Skip to main content

Emergent Personality Disorders Among Adolescents with Anxiety Disorders

  • Chapter
  • First Online:
Book cover Handbook of Child and Adolescent Anxiety Disorders

Abstract

Since the introduction of well-defined diagnostic criteria in the Third Edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-III; APA, 1980), there has been a steady increase in the amount of research devoted to the study of personality disorder (PD), focusing initially and predominantly on adult populations. As currently defined, “A PD is 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 (APA, 2000; p. 685).” Research activity in the field of adolescent PD has also increased substantially in recent years, although there have been concerns about diagnosing PD among adolescents (Silk, 2008). Epidemiological research has suggested that although there are noteworthy differences in the phenomenology, assessment, and treatment of PD symptoms among adolescents and adults, the prevalence, comorbidity, and sequelae of PD may tend to be broadly similar in comparable adolescent and adult populations.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 189.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 249.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Akhtar, S. (1992). Broken structures: Severe personality disorders and their treatment. Northvale, NJ: Jason Aronson.

    Google Scholar 

  • Alden, L. (1989). Short-term structured treatment for avoidant personality disorder. Journal of Consulting and Clinical Psychology, 57, 756–764.

    Article  PubMed  Google Scholar 

  • American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: Author.

    Google Scholar 

  • American Psychiatric Association (2000). Diagnostic and Statistical Manual of Mental Disorders (4 th ed., text revision). Washington, DC: Author.

    Google Scholar 

  • Atwood, T. (2007). Asperger’s disorder: Exploring the schizoid spectrum. In A. Freeman & M. A. Reinecke (Eds.), Personality disorders in childhood and adolescence. Hoboken, NJ: Wiley.

    Google Scholar 

  • Baker, J. D., Capron, E. W., & Azorlosa, J. (1996). Family environment characteristics of persons with histrionic and dependent personality disorders. Journal of Personality Disorders, 10, 82–87.

    Google Scholar 

  • Barber, J. P., Morse, J. Q., Kraukauer, I., Chittams, J., & Crits-Christoph, K. (1997). Change in obsessive-­compulsive and avoidant personality disorders following time-limited supportive-expressive therapy. Psychotherapy, 34, 133–143.

    Google Scholar 

  • Barasch, A., Frances, A., Hurt, S., Clarkin, J., & Cohen, S. (1985). Stability and distinctness of borderline personality disorder. American Journal of Psychiatry, 12, 1484–1486.

    Google Scholar 

  • Bateman, A. W., & Fonagy, P. (2008). 8-year follow-up of patients treated for borderline personality disorder: mentalization-based treatment versus treatment as usual. American Journal of Psychiatry, 165, 631–638.

    Article  PubMed  Google Scholar 

  • Bateman, A., & Fonagy, P. (2004). Mentalization-based treatment of BPD. Journal of Personality Disorders, 18, 36–51.

    Article  PubMed  Google Scholar 

  • Beck, A. T., Freeman, A., & Associates. (1990). Cognitive therapy for personality disorders. New York: Guilford Press.

    Google Scholar 

  • Becker, D. F., Grilo, C. M., Edell, W. S., & McGlashan, T. H. (2002). Diagnostic efficiency of borderline personality disorder criteria in hospitalized adolescents: Comparison with hospitalized adults. American Journal of Psychiatry, 159, 2042–2047.

    Article  PubMed  Google Scholar 

  • Bernstein, D. P., Cohen, P., Velez, C. N., Schwab-Stone, M., Siever, L. J., & Shinsato, L. (1993). Prevalence and stability of the DSM-III-R personality disorders in a community-based survey of adolescents. American Journal of Psychiatry, 150, 1237–1243.

    PubMed  Google Scholar 

  • Bezirganian, S., Cohen, P., & Brook, J. (1993). The impact of mother-child interaction on the development of borderline personality disorder. American Journal of Psychiatry, 150, 1836–1842.

    PubMed  Google Scholar 

  • Bleiberg, E. (2001). Treating personality disorders in children and adolescents: A relational approach. New York: The Guilford Press.

    Google Scholar 

  • Bornstein, R. F. (1992). The dependent personality: Developmental, social and clinical perspectives. Psychological Bulletin, 112, 3–23.

    Article  PubMed  Google Scholar 

  • Bowlby, J. (1973). Attachment and loss: Vol. 2 Seperation. New York: Basic Books.

    Google Scholar 

  • Bowlby, J. (1977). The making and breaking of affectional bonds. British Journal of Psychiatry, 130(201–210), 421–431.

