Personality style, differential vulnerability, and clinical course in immunological and cardiovascular disease

Sex Differences in Objective and Projective Dependency Tests: A Meta-Analytic Review

A meta-analysis of all studies published since 1950 wherein sex differences in subjects' scores on objective and/or projective dependency tests were assessed (N of studies = 97) revealed that (a) women of all ages consistently obtain higher dependency scores than do men on objective dependency tests; and (b) adult men obtain slightly higher scores than do adult women on projective dependency tests, but this sex difference is not obtained in younger (i.e., child and adolescent) subjects. Subsidiary analyses examined the impact of various mediating variables (e.g., clinical vs. nonclinical status of subjects) on observed sex differences in objective and projective dependency scores. Findings are discussed in the context of research on sex role socialization and dependency and within the framework of recent theoretical models that distinguish "implicit" from "self-attributed" dependency needs.

The Portuguese Version of the Depressive Experiences Questionnaire (DEQ): Results from a Validation Program in Clinical and non Clinical Samples

The Depressive Experiences Questionnaire (DEQ, Blatt, D’Afflitti, & Quinlan, 1976, 1979), a self-report measure used in personality research, assesses the constructs of Dependency and Self-Criticism as vulnerability factors in depression (Blatt, 1974, 1990, 2004) and psychopathology more generally (Blatt, 2008; Blatt & Shichman, 1983). This study establishes a Portuguese version of the DEQ with six samples: a bilingual sample to test the measurement equivalence of the Portuguese DEQ, and two college student samples, two community samples and a clinical sample, to test the reliability, factor structure and criterion, convergent and predictive validity of this translation of the DEQ. A measure of depression (Center for Epidemiologic Studies Depression Scale; CES-D; Radloff, 1977) and of general psychopathology (Brief Symptom Inventory; BSI; Derogatis, 1993) evaluated the convergent validity of the DEQ. Findings indicate satisfactory reliability and validity of the Portuguese DEQ, and the value of the DEQ for investigating the relationship between personality and depression and between personality and psychopathology more generally. It is important to note, however, that these conclusions are based on a limited clinical sample. Additional reliability and validity data are needed with a larger clinical sample.

A structural-developmental psychodynamic approach to psychopathology: two polarities of experience across the life span

Consistent with principles of developmental psychopathology, this paper presents a broad psychodynamic structural developmental perspective that establishes conceptual continuities between processes of normal personality development, personality organization, concepts of psychopathology, and processes of therapeutic change. The major assumption of this approach is that personality development proceeds in a dialectic synergistic interaction between the development of capacities for interpersonal relatedness and the development of self-definition or identity. Extensive research demonstrates that these two dimensions define two broad types of personality organization, each with a particular experiential mode; preferred forms of cognition, defense, and adaptation; unique qualities of interpersonal relatedness and specific types of object and self-representation. Severe disruptions of this normal dialectic developmental process result in various forms of psychopathology organized in two basic configurations in which there is distorted defensive preoccupation, at different developmental levels, with one of these polarities (relatedness or self-definition) at the expense of the development of the other dimension. This paper reviews empirical findings supporting this approach to normal and disrupted personality development throughout the life cycle and considers its relationship to the internalizing-externalizing distinction in childhood and adolescence, attachment theory, and research on the interaction between biological and psychosocial factors in development across the life span. Finally, we discuss the implications of this approach for intervention and prevention.

Depression research and treatment: Are we skating to where the puck is going to be?

This paper critically reviews empirical findings regarding current key assumptions underlying the nature and treatment of depression which heavily rely on the DSM approach. This review shows that empirical evidence provides little support for these assumptions. In response to these findings, an etiologically based, biopsychosocial, dynamic interactionism model of depression is proposed. This model could foster further integration in research on depression and assist in the development of guidelines for the treatment of depression that are better informed by research findings and more congruent with complex clinical realities.

INTERPERSONAL RELATEDNESS AND SELF-DEFINITION IN LATE ADULTHOOD DEPRESSION: PERSONALITY PREDISPOSITIONS, AND PROTECTIVE FACTORS

This study addresses depression in late adulthood within the context of Blatt's (1974; 1991) theory of development and vulnerabilities to depression. Participants were a sample of 237 Israeli community-dwelling old adults (age 65–75) in good health and functioning well. The authors assumed that in this developmental period, normally beset with questions about self-identity and interpersonal relatedness, the associations among Self-criticism, the Neediness component of dependency, and depressive symptomatology are moderated by participants' perceived social support as well as by their fear of death. As expected, the correlational results confirmed that depression in late adulthood is associated with Self-criticism, Neediness, fear of death, and low perceived social support. Additional results illustrated the protective role of Efficacy and Connectedness, as well as the buffering roles of social support and low fear of death in the relation between vulnerabilities to depression and depressive symptoms in late adulthood. The overall findings highlight the relevance of personality vulnerability factors in depression in late adulthood and the need to consider a range of moderating factors that may serve to protectively buffer or exacerbate the impact of personality vulnerability factors.

Construct validity of the Relationship Profile Test: links with attachment, identity, relatedness, and affect

Studies suggest that overdependence and detachment have negative effects on psychological adjustment, health, and therapy process and outcome. In contrast, healthy dependency (ie., flexible, situation-appropriate help and support seeking) has beneficial effects in each of these areas. In this investigation, 90 college students (50 women and 40 men) completed a battery of personality scales including the Relationship Profile Test (RPT), a 30-item measure of destructive overdependence, dysfunctional detachment, and healthy dependency. RPT scores showed the expected patterns of subscale intercorrelations, gender differences, and links with measures of attachment style, identity, relatedness, and affect. Implications of these results for the construct validity of the RPT are discussed in the context of theoretical models of dependency-detachment.

Interactive effects of traits, states, and gender on cardiovascular reactivity during different situations

Interactive effects of anger and anxiety traits, negative affect state, different situations, and gender on cardiovascular reactivity (CVR) to stress were examined. Subjects (91 men, 92 women) performed a reaction time task under either a Social Evaluation, a Harassment, or a Control condition; SBP, DBP, and HR were recorded continuously. Hierarchical multiple regressions revealed intricate interactions. The interaction of anger expression style and anger experience was significant only among men, such that anger suppressors with high trait anger showed the largest CVR of any group during Harassment; anger expressors exhibited generally high CVR across conditions. However, anger expression style and state negative affect interacted to affect CVR in both men and women. Finally, the fear of negative evaluation predicted elevated DBP responses only among men in the Social Evaluation condition. Results imply that the extent to which traits of anger and anxiety contribute to coronary risk may depend on interactions with other traits, gender, and the environment.

Self-criticism and dependency in relation to anger

In a sample of 233 university students, Self-critical and Dependent personality styles were each associated with indices of anger.