Excerpt From "Personality: How It Forms" by Henry Kellerman
Excerpt From "Personality: How It Forms" by Henry Kellerman
Excerpt From "Personality: How It Forms" by Henry Kellerman
Books Edited
Group Cohesion: Theoretical and Clinical Perspectives
The Nightmare: Psychological and Biological Foundations
How It Forms
2012
American Mental Health Foundation Inc
Post Office Box 3
Riverdale, NY 10471-0003
americanmentalhealthfoundation.org
My buddy, Al.
The charismatic Navy man, who captained:
Velli; Kaye’s Navy; and, Vanilla.
Here’s to:
Movie lines; Stanbrook; Sammy’s Romanian;
Caribbean jaunts; Montauk; Caravana Club Pachangas;
and, 40 years of laughing.
Contents
Publisher’s Foreword 11
Introduction 13
1 Remembering 39
What is it we need to remember?
The issue of compliance
3 Acting-out 61
Tension
Tension and the nature of anxiety
Personality of the psyche
5 Defense Mechanisms 80
Individual defenses
Defenses forming character/personality trait-patterns
Emotion-controlled Styles 90
Emotion-dyscontrolled Styles 109
Emotion-attached Styles 133
Conclusion 181
Glossary: More on the State of the Personality 187
Publisher’s Foreword
americanmentalhealthfoundation.org
Introduction
Are you born that way (genetically), or did your personality just
merely happen on its own—perhaps bit by bit as you got older and
maybe in a kind of random fashion? Or, do you think your person-
ality is written in the stars based upon your birth date? Or, are you
reincarnated, and thus your personality comes from another time?
Finally, do you believe your personality only formed throughout
your childhood because of your experiences as you matured?
If your personality formed solely because of the experiences
you had growing up, then perhaps genetics would have played a
very little or no part at all in its formation. On the other hand, is
it possible that everything about your personality is genetic and
none of it is based on your experiences with parents and siblings,
teachers, and friends?
Well, the answer is most likely that both genetics and experi-
ence in early childhood, in early family life, played an important
role, now, in who you are. All of it together comprises the basic
seeds that eventually accounted for the growth and appearance of
one’s full personality.
The Schizoid Style – The way such a person realizes the need to
control emotion, is by way of restricting emotional expression.
Thus, such a person shows a flat emotional response and is usually
involved in activities that do not require very much social interac-
30 | Personality
Category 2
Emotion-dyscontrolled Styles
These are personality styles that display the person’s value and atti-
tude in keeping emotion from being controlled. It is a style that
is quite opposite from the emotion-controlled style. This kind of
person’s aim is to keep emotion in a dyscontrolled state—in a state
wherein emotion triumphs over control, and therefore persons with
such styles are also characterized by a rather continuous tendency
to be attracted by, and to create situations in the environment that
generate endless stimulation and excitement. In this way boredom
and stillness, which would create anxiety for such a person, are
avoided. These are the emotionally dyscontrolled styles (or person-
ality types) of the “histrionic,” “narcissistic,” and “psychopathic”
styles.
Category 3
Emotion Attached Styles (Dependent)
These are individuals who continue to be highly influenced by par-
ents or others in authority positions. In this way, tension regard-
ing emotions is managed by the sense of attachment and therefore,
such individuals gain a sense of security through affiliation with
the figures on whom they depend. In this sense, disagreements and
anger are limited, and decision-making that could possibly count
as independent thinking is similarly avoided. These are the emo-
tionally attached styles or personality types of the “dependent,”
“passive-aggressive,” and “inadequate” styles.
The Inadequate Style − This person is entirely wishful for full sup-
port from the authority figure—usually the parent. It is the kind
of person who manages emotion by just about fully under-respond-
ing. Such under-response is even to simple everyday challenges that
people face—typically represented in all arenas of the person’s life.
Therefore, such a person requires consistent support from the care-
giver or helper. The under-response is a way to limit expression of
any decisive emotional reaction, and in the absence of more decisive
emotional expression, the person experiences greater safety. The idea
of safety is central in this person’s life. Performance of jobs that such
a person may undertake, or requirements given to such a person ren-
der the performance almost always below average, or the fulfillment
of requirements invariably predicate an anticipated failure.
Category 4
Emotion Detached Styles (Sensitive/Vulnerable/Withdrawn)
These are persons who manage emotion by keeping away from
entanglements with others, or who exhibit erratic behavior when
feeling too close to others. In order to avoid anxiety, such individu-
34 | Personality
Summary
These personality styles largely represent a complement of basic
types that develop specific ways to manage the operation and
expression of emotion. The styles are developed either to control
emotion, or to be sure not to control it (to have emotion be dyscon-
trolled), or to remain emotionally attached (as in being dependent),
or to remain emotionally detached (as in being separate—sensitive,
vulnerable, withdrawn).
The styles click into place rather early in development and con-
stitute what can be considered to be a hard-wiring of the person-
ality. Once the style crystallizes, it becomes etched, so that the
style, or type, is singularly identifiable, resistant to change, and
becomes the so-called basic frame, or structure, (or skeleton) of
the personality—its characteristic way around which will form all
other facets of the personality.
These twelve basic styles will be spelled out in greater detail in
part 2, chapters 6 to 17, so that the essential color of each per-
36 | Personality
Remembering
one else, because to repeat it will dilute the dream for the purpose
of working on it and understanding it in the therapy session.
While waiting for the next psychotherapy session, the objective
is for the patient to rehearse, recall, and recite the dream to him
or herself for as many times as necessary to keep from forgetting
it, and only then to describe the dream—and again, solely to the
analyst. In addition, not reporting the dream to anyone else helps
the patient “own” the dream and, finally, to work on it.
The purpose of this little instruction to the patient regarding
the remembering of the dream is to encourage the patient to begin
to struggle with remembering rather than to depend on a written
log of the dream that basically excuses the patient from an active
struggle to recall. In addition, this sort of struggle to keep trying
to remember contributes to the patient’s growth with respect to
not being dependent on written material or other techniques of
remembering that do not require such active struggle.
The point is that we all need to struggle—to pressure ourselves
to think—and then to discuss what it is that comes to mind when
trying to remember.
one reason or another are not able to express the anger directly,
or even be conscious of the anger. This is what is meant about the
same pattern occurring throughout life.
What needs to be remembered—where consciousness, as
Freud says, can become curative—or what needs to be brought
to consciousness, is a greater awareness of the fact that all of us
are angry a lot of the time but do not really know it. We call it
being upset, or being bored, or feeling moody, or depressed, or dis-
satisfied, or any number of other code words for feeling angry.
And make no mistake about it, the anger is almost always about
another person who prevented you from having something you
wanted. And what the other person did to you is an essential
thing to know about.
And this essential thing to know about is always about the same
thing.
Isn’t that strange? It is always, for all of us, about the same thing.
And what is this thing that always will make us angry regarding
what that other person did and on top of it, making it dangerous
for us to express the anger directly?