    Article  PubMed  Google Scholar 

  • Bowlby, J. (1982). Attachment and loss: Vol. 1 Attachment (2nd ed.). New York: Basic Books.

    Google Scholar 

  • Brandes, M., & Beinvenu, O. J. (2006). Personality and anxiety disorders. Current Psychiatry Reports, 8, 263–269.

    Article  PubMed  Google Scholar 

  • Brent, D. A., Zelenak, J. P., Bukstein, O., & Brown, R. V. (1990). Reliability and validity of the structured interview for personality disorders in adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 29, 349–354.

    Article  PubMed  Google Scholar 

  • Brent, D. A., Johnson, B. A., Bartle, S., Bridge, J., Rather, C., Matta, J., et al. (1993). Personality disorder, tendency to impulsive violence, and suicidal behavior in adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 32, 69–75.

    Article  PubMed  Google Scholar 

  • Brent, D.A., Johnson, B.A., Perper, Connolly, J., Bridge, J., Bartle, S., et al. (1994). Personality disorder, personality traits, impulsive violence, and completed suicide in adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 33, 1080–1086.

    Google Scholar 

  • Brestan, E. V., & Eyberg, S. M. (1998). Effective psychosocial treatments of conduct-disordered children and adolescents: 29 years, 82 studies and 5, 272 kids. Journal of Clinical Child Psychology, 27, 180–189.

    Article  PubMed  Google Scholar 

  • Brotman, L. M., Gouley, K. K., Huang, K., Rosenfelt, A., O’Neal, C., Klein, R. G., et al. (2008). Preventive intervention for preschoolers at high risk for antisocial behavior: Long-term effects on child physical aggression and parenting practice. Journal of Clinical Child and Adolescent Psychiatry, 37, 386–396.

    Article  Google Scholar 

  • Chanen, A. M., Jackson, H. J., McCutcheon, L. K., Jovev, M., Dudgeon, P., Pan Yuen, H., et al. (2008). Early intervention for adolescents with borderline personality disorder using cognitive analytic therapy: Randomized controlled trial. The British Journal of Psychiatry, 193, 477–484.

    Article  PubMed  Google Scholar 

  • Cicchetti, D., & Rogosch, F. A. (1996). Equifinality and multifinality in developmental psychopathology. Development and Psychopathology, 8, 597–600.

    Article  Google Scholar 

  • Cohen, P., Brown, J., & Smailes, E. (2001). Child abuse and neglect and the development of mental disorders in the general population. Developmental Psychopathology, 13, 981–999.

    Google Scholar 

  • Coon, D. W. (1994). Cognitive-behavioral interventions with avoidant personality disorder: A single case study. Journal of Cognitive Psychotherapy: An International Quarterly, 8, 243–253.

    Google Scholar 

  • Crawford, T. N., Cohen, P., Johnson, J. G., Sneed, J. R., & Brook, J. S. (2004). The developmental trajectories of personality disorder symptoms and their relationship to well-being and intimacy in adolescence. Journal of Youth and Adolescence, 33, 373–387.

    Article  Google Scholar 

  • Daley, S. E., Hammen, C., Davila, J., & Burge, D. (1998). Axis II symptomatology, depression, and stress during the transition from adolescence to adulthood. Journal of Consulting and Clinical Psychology, 66, 595–603.

    Article  PubMed  Google Scholar 

  • Daley, S. E., Hammen, C., Burge, D., Joanne Davila, J., Paley, B., Lindberg, N., et al. (1999). Depression and axis II symptomatology in an adolescent community sample: concurrent and longitudinal associations. Journal of Personality Disorders, 13, 47–59.

    PubMed  Google Scholar 

  • Davidson, S., Leese, M., & Taylor, P. J. (2001). Examination of the screening properties of the personality diagnostic questionnaire 4+ (PDQ-4+) in a prison population. Journal of Personality Disorders, 15, 180–194.

    Article  Google Scholar 

  • DeClercq, B. D., & De Fruyt, F. (2003). Personality disorder symptoms in adolescence: a five-factor model perspective. Journal of Personality Disorders, 17, 269–292.

    Article  Google Scholar 

  • DeClercq, B., De Fruyt, F., & Widiger, T. A. (2009). Integrating a developmental perspective in dimensional models of personality disorder. Clinical Psychology Review, 29, 154–162.

