Hostname: page-component-8448b6f56d-dnltx Total loading time: 0 Render date: 2024-04-18T14:36:19.026Z Has data issue: false hasContentIssue false

Classification of Personality Disorder

Published online by Cambridge University Press:  29 January 2018

Peter Tyrer
Affiliation:
University of Southampton, Royal South Hants Hospital, Graham Road, Southampton SO9 4PE
John Alexander
Affiliation:
University of Southampton

Summary

An interview schedule was used to record the personality traits of 130 psychiatric patients, 65 with a primary clinical diagnosis of personality disorder and 65 with other diagnoses. The results were analysed by factor analysis and three types of cluster analysis. Factor analysis showed a similar structure of personality variables in both groups of patients, supporting the notion that personality disorders differ only in degree from the personalities of other psychiatric patients. Cluster analysis revealed five discrete categories; sociopathic, passive-dependent, anankastic, schizoid and a non-personality-disordered group. Of all the personality-disordered patients 63 per cent fell into the passive-dependent or sociopathic category. The results suggest that the current classification of personality disorder could be simplified.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1979 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

American Psychiatric Association (1968) Diagnostic and Statistical Manual for Mental Disorders, 2nd edition. Washington.Google Scholar
Bianchi, G. N. (1973) Patterns of hypochondriasis: a principal components analysis. British Journal of Psychiatry, 122, 541–8.CrossRefGoogle ScholarPubMed
Kretschmer, E. (1918) Der Sensitive Beziehungswahn. Berlin: Springer.CrossRefGoogle Scholar
Kretschmer, E. (1922) Körperbau und Charakter, pp. 98102. Berlin: Springer.Google Scholar
Lewis, A. (1974) Psychopathic personality: a most elusive category. Psychological Medicine, 4, 133–40.CrossRefGoogle ScholarPubMed
Plutchik, R. & Platman, S. R. (1977) Personality connotations of psychiatric diagnosis: implications for a similarity model. Journal of Nervous and Mental Disease, 165, 418–22.CrossRefGoogle ScholarPubMed
Presly, A. S. & Walton, H. J. (1973) Dimensions of abnormal personality. British Journal of Psychiatry, 122, 269–76.CrossRefGoogle Scholar
Shepherd, M. & Sartorius, N. (1974) Personality disorder and the International Classification of Diseases. Psychological Medicine, 4, 141–6.CrossRefGoogle ScholarPubMed
Slater, E. & Roth, M. (1969) Clinical Psychiatry, 3rd edition. London: Baillière, Tindall and Cassell.Google Scholar
Strauss, J., Bartko, J. J. & Carpenter, W. T. (1973) The use of clustering techniques for the classification of psychiatric patients. British Journal of Psychiatry, 122, 531–40.CrossRefGoogle ScholarPubMed
Tyrer, P., Alexander, M., Cicchetti, D., Cohen, M. & Remington, M. (1979) Reliability of a schedule for rating personality disorders. British Journal of Psychiatry, 135, 168–74.CrossRefGoogle ScholarPubMed
Walton, H. J., Foulds, G. A., Littman, S. K. & Presly, A. S. (1970) Abnormal personality. British Journal of Psychiatry, 116, 497510.CrossRefGoogle ScholarPubMed
Walton, H. J. & Presly, A. S. (1973) Use of a category system in the diagnosis of abnormal personality. British Journal of Psychiatry, 122, 259–68.CrossRefGoogle ScholarPubMed
Wittenborn, J. R. & Maurer, H. S. (1977) Persisting personalities among depressed women. Archives of General Psychiatry, 34, 968–71.CrossRefGoogle ScholarPubMed
World Health Organization (1965) International Classification of Disease. (Eighth revision). Geneva.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.