The mention of personality has been on the rise with the
Depp vs Heard case making headlines, but what are personalities, and what are
personality disorders? Here we will dive into these details.
اضافة اعلان
A personality is a way of thinking, feeling, and behaving
that is unique to all individuals. The variations in personalities allow people
to be unique enough to maintain individuality but still fall within a range
that is considered normal.
Extreme deviations in personality can cause individuals to have
difficulty in forming relationships with others, both in intimate and social
settings. Although more often than not these variations could simply be quirks,
in more severe cases they may be considered
personality disorders.
What is a personality disorder?
The Diagnostic and Statistical Manual of Mental
Disorders, 5th Edition (
DSM-5), defines a personality disorder
as “an enduring pattern of inner experience and behavior that deviates markedly
from the expectations of the individual’s culture, is pervasive and inflexible,
has an onset in adolescence or early adulthood, is stable over time, and leads
to distress or impairment.”
In other words, it is a personality that is extreme in
nature, rigid, and starts in one's early teen years or early adulthood. As of the current
definition, there are 10 diagnosable personality disorders which are subdivided
into three groups known as clusters.
Cluster A personality disorders tend to be generally
characterized as having behavior that is odd, suspicious, or detached which
tends to have the most negative impact on relationships. Subtype disorders
within this cluster include paranoid, schizoid, and schizotypal personality
disorders.
Cluster B personality
disorders are the least common in terms of prevalence and yet people are more
likely to have heard of some subtypes in this group. This includes
antisocial,
borderline, histrionic, and narcissistic personality disorder. Those within
this cluster are described as dramatic, emotional, or erratic.
Cluster C includes avoidant, dependent, and
obsessive-compulsive personality disorders. Those diagnosed in this cluster are
often more anxious or fearful.
Determining the prevalence of personality disorders is
difficult. This largely has to do with the fact that personalities vary from
culture to culture and can make it difficult to diagnose.
By best estimates, according to the DSM-5, the global prevalence
of any personality disorder is 9.1 percent. However, a breakdown in each
cluster shows a prevalence of 5.7 percent in Cluster A, 1.5 percent in Cluster
B, and 6 percent in Cluster C.
The DSM-5 attributes the discrepancy to co-occurring personality
disorders.
As of yet, there has been no study conducted in Jordan on
the prevalence of personality disorders.
However, a 2011 study conducted on Jordanian military
recruits assessed the prevalence of mental disorders amongst the group. In this
study, 4.6 percent of recruits were found to have a mental disorder and
personality disorders were roughly half of the diagnoses (2.4 percent), making them
the most common.
What causes personality disorders?
The exact cause of personality disorders is unknown, but the
general consensus is that it is a combination of genetic and environmental
factors.
Under current understandings, it is difficult to assess the
role gender,
socioeconomic class, and race plays in developing personality
disorders. Although gender may not play a role in developing this condition,
there are some disparities between men and women. For example, men outnumber
women 6:1 in antisocial personality disorders, whereas women outnumber men 3:1
in borderline personality disorders.
If left undiagnosed or untreated, they will persist long term which can cause significant problems for those with the disorder. The extreme fluctuations in personality will likely cause conflict with others, ultimately impacting relationships, social situations, and life goals.
Genetically, most personality disorders have been found to
have heritability levels of roughly 50 percent. But, environmental factors can act
as a trigger in the development of personality disorders. For example, childhood
trauma is significantly associated with the development of personality
disorders. This can include verbal abuse and one study even found that children
who experienced verbal abuse were three times more likely to develop specific
subtypes of personality disorder.
Impact of personality disorders on a person’s life
Personality disorders begin to appear in adolescents or
early adults and continue for many years.
If left undiagnosed or untreated, they will persist long
term which can cause significant problems for those with the disorder. The
extreme fluctuations in personality will likely cause conflict with others,
ultimately impacting relationships,
social situations, and life goals.
To make matters worse, those who have personality disorders
are often unable to understand or recognize that they have an issue in the
first place. The exact manifestation of personality disorders varies depending
on the subtype but there are general symptoms that tend to apply to all that
are diagnosed.
These symptoms can be divided into two broad categories:
self-identity and interpersonal functioning.
Self-identity symptoms include unstable
self-image issues
and inconsistencies in values, goals, and appearance. Interpersonal functioning
symptoms tend to have the greatest impact, especially on those around the
individual. This can include difficulties in empathizing, difficulty in
understanding boundaries, and inconsistent, detached, overemotional, abusive,
or irresponsible styles of relating.
With the Depp vs Heard case somewhat trending, violence and
personality disorders is something many are wondering about. Numerous studies
have found that those with a personality disorder have a predisposition to
aggression and violence on themselves and others.
However, a 2016 study conducted in the UK assessed the
relationship between
borderline personality disorder (BPD) and violence and found
that a BPD diagnosis alone was not suggestive of a tendency for violence.
However, the study noted that having BPD increases the risk of other conditions
such as anxiety and substance abuse which do increase the risk of violence.
Similarly, a systemic review published in 2022 attempted to
assess personality disorders and interpersonal violence (IPV) during the
COVID-19 pandemic. This study found that there was an overall increase in
levels of violence both self-inflicted and on others. However, it acknowledged
that some studies reported a decrease in IPV, although they attribute these
differences due to decreased rates of seeking help and reporting abuse.
If you know someone with a personality disorder, whether it
be a loved one or a friend, and you notice aggressive or violent behavior, it
is important to understand how to deal with the situation.
For certain subtypes of personality disorder, the
predisposition to
aggression or violence is higher. If you suffer from a
personality disorder, it is important to seek professional help and for you to
be active in your care to help manage symptoms.
For those with loved ones with personality disorders,
violence can be a scary thing to think about, however, knowing how to handle
the situation, although difficult, is nonetheless important. If a diagnosed
person has shown no previous signs of violence or aggression, it is possible
that they may not be violent in the future.
It is important to be aware of behaviors or factors that can
increase the risk of violence. This can include substance abuse or any
stressful life event. It is also important to note that even without
physical violence,
close friends, partners, or family members can feel threatened or aggression
can take place in the relationship.
In these cases, the causes or actions that led to these
feelings should be taken seriously as they may escalate. The first step is to
remove yourself from the situation and find a safe place. Once you are safe, it
is important to seek help from a professional in order to assess the next
steps.
A professional can help you
determine what the next move with your loved one is post the aggression. If you
decide to continue your relationship with the individual, it is likely that
therapy will need to be involved in order to help both yourself and the
individual.
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