That thing is the thwarting or blocking of our wishes! And this
blocking of our wishes constitutes the moment of birth in the
development of a psychological/emotional symptom. In fact, sev-
eral principles are developed to indicate just how important such
a process of blocked wishes and the reflexive response of anger is,
to the development of a symptom—which also not only relates to
the wiring of the personality but also demonstrates the effect of
such wiring. These principles are:
lot frustrated. The point is that when wishes are not met, or even
quite incompletely met, we will usually feel disappointed, dis-
satisfied, disgruntled, disgusted, or a combination of these disses.
When the feeling or dissatis-pointed-ness sets in, it’s a sure-fire bet
that such dissatisfaction along with disappointment will generate
feelings of annoyance, anger (even intense anger such as rage)—
and in some, so-to-speak thin-egoed people, even fury.
Generally, or even usually, such disempowerment leading to
angry feelings will be directed to another person because when
wishes are not met or not gratified, it will most frequently be
because someone is preventing the individual from getting what
he or she wants—a job, a raise in salary, sex, approval, recogni-
tion, adoration, food, success, and so forth. It is what is referred
to as thwarted wishes.
When this happens (the fact that someone is blocking you from
getting what you want), your anger will most often not be able to
be expressed toward the particular person frustrating you. This is
so because it is likely that such a person either is a parent, boss,
partner, teacher, client, customer, important friend, and so forth;
at times, your anger toward such a person may be socially almost
impossible to express. The conscious idea itself of this anger at
that person can be automatically anticipated as a great threat to
your security. In this sense of its seeming impossibility of expres-
sion, rather than knowing it (that you’re angry), you will instantly,
perhaps in a nanosecond—especially before you even know that
the angry feeling exists toward this person—hide, conceal, repress
this anger, and then bury it in your unconscious mind so that
even you yourself will be practically, or in most likelihood abso-
lutely, oblivious to its existence.
This happens a great deal of the time—to all of us. The ques-
tion then becomes: So what? What really does it mean that we
repress, or push down the anger?
When we push down the anger (repress it), it means that
again, just like we did in childhood, we can’t let the person know
50 | Personality
that we’re angry. And the reason for this is that we automatically
believe—we assume—that should the person know about our
anger toward him or her, then he or she will do what? We then
believe that they will reject us, fire us, hate us, leave us—abandon
us. That’s what it all boils down to. We repress anger because
instead of confronting the issue—calling it abandonment—we
now have more sophisticated code words for it: rejected, fired,
hated, left. So just as we did when we where children, we are fre-
quently afraid to be directly angry with those that hold our secu-
rity in their hands, and this is reinforced by civilized standards of
behavior—interestingly enough—by which we all live.
In this sense, in the formation of personality, the personality
disruptions we develop (the emotional/psychological symptoms)
are fundamentally based upon considerations of a deep structure
in the operation of the person’s psyche. The proposition about
this state of affairs can be stated thus:
To Reiterate
Basically, what’s underneath is concealed anger. What’s on top is
the rigmarole we do to create little scenarios based upon the strate-
gies and tactics we concoct to help us get away from the fear of
rejection or abandonment that we think could occur if the other
person sees the anger that is beneath the social veneer. These little
strategies and tactics turn out to be those consistent behavioral
patterns of ours that help us massage situations in a way that oth-
ers are sure not to see either the fear that is on top, nor the anger
below—especially the anger that is below. As stated, most fre-
quently we ourselves are not even aware of this anger below—we
also do not see it.
It is these behavioral-personality patterns based upon needs
to conceal underlying emotions (angers and dissatisfactions),
that get displayed in ways that determine our social persona
and that become etched in us, becoming recognizable as our
signature-selves. When someone asks, “What’s his personality
profile?” they are really asking to see the configuration of these
etched behavioral patterns so-to-speak—our personality signa-
ture: for example, whether we can be assertive to challenges
confronting us, or whether we are passive or timid with respect
to such challenges.
These personality or character (behavioral) patterns can be
understood as the basic structure around which forms everything
concerning the full nature of our personhood. No matter how
we dress, how we feel, what we do, or even with respect to the
symptoms we have, these all surround this basic frame or skeleton
of personality that further is resistant as well to change, and that
surprisingly (or perhaps not so surprisingly) some might even call
a substance harder than steel. Yes, as a subject the character or
personality structure may be among the hardest (impermeable as
steel) and also a most intangible subject.
52 | Personality
Knowing
Anger or any primary emotion knows what it’s supposed to do—
what it itself is all about. So that knowing seems to be a very spe-
cial issue in the whole structure of personality. We know what we
want, especially when we wish it.
Knowing is implicated in symptom development, in the
expression of wishes, and very importantly in the unraveling of
the symptom. For example, when we know that we need to try
and focus on the possibility that we have repressed some anger,
and further, realize that this anger was originally intended to be
directed at a specific person, and even further, that we need to
join the two (bring the anger to consciousness and identify the
who toward whom the anger is intended), then this kind of know-
ing can actually and truly begin to defeat the symptom; that is,
the symptom will no longer have a purpose as a symbol since the
58 | Personality
Acting-out
Tension
All of the acting-out variations, all of the wish-needs a person
has, all of the repression that operates in the personality, all of the
defense mechanisms of the personality (those defenses that man-
age transitory momentary emotional reactions as well as those that
assure the development of attitudes) directly relate to the nature
of tension.
Acting-out | 63
With respect to the issue of tension and its effects, the pleasure
principle of the personality (seeking complete pleasure as exem-
plified in the search for the gratification of any wish) seeks the
elimination of tension—down to zero. This is what is meant by
the Freudian idea that the pleasure principle is related to “the life-
instinct,” whereas the complete absence of tension can be related
to a new understanding of “the death-instinct”—tension down to
zero.
In the psyche, because of the pleasure principle, no wish will
be denied, while in actual real events, wishes are denied quite
frequently thereby subsequently corresponding to an increase in
tension. Wish-gratified equals absence of tension in accordance
with the pleasure principle as well as a corresponding sense of
empowerment. Wish-denied, equals an increase of tension and a
corresponding sense of disempowerment.
