Operationalizing intimacy and identity aspects of personality functioning in relation to personality disorder in adolescents

According to dimensional models of personality pathology, deficits in interpersonal (intimacy and empathy) and self (identity and self-direction) function (Criterion A) are core to all personality disorders. These aspects of personality functioning (Criterion A) have seldom been evaluated for how th...

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Main Authors: Breana R. Cervantes, Sophie Kerr, Salome Vanwoerden, Carla Sharp
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-04-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1153274/full
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author Breana R. Cervantes
Sophie Kerr
Salome Vanwoerden
Carla Sharp
author_facet Breana R. Cervantes
Sophie Kerr
Salome Vanwoerden
Carla Sharp
author_sort Breana R. Cervantes
collection DOAJ
description According to dimensional models of personality pathology, deficits in interpersonal (intimacy and empathy) and self (identity and self-direction) function (Criterion A) are core to all personality disorders. These aspects of personality functioning (Criterion A) have seldom been evaluated for how they might relate to one another in the context of personality pathology in adolescents. Moreover, the use of performance-based measures to evaluate aspects of Criterion A function remains an untapped resource. Therefore, the present study aimed to evaluate relations between two features of Criterion A, maladaptive intimacy and maladaptive (or diffused) identity, in adolescence. For intimacy, we leverage a performance-based approach to studying intimacy, operationalized in a developmentally relevant way (perceived parental closeness). For identity, we rely on a validated self-report measure of identity diffusion. We examined the relationship between these features with each other and their relations with borderline features. Additionally, we explored whether identity diffusion mediated the expected relationship between perceived parental closeness and borderline features. We hypothesized that greater distance in perceived parental closeness would be associated with higher levels of borderline features, as well as higher levels of identity diffusion, and that identity diffusion would account for the relationship between intimacy and personality pathology. The sample included 131 inpatient adolescents (Mage = 15.35, 70.2% female). Results indicated that intimacy, operationalized as perceived parental closeness, with both mothers and fathers was significantly associated with levels of identity diffusion and borderline features. In addition, greater feelings of closeness with parents were associated with lower severity of borderline features via healthier identity function. Implications of the results, limitations, and future directions are discussed.
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spelling doaj.art-083887b6434241fd8200e4619a1975172023-04-11T04:48:30ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402023-04-011410.3389/fpsyt.2023.11532741153274Operationalizing intimacy and identity aspects of personality functioning in relation to personality disorder in adolescentsBreana R. Cervantes0Sophie Kerr1Salome Vanwoerden2Carla Sharp3Department of Psychology, University of Houston, Houston, TX, United StatesDepartment of Psychology, University of Houston, Houston, TX, United StatesDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, PA, United StatesDepartment of Psychology, University of Houston, Houston, TX, United StatesAccording to dimensional models of personality pathology, deficits in interpersonal (intimacy and empathy) and self (identity and self-direction) function (Criterion A) are core to all personality disorders. These aspects of personality functioning (Criterion A) have seldom been evaluated for how they might relate to one another in the context of personality pathology in adolescents. Moreover, the use of performance-based measures to evaluate aspects of Criterion A function remains an untapped resource. Therefore, the present study aimed to evaluate relations between two features of Criterion A, maladaptive intimacy and maladaptive (or diffused) identity, in adolescence. For intimacy, we leverage a performance-based approach to studying intimacy, operationalized in a developmentally relevant way (perceived parental closeness). For identity, we rely on a validated self-report measure of identity diffusion. We examined the relationship between these features with each other and their relations with borderline features. Additionally, we explored whether identity diffusion mediated the expected relationship between perceived parental closeness and borderline features. We hypothesized that greater distance in perceived parental closeness would be associated with higher levels of borderline features, as well as higher levels of identity diffusion, and that identity diffusion would account for the relationship between intimacy and personality pathology. The sample included 131 inpatient adolescents (Mage = 15.35, 70.2% female). Results indicated that intimacy, operationalized as perceived parental closeness, with both mothers and fathers was significantly associated with levels of identity diffusion and borderline features. In addition, greater feelings of closeness with parents were associated with lower severity of borderline features via healthier identity function. Implications of the results, limitations, and future directions are discussed.https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1153274/fullparental closenessintimacyidentity diffusionAMPD criterion Aself-other understandingadolescents
spellingShingle Breana R. Cervantes
Sophie Kerr
Salome Vanwoerden
Carla Sharp
Operationalizing intimacy and identity aspects of personality functioning in relation to personality disorder in adolescents
Frontiers in Psychiatry
parental closeness
intimacy
identity diffusion
AMPD criterion A
self-other understanding
adolescents
title Operationalizing intimacy and identity aspects of personality functioning in relation to personality disorder in adolescents
title_full Operationalizing intimacy and identity aspects of personality functioning in relation to personality disorder in adolescents
title_fullStr Operationalizing intimacy and identity aspects of personality functioning in relation to personality disorder in adolescents
title_full_unstemmed Operationalizing intimacy and identity aspects of personality functioning in relation to personality disorder in adolescents
title_short Operationalizing intimacy and identity aspects of personality functioning in relation to personality disorder in adolescents
title_sort operationalizing intimacy and identity aspects of personality functioning in relation to personality disorder in adolescents
topic parental closeness
intimacy
identity diffusion
AMPD criterion A
self-other understanding
adolescents
url https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1153274/full
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