.
Widiger, T. A. (2012). The Oxford handbook of personality disorders. New York: Oxford University Press.
Widiger, T. A., & Costa, P. T. (1994). Personality and personality disorders. Journal of Abnormal Psychology, 103(1), 78–91.
Widiger, T. A., & Simonsen, E. (2005). Alternative dimensional models of personality disorder: Finding a common ground. Journal of Personality Disorders, 19(2), 110–130.
Widiger, T. A., & Trull, T. J. (2007). Plate tectonics in the classification of personality disorder: Shifting to a dimensional model. The American Psychologist, 62(2), 71–83. doi:10.1037/0003-066X.62.2.71.
Zanarini, M. C., Frankenburg, F. R., Hennen, J., & Silk, K. R. (2003). The longitudinal course of borderline psychopathology: 6-year prospective follow-up of the phenomenology of borderline personality disorder. The American Journal of Psychiatry, 160(2), 274–283.
Zimmerman, M., Chelminski, I., Young, D., Dalrymple, K., & Martinez, J. (2012). Does the presence of one feature of borderline personality disorder have clinical significance? Implications for dimensional ratings of personality disorders. The Journal of Clinical Psychiatry, 73(1), 8–12. doi:10.4088/JCP.10m06784.
Zimmerman, M., Rothschild, L., & Chelminski, I. (2005). The prevalence of DSM-IV personality disorders in psychiatric outpatients. American Journal of Psychiatry, 162(10), 1911–1918. doi:10.1176/appi.ajp.162.10.1911.
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Schreiber, A.M., Hall, N.T., Hallquist, M.N. (2017). Prototype Approach to Personality Disorders. In: Zeigler-Hill, V., Shackelford, T. (eds) Encyclopedia of Personality and Individual Differences. Springer, Cham. https://doi.org/10.1007/978-3-319-28099-8_932-1
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