Therefore, in the psyche the aim is always to calibrate tension
down, and this downward calibration of tension is always deter-
mined by the implicit directive of the pleasure principle. There-
fore, in the expression of acting-out behavior (as is the case with
many symptoms), tension recedes. For example, a symptom may
also be defined as a result of an acting-in. It is the thwarted wish
along with the anger-becoming-repressed (therefore directed at
the self ) that then is extruded or projected out, expostulated as it
were, in an acting-out form. Therefore, in this acting-out form it
could be said that the entire purpose of the acting-out behavior
is to avoid tension; that is, because of the acting-out, the per-
son doesn’t know something that would increase tension (were
it to be known), so that the acting-out (deleterious though it is),
becomes a phenomenon causing immediate tension to recede. A
good example of such an equation can be seen in the analysis
of the symptom of self-mutilation behavior (as in cutting). The
acting-out person (the cutter) always, without exception, reports
a relief of tension resulting from the cutting. This behavior rep-
64 | Personality
The Impulses
It needs to be remembered that impulses have an urgent nature and
therefore, when such impulses are acted upon (usually also urgently)
72 | Personality
The Controls
There is a maturity index that can be fashioned, which implies
how the balance between impulse and control can be assessed. For
example, it is clear that an impulse-dominated personality is, to
whatever extent, immature, whereas a control-dominated person-
ality is probably one that is better off. However, if the control-
dominated personality is severely controlling, then that too can
be considered immature. Therefore, a decent balance is needed to
ensure that the personality will be one that can withstand pres-
sures, that can delay gratifications instead of yielding to impulsive
moments, and that in total, the ratio of impulse to control can be a
viable and balanced one in order for the personality to be resilient
and able to withstand the daily pressures of life.
Such a ratio between impulse and control will naturally mean
that controls need to be better positioned and stronger in the
personality than are impulses, and in addition, there needs to be
a variety of controls so that the management of impulse can be
gained from several points of advantage.
In the following, this array of controls derived from various
facets of the personality will be defined.
Ego Controls: Mostly, the controls calibrated by the ego keep the
person’s equilibrium steady (control over impulse) and enable the
person to continue to implement activity toward goals in a rather
straightforward manner, and in the absence of any significant detours
toward such goals. This also means that the ego function of control
permits the person to experience frustration but in the face of it,
to be able to tolerate such frustration and then correspondingly to
delay necessary gratification for whatever period of time necessary.
stages of forming gives itself the best possible chance to satisfy each
level and stage of development in a way that does not at all retard
forward progress.
Such a balance reflects greater resilience and flexibility along
with a probable decent measure of the organization of defenses in
the personality. The development of the entire defense system of
the personality is usually seen as the centerpiece in the capacity
and functioning of the person’s ego—meaning the person’s ability
to manage tensions, to work effectively, to test reality accurately,
and to be able to integrate in a grand orchestration: the varied
features of the entire personality.
In the following chapter, an analysis of the defense system and
its correlates and functions is presented. As mentioned, these
defenses are inextricably important in the development and func-
tioning of the personality.
chap t er f i v e
Defense Mechanisms
Individual Defenses
Compartmentalization – This defense reduces anxiety by keeping
aspects of personality apart so that contradictions do not register.
Dissociative Identity Disorder is targeted by this defense mecha-
nism as is the histrionic personality style.
Isolation – Here ideas are kept separate from feelings and this
defense is frequently seen in obsessive and compulsive personality
styles.
the child’s need for the same kind of behavior, and the similarity to
the child’s need for stimulation and movement therefore accounts
for the observation of immaturity in the characteristic personality
style of such a person.
good and bad can be reversed without any sense of conflict or ten-
sion. For the borderline-personality type, splitting tends to erase
potential problems of ambiguity and conflict and this becomes
“a borderline signature” in this person’s trait-pattern development.
Category 1
Emotion-controlled Styles
Emotion-controlled Styles of the personality are designed to pre-
vent the feeling of being overwhelmed by the unexpected. Such
persons sense that emotions can create a feeling of disorganization
in the personality, and then involuntarily these emotions can go
out of control. Therefore the control of emotion is perceived as an
opportunity to feel safe and secure.
Because of the need for such control, those personality types
that fit this sort of configuration (or style) rely on defense mech-
anisms that utilize logic, rationalization, and any other such
method of defense that tend to create insularity or protection in
social or interpersonal situations. The insulation of the personal-
ity then aids in controlling emotion.
Control of emotion, control of emotion, control of emotion is the
mantra for such emotion-controlled types of the:
1. Obsessive-compulsive Personality
2. Paranoid Personality
3. Schizoid Personality
chap t er s i x
Case Examples
Case 1: An obsessive-compulsive personality − A Symptom Sketch
A physician who held an important hospital post began feeling
hostility to his chief of service. This hostility gradually became a
preoccupation, and its repetitive occurrence also gradually became
quite obsessional. The obsessional thought was that this physician
noticed he was having an urge to gaze upon corpses. At some point,
his obsessional thought to gaze at the corpses became exceedingly
urgent. Whenever such thoughts gripped him, and in order to
avoid the obsession, this physician would try to think different
thoughts but he was not successful in doing so.
Eventually, he was in such an obsessional grip of the thought to
gaze at corpses that one day the impulse to do so broke through
the wall of thinking and into the action of doing. He then took
himself to the pathology department of the hospital and began his
gazing at these corpses that were in various stages of dissection.
Through a series of psychotherapy sessions, the physician dis-
covered that his thinking and his behavior (his obsessive-compul-
sive act) to want to gaze at the corpses, and then actually to do
it, was his unconscious wish that each corpse would be his chief
of service. Therefore, he kept on thinking (obsessing) and going
to discover (compulsively “doing”) so that symbolically his entire
wish for his chief of service actually to be dead was, over and over
again, being satisfied simply by his gazing at the corpses.
The analysis of this physician’s entire relationship with his chief
of service revealed the presence of a great deal of stored-up anger,
much of it quite suppressed or even repressed. With the analysis
having the ring of truth, the physician steeled himself to talk to
this chief of service, and in short order they resolved the conflict.
94 | Personality
Case Examples
Case 1: A Paranoid Personality − A Symptom Sketch
A thirty-nine-year-old man was reasonably normal in most of his
life except that he was frequently troubled by the thought that
people might be looking at him and even following him with
the intention of robbing him. This man was never married, was
socially somewhat of a loner, and reported being lonely. It was evi-
dent that his social isolation was not something he craved. Rather,
because of his somewhat difficult personality—he was frequently
critical of those with whom he worked—apparently, people were
not drawn to him.
The analysis of his fear of being followed and robbed revealed
what is known as an encapsulated paranoid feature of his personal-
ity. This essentially means that altogether he was not psychotic or
even significantly abnormal in his everyday life, but that whatever
disturbance he did have, was housed in “a bubble” by his so-called
fear of perhaps being followed and robbed.
In addition, the analysis revealed a most surprising although
not unusual interpretation. Underneath it all, in his unconscious
mind, his wish was actually the opposite of being followed and
robbed; that is, he wanted to follow, and yes, wanted also (in
a way), to rob others. And this so-called surprising interpreta-
tion was based on the obvious—he needed contact, and wanted
something they had (regarding the issue of riches; that is to say,
companionship riches). Basically, he needed companionship. So,
it was this issue of the riches of companionship that related to
100 | Personality
greater tension and may very well seek to avoid the relationship
or potential relationship entirely.