    Article  Google Scholar 

  • Desmond, K. J. (2008). Review of dialectical behavior therapy with suicidal adolescents. The Family Journal, 16, 272–273.

    Article  Google Scholar 

  • Dishion, T. J., & Kavanagh, K. (2000). A multilevel approach to family-centered prevention in schools: Process and outcome. Addictive behaviors, 25, 899–911.

    Article  PubMed  Google Scholar 

  • Ekselius, L., Lindstrom, E., von Knorring, L., Bodlund, O., & Kullgren, G. (1994). SCID-II interviews and the SCID Screen questionnaire as diagnostic tools for personality disorders in DSM-III-R. Acta Psychiatrica Scandinavica, 90, 120–123.

    Article  PubMed  Google Scholar 

  • Erikson, E. H. (1963). Childhood and society (2nd ed.). New York: Norton.

    Google Scholar 

  • Erikson, E. H. (1968). Identity: Youth and crisis. New York: Norton.

    Google Scholar 

  • Erikson, E. H. (1980). Identity and the life cycle. New York: Norton.

    Google Scholar 

  • First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1995). The structured clinical interview for DSM-III-R personality disorders (SCID-II), part I: Description. Journal of Personality Disorders, 9, 83–91.

    Google Scholar 

  • Fonagy, P., & Target, M. (1996). Predictors of outcome in child psychoanalysis: A retrospective study of 763 cases at the Anna Freud Center. Journal of the American Psychoanalytic Association, 44, 27–77.

    PubMed  Google Scholar 

  • Fossati, A., Feeney, J. A., Donati, D., Donini, M., Novella, L., Bagnato, M., et al. (2003). Pesonality disorders and adult attachment dimensions in a mixed psychiatric sample: a multivariate study. Journal of Nervous & Mental Disease, 191, 30–37.

    Google Scholar 

  • Framo, J. L. (1970). Symptoms from a family transactional viewpoint. International Psychiatry Clinics, 7, 125–171.

    PubMed  Google Scholar 

  • Freeman, A., & Reinecke, M. A. (2007). Personality disorders in childhood and adolescence. Hoboken, NJ: Wiley.

    Google Scholar 

  • Goodwin, R. D., Brook, J. S., & Cohen, P. (2005). Panic attacks and the risk of personality disorder. Psychological Medicine, 35, 227–235.

    Article  PubMed  Google Scholar 

  • Grant, B. F., Hasin, D. S., Stinson, F. S., Dawson, D. A., Chou, S. P., Ruan, W. J., et al. (2005). Co-occurrence of 12-month mood and anxiety disorders and personality disorders in the US: Results from the national epidemiologic survey on alcohol and related conditions. Journal of Psychiatric Research, 39, 1–9.

    Article  PubMed  Google Scholar 

  • Grilo, C. M., Walker, M. L., Becker, D. F., Edell, W. S., & McGlashan, T. H. (1997). Personality disorders in adolescents with major depression, substance use disorders, and coexisting major depression and substance use disorders. Journal of Consulting and Clinical Psychology, 65, 328–332.

    Article  PubMed  Google Scholar 

  • Grilo, C, M., McGlashan, T. H., Quinlan, D. M., Walker, M. L., Greenfeld, D., & Edell, W.S. (1998). Frequency of personality disorders in two age cohorts of psychiatric inpatients. American Journal of Psychiatry 155, 140–142.

    Google Scholar 

  • Guzder, J., Paris, J., Zelkowitz, P., & Marchessault, K. (1996). Risk factors for borderline pathology in children. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 26–33.

    Article  PubMed  Google Scholar 

  • Hayward, C., Varady, S., Albano, A. M., Thienemann, M., Henderson, L., & Schatzberg, A. F. (2000). Cognitive behavioral group therapy for social phobia in female adolescents: Results of a pilot study. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 1–6.

    Article  Google Scholar 

  • Hyler, S. E. (1994). The personality diagnostic questionnaire 4+. New York, NY: New York State Psychiatric Institute.

    Google Scholar 

  • Hyler, S. E., Rieder, R. O., Williams, J. B. W., Spitzer, R. L., Lyons, M., & Hendler, J. (1989). A comparison of clinical and self-report diagnoses of DSM-III personality disorders in 552 patients. Comprehensive Psychiatry, 30, 170–178.

    Article  PubMed  Google Scholar 

  • Jacobsberg, L., Perry, S., & Frances, A. (1995). Diagnostic agreement between the SCID-II screening questionnaire and the Personality Disorder Examination. Journal of Personality Assessment, 65, 428–433.