The fantasy life of such a person is heavily represented with
hostile themes as well as with compensatory fantasies. What this
means is that such a person will make up, in fantasy, what is lack-
ing or missing in reality. For example, it is said that such a person
can be rather immune to compliments and/or criticism. Yet, an
analysis of such a person’s fantasy life reveals an actual and strong
sensitivity to criticism, insofar as in the fantasy life images of
“getting even” is an excellent illustration of such concern about,
and sensitivity to, criticism. In addition, because of the amount
of time spent in fantasy, it becomes obvious that a person who
exhibits this sort of schizoid style, gains a great deal of personal
gratification from such an active life of fantasy—especially in the
sense of such fantasies containing the theme of anger around
which is constructed the story context of the fantasy. As a mat-
ter of fact, with respect to gaining gratification this sort of per-
son derives the greatest amount of personal gratification from
such fantasies characterized by compensatory themes as well as
by themes of revenge.
This person’s defensive structure consists mostly of intellectual-
ized defenses such as rationalization and compartmentalization.
Compartmentalization means that the person sections off parts of
his life so that there are rather thick barriers between life’s differ-
ent arenas. This sort of compartmentalized defense permits emo-
tion to be controlled insofar as the particular defensive structure
limits the kind of events that could surprise the person; that is to
say, that in this person’s attempt to control emotion, the element
of feeling surprised by events or by the unexpected, needs, if pos-
sible, to be kept to a minimum.
Furthermore, because this person attempts to control the envi-
ronment by being remote and aloof, then fantasy can take over. In
such a circumstance, in which fantasy becomes dominant, from
time to time such a person may lose the gift of good judgment.
The Schizoid Style | 105
Case Examples
Case 1: A Schizoid Personality − A Symptom Sketch
A chemical engineer had an intact marriage for fifteen years. He
had two daughters, was almost entirely functional in life (had a
good job, was a reasonably good husband and was a concerned
father). Nevertheless, he was noticeably remote with others and
therefore socially detached from them.
This sort of emotional restriction and social remoteness cor-
responded to his need to control emotion because he felt that
spontaneous social engagement (out-and-out fun) increased
the possibility that he could say or do things that would seem
to others to be immature or out of place. In this sense, this
man was never sure about how he would be seen with respect
to what he said or did. Over many years, his solution was to
develop ways of avoiding social contact outside of his family.
To his so-called friends he definitely seemed like an emotionally
106 | Personality
• • •
The Schizoid Style | 109
Category 2
Emotion-dyscontrolled Style
Emotion-dyscontrolled Styles are those in which the person is
chiefly concerned with making sure that emotion does not get
controlled. In this way, such individuals are usually involved in
activities that tend to invite and instigate continuously stimulat-
ing events in the environment in order for emotion to be able to
be released and not controlled. With events and activities swirling
around them, such persons actually feel safe and secure because
in the moments of activity, emotion tends to remain free from
control.
No control over emotion, no control over emotion, no control
over emotion, could be considered the mantra for such emotion-
dyscontrolled styles of the:
the situation might be. In the use of this defense of denial, such
a person screens in only what might gratify the wish, and screens
out whatever might seem to be disappointing regarding the wish.
In this sense of relying on one’s wishes instead of assessing the
reality of things, such a person’s judgment frequently turns out to
be less than adequate. Because of such shaky judgment, or judg-
ment lapses, frequent difficulties arise for this person—typically
in the form of a series of decisions that basically are undermining
rather than helpful.
Such undermining acts (due to questionable judgment) invite
many failure experiences so that this person will need constant
reassurance, and as a result will surely overvalue praise. This kind
of reassurance to such a person elevates the ego and serves a com-
pensatory function (builds the person up), and thereby circum-
vents or prevents any depression from gaining traction. With
depression avoided, such a person can then devote more time to
gratifying fantasies. Sometimes, in the face of needs that are not
automatically met, such individuals complain of physical weak-
ness, and as a result will even crave or require bed rest. It is an
old-time neurasthenia characterized by feelings of fatigue and
lethargy.
The time spent in fantasy in this histrionic type is more spe-
cifically occupied mostly with romantic fantasies. These romantic
fantasies are also frequently tinged with sexually explicit scenar-
ios. Correspondingly in real life, such individuals are also sexually
seductive, involved in physical displays for attention, and are usu-
ally exclusively attention-seeking. Such individuals are also usu-
ally coy, and typically behave in an extremely entitled manner. A
flamboyant physical appearance is also characteristic.
The cardinal feature of such a histrionic personality style is the
tendency toward high suggestibility. This high index of suggest-
ibility makes such a person much more susceptible to being hyp-
notized (due to the uncritical stance and the high potential level of
suggestibility). This is in contrast to the emotion-controlled style
The Histrionic Style (Hysterical) | 113
Case Examples
Case 1. The Histrionic (Hysterical) Case − A Symptom Sketch
A sixty-year-old married woman was constantly seeking romantic
moments with men. In her experience of it all, a romantic moment
was defined as any interaction with a man that could be considered
a response to her flirtatiousness, or her perception of a man’s flirta-
tiousness to her, or some actual verbal sexually suggestive interfac-
ing, or generally anything that could be defined as personal interest
that gets conveyed one person to the other.
This woman needed to engineer this sort of encounter at any
and all given opportunities and when the circumstance didn’t
lend itself to such a possibility, she would feel either bored or
irritable and then she would create some sort of difficulty with
her husband. This kind of friction with her husband seemed to
satisfy her need to blame him for what she felt was the absence of
interest in life resulting from the corresponding absence of cir-
cumstance in which she could express her attractiveness to men
and then expect that they, in turn, would respond to her the
same way.
114 | Personality
Case Examples
Case 1:The Narcissistic Personality − A Symptom Sketch
This woman who was sixty-four-years old, had never married, and
had developed behavior that would frequently antagonize oth-
ers. She was constantly trying to be the center of attention and
because of it could easily lose sight of proper social comportment.
For example, when she joined some of her friends on vacation, she
would insist on choosing the hotel, then she would insist on choos-
ing the bed near the window, and often, she would even insist on
sitting at the dinner table in the center of things.
She was a former teacher in the public-school system of a large
city where she demonstrated similar traits of entitlement. In this,
her worklife, she was occasionally accused of fabricating stories
that made someone else look bad while giving to herself the ratio-
nale of maturity and correctness. In this sense, this woman would
do almost anything for the gaining of an appreciable ascendancy
in relationships, as well as behaving in a way that contained an
even impatient wish for attention.
Because she was also a diligent and conscientious teacher, she
spent inordinate amounts of time preparing materials for her stu-
dents, beautifying the classroom with an assortment of decora-
tions and student work, and along with this she gradually became
justifiably recognized for her efforts. For this, she was finally rec-
ognized with a Teacher-of-the-Year acknowledgment—an award
she confessed harboring in her wishes for a decade. According to
others around her, it was actually an award well deserved.
On another positive note, she was quite a productive person,
and in her spare time sang in a choir. Thus, this woman had many
stellar qualities. The problem was her narcissism—a narcissism
that on the negative side made it difficult for people on a personal
basis to like her, and on the positive side, enabled her to work at
an inordinately high capacity despite the fact that it was moti-
vated by her desire for recognition.
122 | Personality
not met, and even rather thwarted, this will consistently lead to
feelings of despondency (appearing to be depression), and the
despondency will consist of components of anger, shame, and
even humiliation.
In this man’s quest for continued self-idealization, he was
always focused on what he could derive from any situation so
that his relationships were shallow and based upon his primary
concern solely with himself along with a true absence of con-
cern for anyone else. In addition, he was quite fragile with respect
to feeling the slightest criticism, and this sort of response from
another person could send him into a humiliating tailspin. With
respect to his students there was always his tension with regard to
how they would evaluate him. And even if one or two evaluations
weren’t good, or good enough, he would be hurt.
Thus, here was a person who sought the power of superiority
and so rather than considering his work to be valued for itself,
he always thought about his work in terms of the prestige such
achievement could or would bestow. In this sense, he was also
always expecting good things to happen to him because of “who
he was.” The question of who he was would be answered in a
way that only he was privy to. Yet he actually believed, expected,
and felt that others should realize his self-endowed special entitle-
ments. Of course when such recognition was not forthcoming
(based solely on his thinking that the world should already know
how great he was), he would become disappointed.
This man’s narcissism reflected classic features summarized by
a somewhat exhibitionistic aggrandizing need for constant atten-
tion and verbalized admiration from others. The greatest hope of
his shared time was his worst fear of self-devaluation, which in the
extreme would make him feel empty and worthless.
Case Examples
Case 1:The Psychopathic Personality − a Symptom Sketch
An attractive forty-year-old man was functioning with a severe
inferiority complex but had it concealed with a persona filled with
charm and smooth talking. He always dressed well and was moti-
vated to behave in a way that encouraged people to see him as
a substantial person, someone of value and worth. In truth, he
felt entirely devious and opportunistic with others, and in psy-
chotherapy consultation could admit never to feeling authentically
interested in others.
To his therapist he would boast about whom he fooled and
how he gained an advantage in this or that situation. He correctly
believed that his therapist would need to keep the information
confidential so that he wasn’t worried about his reputation being
soiled by these revelations to the therapist. It was his greatest plea-
sure to enjoy recounting these successful exploitative events. The
therapist could vividly see the appreciable extent of this man’s
need to experience a sense of triumph.
Since he had never pursued a career path, then whatever
achievements he would obtain were gained in the absence of any
real persistent efforts. Therefore, if the dignity one derives is from
the pursuit of valuable goals through one’s consistent efforts—
and usually difficult travails—then this man was without such
dignity, and never had the opportunity to experience the building
up of normal ego that also develops through the effort that goes
into gaining solid achievement.
Thus, his prime psychopathic symptom concerned his typical
motive to gain best advantage in any possible situation. In this
sense he was always watching and observing any and all situa-
tions that would lend themselves to his interventions in order to
gain such advantage. Therefore, this kind of sustained scouting
qualifies as a form of stalking behavior. In the end it could be said
that this man’s chief psychopathic symptom was that of stalking
130 | Personality
Category 3
Emotion-attached Styles
Emotion-attached Styles are chiefly those in which the person
seeks promises of safety and shelter in the caring attachment of
caregivers and/or authority figures. In this sense these emotion-
attached styles seek agreement, and correspondingly usually try to
avoid disagreements with those on whom they depend. Such per-
sons are therefore at ease when the affiliation with the caregiver is
free of conflict.
The emotion-attached type of personality manages anxiety and
emotion by guarding against independent behavior and thinking,
in order to assure an achievement of dependent attachment. This
sort of pattern or style of personality can be seen in
Case Examples
Case 1:The Dependent Personality − A Symptom Sketch
An eighteen-year-old male left his first semester of college after
only several initial weeks of the semester. He reported that every-
thing felt “unfriendly” and “cold.” Immediately before he left the
campus, it was recommended that he report to the counseling
office for a guidance session. He was accompanied to the guidance
The Dependent Style | 137
As luck would have it, on this very first vacation gamble she
met a man who was in the diplomatic branch of the government
and who was well known. He was almost twenty years her senior,
and had already become successful because of a difficult interna-
tional situation that he helped resolve. Within a short period of
time they married and this young woman became the picture of
the helpful wife who with great elan conducted the household.
She directed servants, a chef, a chauffeur, and several housekeep-
ers in organizing their various duties and in keeping the schedule
of events of the house.
It was in this kind of endeavor that this woman shone. It was
perfect for her. Her husband apparently adored her, and it was a
wonderful opportunity for her to feel safe, secure, and cared for.
It appeared that actually she had mastery over her environment.
In addition, in the role she played as the wife of this elegant and
respected man, she also seemed suited to him because again, it
appeared that she was an independent person. It also helped that
she was quite beautiful.
Underneath it all however, the truth was that she was com-
pletely dependent and, for example, actually frightened about
even contradicting someone. She was able to be successful because
in order not to antagonize anyone, she was self-effacing, and in
her interaction with others, assumed what appeared to be a con-
spicuously modest attitude but which in reality was a natural
inclination to be as democratic as possible in order not to invite
controversy. Therefore, this so-called egalitarian stance was really
a disguise for what was her reflexive response in assuming an infe-
rior position in any relationship. In her case she had the ability
and circumstance to conceal her true feelings.
Thus, the lady-of-the-manor role was the perfect scenario for
her because she could then avoid any involvements that would
give her the feeling of rejection or disapproval from others, or even
worse, reveal to others what she felt was her immaturity regarding
her rather ubiquitous fear of the world. In her particular wifely
The Dependent Style | 139
role and station in life, it was unlikely that anyone would try to
argue with her, or contradict her, or ever be rude to her.
With dependent personalities, a reliance on magical solutions
to problems is sought and in this case her entire situation enabled
such solutions to be realized. In addition, such personalities gener-
ally reveal poor implementation ability as well as a poor ability to
initiate acts. Again in her case however, she was surrounded with
help-personnel and given this particular circumstance, the truth
was that everything would have kept running efficiently whether
she was there or not. And knowing this full well enabled this
woman to conduct the household with ease while also enabling
her to consistently feel safe, especially because she felt that her
true feelings and identity were kept from view—but of course
she had no way of knowing that others could indeed see her sense
of inadequacy and hidden concerns. These sorts of personal con-
cerns are almost impossible to conceal. Behavior reveals much.
In finding this husband and this circumstance, this woman hit
upon a once-in-a- lifetime winning lottery that completely sat-
isfied her need for security, safety, and attachment—the perfect
complement for someone who was an emotion-attached depen-
dent personality.
rent. He never took vacations or went places that would have taken
him far from home. In a nutshell, this man organized his life in
such a way as to avoid any situation that was loosely structured.
In view of his need for security and safety, his deferent attitude,
and his cooperative and largely compensatory stance in life, he
endeared people to him. It was as though his dependency need
was not visible, he was not ever angry or in a protest mood, and
issues of abandonment fears or of separation anxiety were simi-
larly not apparent to others. Of course he harbored these tensions,
but learned how to keep them in check so that they could not be
easily detected.
He married a woman who needed to lead and this was a perfect
addendum to his lifelong quest for direction and structure. This
woman provided plenty of structure insofar as she needed every-
thing to go her way and he wasn’t at all bothered by it. She pro-
vided the environment in which his needs for security and safety
were assured and he never felt threatened by the slightest hint that
she might abandon him.
Luckily she appreciated the opportunity to live in luxury and
to have it her way all the time. For him, all of it meant that he
would not need to surface what was surely in his unconscious and
about which he certainly had no notion: his anger harbored by his
repression. In this sense of his at-least ostensible store of repressed
anger, he also had a discernible symptom of always needing to
nap. This compelling need to nap was seen as his acting-out of
a decent amount of hidden anger at his personal sense of a pro-
found limitation with respect to his self-imposed reduced degrees
of freedom—meaning his limitation with respect to psychological
and emotional independence.
This man had always needed reassurance and he was able to
accomplish the satisfaction of this need so that in this case cir-
cumstance as well as strategy enabled him to be classified as some-
one who is a more normally inclined dependent type—especially
since he was actually able to accomplish his goals, whereas classi-
The Dependent Style | 141
Case Examples
The variations of this passive-aggressive style include:
den surprise from her: “Oh my God, I forgot the asparagus!” Or,
he would sit down for dinner and everyone would have a napkin
except him. His typical feeling was that she was expressing hostility
to him in a very passive, so-called innocent way, and for all intents
and purposes, he was obviously right. Of course, her hostility may
not have been strictly about him as much as it might have been
about needing to stay home all day and do chores about which she
felt bored and angry. Whatever the reason, such behavior on her
part seemed typically passive-aggressive: passive type.
Case Examples
Case 1: Inadequate Personality − A Symptom Sketch
A twenty-eight-year-old man was unemployed because on
his job and at the end of the workday he continued to leave
work unfinished. He was sorting mail in a large company, and
although bright, he couldn’t quite ever finish the quota of work
required of him. And this inability to reach his goals became
typical for him.
Finally, he was fired from his job. Since over the past several
years this was the fifth or sixth job failure, he and his wife decided
that she would be the breadwinner while he kept house. This was
a perfect solution for him because then he could take his time
throughout the day so that the tasks required to keep the house
in order could, in fact, possibly be completed. Yet, here too, he
couldn’t quite organize his time or his energies to do whatever it
took to do the job in a way that would offer him a decent closure
experience.
His typical grade at former jobs would probably at best be a
C minus. At home in his new task to keep the house in order,
he did better, but still not a grade “A.” His relationship with his
wife did not suffer, however. Since they were kids, she had always
been attracted to him, and in addition, she herself didn’t really
care very much about how the house was kept. Since they had no
children nor planned for children, then she was quite happy to
have landed him and was even happy about his attachment and
dependency on her.
This was a clear case of repetitive job-loss as a symptom of an
inadequate personality style in a person who was essentially a per-
fect example of an emotionally attached type.
• • •
The Inadequate Style | 155
Category 4
Emotion-detached Styles
Emotion-detached Styles are those in which the person, in an
attempt to manage tension and anxiety, keeps the self from being
too influenced by any other person. Thus the mantra with such
personality types is: no entanglements. As such, a primary need
of such individuals with this emotion-detached style is to remain
relatively socially isolated. In this way, emotional security is gained
from the social isolation. Such types of personality differ from the
schizoid personality of the emotion-controlled group insofar as
emotion-detached types are also highly sensitive (wired), feel vul-
nerable (fragile), and are usually and to some extent, withdrawn
(highly self-absorbed).
The emotion-detached personality types include:
Case Examples
Case 1: Borderline Personality − A Symptom Sketch
A twenty-two-year-old woman was a student in an acting school.
After only two sessions the instructor asked her to leave the class
because she was either blurting out comments, or in a childlike
manner expressing displeasure by seeming sullen or, even in her
facial expression, displaying an exaggerated and impetuous dissatis-
faction. She cried when someone disagreed with something she said.
The instructor advised her to see a psychotherapist, which she did.
In therapy sessions her behavior was precisely as had been
described in the acting class. She was impulsive along with shift-
ing moods, and she was primarily a tinder-box of anger, and it
was these sudden flare-ups of anger that characterized her main
borderline condition.
In this young woman’s life, one of the problems was that she
frequently could not suppress or control her feelings—especially
angry feelings. It was almost as if the ability to utilize conscious
suppression or reflexive repression was entirely absent. Whatever
was on her mind was, in a millisecond, on her tongue. Therefore,
she had almost no will or ability to attenuate any angry feeling,
and in this sense the urgent and impatient blurting out of things
was, of course, highly socially undesirable.
To be emotionally detached, therefore, enabled this young
woman’s instability to be somewhat less visible and because gen-
eral social interaction was reduced, the probability of display-
ing any instability was correspondingly also reduced. Therefore,
for this woman such was a clear example of how an emotionally
detached person can be self-protective by simply remaining more
socially isolated—all in the service of achieving greater emotional
security. Yet, in her case the emotional detatchment was only
moderately achieved.
160 | Personality
sense that something was different. She cut several times more
than usual, became frightened, and called the hospital. Hospital
personnel asked her to come in and talk, and that’s how the pro-
cess of her hospitalization began.
In this case, this woman’s string of symptoms and defenses,
as well as her pervasive anxiety ultimately led to her hospitaliza-
tion. Her sense of herself was very fragile and yet she was strong
enough to leave home, remain on her own for a number of years,
and hold two jobs. This was unusual for this type of borderline
person since typically with such a condition jobs would be diffi-
cult to sustain. In her case, the fact that she was probably a high-
functioning borderline type, and the fact that she held onto both
jobs, enabled her to remain rather isolated from others in the
sense that apparently the kind of jobs they were gave her the free-
dom to keep any personal relationship on a rather shallow level.
She claimed that even on the maid’s job (at a low-end hotel) she
went to work and went home without ever truly interfacing with
coworkers in any significant or personal way. She also described
her relief when dining alone and sought to avoid any potential
invitations from coworkers to join them for lunch or supper.
Her traumatic condition made her seek isolation and with
this isolation and emotional detachment she was somehow able
to realize some peace of mind and emotional relief of tension—
notwithstanding her cutting and crying episodes. Her main emo-
tional objective was to reduce emotional stimulation. In this way,
she had a specific insight into her behavior and knew that she
would become too emotionally disorganized with an abundance
of external stimulation. Parenthetical social interaction with co-
workers sufficed as tacit social interaction.
Case Examples
Case 1: Depressed Personality − A Symptom Sketch
A woman of thirty-seven was married to a man who adored her.
He was smitten with her beauty, and no matter how deprived
he was as a result of her under-response to him, his love for her
enabled him to withstand her withholding personality. She was
always somewhat down, and no matter how he tried to encourage
her she could not relinquish her need to be withdrawn, also in the
sense of feeling depressed.
This woman was prescribed antidepressant medication that
helped her feel more animated, but which did not change her
characteristic behavior of caution in interpersonal relationships
exemplified by her typical under-response to the husband she
claimed she loved. Her husband believed that she loved him,
but insisted that because he knew her well, he could tell that she
would be this way with anyone to whom she was married.
Her depressive stance was also evident in her low level of inter-
est in sexual activity, and as a result, their marriage had gradually
become more of a platonic affair even though he continued to be
affectionate with her. She would never rebuff his affections but
The Depressed Style | 169
the problem was that she would never initiate similar affectionate
displays toward him. Her husband correctly sensed that funda-
mentally his wife was an angry person underneath it all but her
anger and dissatisfaction with life were cleverly concealed. This, of
course was clinically quite astute because a hardcore psychologi-
cal principle holds that where there is significant repressed anger
there is no libido. That is to say that anger can anesthetize libidi-
nous sexual feelings.
This woman’s particular depressive symptom was traced to her
early experience in her nuclear family in which her father was no
match for his critical and controlling wife (her mother). Rather
than showing depressive trends as a child, she instead became
very compliant and modest in her responses. It was this modesty
and compliance that gradually morphed into a depressive stance
whereby she could achieve a certain amount of emotional security
by keeping her distance in all relationships.
This woman was also an accomplished violinist, and her virtu-
osity invited many compliments from others, which she utilized
in the service of appearing to be quite socially appropriate. She
felt that her talent was useful in covering a host of sins. Yet, it was
her lifelong strategy (though quite automatically derived) not to
get too close for fear of inviting her partner to control her, and in
this way she felt that in kind, she could avoid being involved with
a controlling person.
Case Examples
Case 1: Avoidant Personality− A Symptom Sketch
A twenty-two-year-old young man was referred for psychotherapy
consultation because his father could no longer abide his reclusive
and odd behavior. He lived in an apartment that his parents had
helped subsidize. His mother was a passive woman who worked as
a seamstress so that it was his father as well as both of his sisters
who had the greatest say in raising him. His father had been on
disability income for a decade because of a factory accident that
left him partially blind in one eye and practically without hearing.
Despite this condition of reduced sensory input, he was appar-
ently able to handle the household chores and ostensibly supervise
his son and both of his daughters. Both of these daughters (who
were quite older than the twenty-two-year old) had left home by
the time he was thirteen, and as was reported they said, “for good
reasons.”
In the psychotherapy consultation, this young man described
his father as paranoid. He said his father’s disturbance consisted
of suspicions that the neighbors were harboring, as the father
said, “wicked ideas” about him. His father would also peek
through the peephole in their apartment door in order to check
the common public hallway, and when the coast was clear, he
176 | Personality
would roam these hallways and with his ear up against a neigh-
bor’s door would try to listen to any conversation that was occur-
ring inside the neighbor’s apartment—an act this patient said
that was bizarre because his father was actually quite hard of
hearing. The father also engaged in other paranoidlike behaviors,
and the patient stated that it was such bizarre behavior that drove
his sisters to leave and that enabled him to leave as well. When
he turned eighteen, his sisters encouraged him to get a job, and
with their help and his parents’ subsidy, he was able to afford a
studio apartment.
As a result of his father’s incessant snooping and suspiciousness,
this man confessed to being quite ashamed and awkward during
his formative years especially with respect to meeting anyone in
their apartment building. He even would avoid taking the eleva-
tor to their third-floor apartment and rather climbed the stairs in
order to avoid contact with anyone. This kind of behavior gen-
eralized itself, and he reported that he was also quite hermitlike
throughout grammar school as well as high school. He said that
most people knew about his father’s strange behavior and it was
that kind of public knowledge that actually gave this patient an
unrelenting sense that he wanted always to hide.
It was this particular symptom of a hightened focus of “hiding”
that constituted the major personality characteristic this young
man displayed especially since he was relieved when alone in his
apartment. His conflict expressed in the therapy work was that he
craved the company of friends; but because he felt terribly awk-
ward in social situations, he was always worried about rejection.
In this kind of isolation, this young man’s fantasy life began
to be similar to his father’s about how others were not friendly
to him. It was beginning to be a case of une folie a deux (double
insanity—figuratively speaking): that two people can share the
same pathology.
Again, however, the main issue in the diagnosis regarding this
avoidant personality style was that the reclusive behavior of this
The Avoidant Style | 177
young man afforded him relief of tension and at least in the short
run, offered him solitude and refuge.
Her solution was to decide to resign from her job. But she
didn’t. Fortunately the president lasted a short time and was
replaced by a friendlier person who actually appreciated this
woman’s work, and his acceptance of her became also a lifeline to
her. For example, whereas in the past she would be terribly afraid
of saying an incorrect thing or something inappropriate, she was
now less tense about talking. In addition, her usual pessimism and
social avoidance was also attenuated so that she looked forward
to going to work even though she maintained a kind of neutrality
with this new president.
tant part in forcing her to face the fact that she was accepted by
one and all. Facing this fact and acting accordingly was the pri-
mary issue in inclining this woman to be a more normal avoidant
type and therefore to feel as though she had friends. It made for a
measure of greater ease and some happiness.
Conclusion
can then see how they relate one to the other. In a word, a person
can identify himself or herself and then understand the underpin-
nings that conspired and ultimately amalgamated to form their
particular brand or personality style.
These components of the personality that formed around the
basic idea of how emotion is managed in the personality includes
the issues of: the importance of memory in the face of repres-
sive forces; the person’s wish-system and its drive toward gratifica-
tion; the appearance of symptoms based upon thwarted wishes;
the importance of understanding the urge of impulses; the more
important issue of how controls can tame the impulses (and the
implications that derive should such control fail); and the system
of defense mechanisms that are designed to fortify one’s personal-
ity configuration with respect to type and style.
Ultimately, the importance of understanding the make-up of
the personality is to facilitate the person’s ability to recognize
where the struggle is located in order to better overcome conflicts
and to seek more adaptive functioning—the kind of function-
ing that permits one to aspire and to implement activity that is
directed and targeted to goals that would be more in the person’s
best interest. In this sense, we have presented material to show
how each of the diagnostic styles perhaps may exist in a more
normally inclined portrayal.
Implicit in all is the notion that to struggle with important
goals—even within the larger struggle of working-through self-
defeating personality habits or styles—can be one of the only dig-
nities and can elevate one’s sense of mastery in life.
In this book is thus displayed how the wiring of personality
traits are etched and therefore seemingly engraved in permanent
position. But we also know that personality can be altered and
that people can work on problems in a way that has the potential
to elevate the person by promoting patterns of personality that,
again, are more in the person’s interest, simultaneously assisting
Conclusion | 183
in the receding of those personality traits that are rather not in the
person’s interests. The question is: How do we do that? How do
we change personality?
each of the twelve chapters, and then probing particular traits that
seem to resemble those that are familiar, and that the searcher can
claim as resembling a self-trait.
A key of course to finding who you are is to understand that
we all orient ourselves according to how we manage our emo-
tions as well as our interpersonal relationships. And in this
respect, each person needs to ask: Am I more or less an emo-
tion-controlled person, or an emotion-dyscontrolled person? Am
I an emotion-attached person, or an emotion-detached person?
Am I emotion-controlled and as well, emotion-attached, or am
I emotion-controlled and as well, emotion-detached? Am I emo-
tion-dyscontrolled and as well, emotion-attached, or emotion-
dyscontrolled and as well, emotion-detached?
If one is able to identify their predilections with respect to how
they manage their emotions (as well as their interpersonal rela-
tionships) by searching through chapters 6 to 17, it will be rela-
tively easy to notice those traits that seem familiar and then to
form a constellation of personality traits that one has identified
within these chapters, which in toto will comprise that person’s
personality style and overall personality configuration. It will con-
stitute one’s personality profile.
A special note regarding how one finds the particular personality style
that fits. The question becomes: Is there anything else I should know
about forming this personality profile?
The answer to this question is: Yes, there are other things to
know. What are these other things? What needs to be added here
are other diagnostic descriptions that we have not covered in the
twelve basic dispositional styles. However, it is proposed that
the twelve styles that we have covered comprise a fairly approxi-
mate amalgam of basic types onto which can be layered addi-
tional features, such as transitory symptoms, mood disorders,
and even more-serious diagnoses such as schizophrenia, bipolar
Glossary | 189
depression
The depressive style that we have considered here is one that has
a chronic tinge to it and characterizes the entire personality with
190 | Glossary
manic
This particular form of mania contains severe dyscontrol of emo-
tion and behavior that reveals enormous expenditure of energy in
which such a person can be involved in a spate of projects and
despite this, such a person may only need a minimal amount of
sleep. This person therefore will be endlessly expansive and even
irritable, and there will also be tremendous pressure to talk. A flight
of ideas is also typical and such a person can become compulsively
and inappropriately engaged in “buying” (spending) ventures, can
disregard pain, and will utilize an overabundance of compensatory
behaviors that justify a grandiose fantasy life. Theoretically, all of
it is designed in the personality to ward off underlying depression
by being grandiose and self-aggrandizing, and all of it presumably
acts as a defense against a most serious potential depression.
bipolar
This is analogous to manic-depressive disorder in which manic
and depressive moods alternate. Pressured speech, overall increased
activity, restlessness, flight of ideas (ideas running from one to the
other and suddenly so), grandiosity, and distractability are some
of the issues afflicting such a person. In addition, in severe cases,
Glossary | 191
cyclothymia
Here, the person expresses depressed mood alternating with emo-
tional excitement. When the person is depressed, motoric activity
is slowed and when the person is excited, a hypomanic quality
(somewhat less than fully manic) will appear in the form of gran-
diosity, optimism, euphoria, and overall expansiveness.
dysthymia
This is less severe than a full-blown depression, and no excitement
occurs. It is related to a host of other diagnostic categories previ-
ously utilized by clinicians in an attempt to categorize such a state
accurately. Some of these former designations include depressive
neurosis, depressive reaction, exogenous depression, and reactive
depression. These are all disturbances in “pleasure” in which the
person cannot seem to find happiness or relief from tension within
“the down mood.” However, sometimes the dysthymia with respect
to depressive mood was labeled reactive depression since the depres-
sion apparently was designed in the personality to allay anxiety.
For example, a depression that was caused by the death of a loved
one would be considered “reactive” because it enabled the sufferer
not to feel the pain of the anxiety. Such a person with dysthymia is
also pervasively pessimistic and generally feels terribly inadequate.
Avoidance of social interaction is also typical with such a mood.
agitated depression
Here, the person encounters situations that generate sudden and ter-
rible agitation, irritability, impatience, dissatisfaction, anxiety, impul-
192 | Glossary
Emotion-controlled Styles
(To control anxiety by controlling emotion)
Obsessive-compulsive Style − Such an individual is perfection-
istic, busy working, and uses intellectualized defenses. The
person rationalizes decisions and always needs to be right.
Rumination in thinking is prevalent and the person frequently
needs to act out the rumination (for example, checking the
lock on the door).
Glossary | 201
Emotion-dyscontrolled Styles
(To control anxiety by keeping emotion uncontrolled)
Histrionic Style − Shows excessive emotionality. Is dramatic in
the display of behavior. Makes exaggerated claims of social
bonding with others. Immature. This person has difficulty
being alone and finds it difficult to delay gratification. Needs
to be constantly romantic. Is a dependent person who is soaked
with personal wishes. This is a person who uses the defense
of denial so that only wishes are accepted and other material
rejected. A strong fantasy life is typical with sexual and seduc-
tive themes dominating the psyche. This is a highly suggestible
person who can be easily hypnotized.
Narcissistic Style − Feels overly entitled but very insecure
underneath. Entirely compensatory and therefore engaged in
aggrandized fantasies of power and success. Achievements are
also exaggerated because the person seeks adoration. Such a
person is exhibitionistic but also envious and supersensitive
to criticism.
Psychopathic Style − An antisocial person with an absence of
concern about the boundaries of others. Always needs to gain
advantage. Delinquent behavior is usual and includes fighting,
202 | Glossary
Emotion-attached Styles
(To control anxiety by keeping emotion mild
and arranging for attached/compliant behavior)
Emotion-detached Styles
(Designed to reduce tension by keeping the person
emotionally detached and free of social entanglements)
Avoidant Style —This is a person who needs to protect a sense
of self-esteem and does so by becoming avoidant. It is a person
always worried about rejection from others and as a result becomes
socially withdrawn. The person anticipates failure of relationships,
which invokes a fear of humiliation. Pessimism is a chief trait here
to the extent that positive qualities are attributed to others whereas
negative qualities are directed to the self. Such a person eventually
becomes chronically risk-averse.
Borderline Style —Such a person is characteristically emotion-
ally unstable. This person consistently and serially idealizes (wor-
ships) others, but then also devalues these others. Consistency
is therefore problematic. The underlying problem is one of fear
of abandonment and an unstable sense of self. Drug usage, self-
mutilation, and suicidal gestures are typically seen. Low frustra-
tion tolerance and temper tantrums are also typical, and vocational
success becomes difficult to achieve.
Depressed Style —In contrast to manic-depressive or bipolar dif-
ficulty, this type of person is afflicted with a more long-standing or
chronic depressive mood. Such a person becomes inconsistent and
experiences a fear of collisions. This means that such a person is
afraid of interpersonal contact and anticipates rejection. A sense or
pattern of self-absorption becomes typical and the presumed under-
lying cause of this pattern refers to a history with a severe and criti-
cal parent who demanded compliance “or else.” The or else implies
204 | Glossary