    Article  PubMed  Google Scholar 

  • Johnson, J. G. (1993). Relationships between psychosocial development and personality disorder symptomatology in late adolescents. Journal of Youth and Adolescence, 22, 33–42.

    Article  Google Scholar 

  • Johnson, J. G., Cohen, P., Brown, J., Smailes, E., & Bernstein, D. (1999). Childhood maltreatment increases risk for personality disorders during young adulthood: Findings of a community-based longitudinal study. Archives of General Psychiatry, 56, 600–606.

    Article  PubMed  Google Scholar 

  • Johnson, J. G., Cohen, P., Chen, H., Kasen, S., & Brook, J. S. (2006). Parenting behaviors associated with risk for offspring personality disorder during adulthood. Archives of General Psychiatry, 63, 597–587.

    Google Scholar 

  • Johnson, J. G., Cohen, P., Skodol, A., Oldham, J. M., Kasen, S., & Brook, J. S. (1999). Personality disorders in adolescence and risk of major mental disorders and suicidality during adulthood. Archives of General Psychiatry, 56, 805–811.

    Article  PubMed  Google Scholar 

  • Johnson, J. G., Cohen, P., Kasen, S., Skodol, A. E., Hamagami, F., & Brook, J. S. (2000). Age-related changes in personality disorder trait levels between early adolescence and adulthood: a community-based longitudinal investigation. Acta Psychiatrica Scandinavica, 102, 265–275.

    Article  PubMed  Google Scholar 

  • Johnson, J. G., Cohen, P., Smailes, E., Kasen, S., Oldham, J. M., Skodol, A. E., et al. (2000). Adolescent personality disorders associated with violence and criminal behavior during adolescence and early adulthood. American Journal of Psychiatry, 157, 1406–1412.

    Article  PubMed  Google Scholar 

  • Johnson, J. G., Cohen, P., Smailes, E. M., Skodol, A. E., Brown, J., & Oldham, J. M. (2001). Childhood verbal abuse and risk for personality disorders during adolescence and early adulthood. Comprehensive Psychiatry, 42, 16–23.

    Article  PubMed  Google Scholar 

  • Johnson, J. G., Hyler, S. E., Skodol, A. E., Bornstein, R. F., & Sherman, M. (1995). Personality disorder symptomatology associated with adolescent depression and substance abuse. Journal of Personality Disorders, 9, 318–329.

    Google Scholar 

  • Johnson, J. G., McGeoch, P. G., Caskey, V. P., Abhary, S. G., Sneed, J. R., & Bornstein, R. F. (2005). The developmental psychopathology of personality disorders. In B. L. Hankin & J. R. Abela (Eds.), Development of psychopathology: A vulnerability-stress perspective. Thousand Oaks, CA: Sage.

    Google Scholar 

  • Johnson, J. G., Quigley, J. F., & Sherman, M. F. (1997). Adolescent personality disorder symptoms mediate the relationship between perceived parental behavior and Axis I symptomatology. Journal of Personality Disorders, 11, 381–390.

    PubMed  Google Scholar 

  • Katz, L. Y., Cox, B. J., Gunasekara, S., & Miller, A. L. (2004). Feasibility of dialectical behavior therapy for suicidal adolescent inpatients. Journal of the American Academy of Child and Adolescent Psychiatry, 43, 276–282.

    Article  PubMed  Google Scholar 

  • Kernberg, O. F. (1984). Severe personality disorders: Psychotherpeutic strategies. New Haven, CT: Yale University Press.

    Google Scholar 

  • Kernberg, O. F. (1996). A psychoanalytic theory of personality disorders. New York: Guilford.

    Google Scholar 

  • Kernberg, O. F. (2005). Identity diffusion in severe personality disorders. In S. Strack (Ed.), Handbook of personology and psychopathology (pp. 39–49). Hoboken, NJ: Wiley.

    Google Scholar 

  • Kernberg, O. F., Selzer, M., A., Koenigsberg, H. W., Carr, A. C., & Appelbaum, A. H. (1989). Psychodynamic Psychotherapy of Borderline Patients. New York: Basic Books.

    Google Scholar 

  • Kernberg, P. F., Weiner, A. S., & Bardenstein, K. K. (2000). Personality disorder in children and adolescents. New York: Basic Books.

    Google Scholar 

  • Koerner, K., & Dimeff, L. A. (2000). Further data on dialectical behavior therapy. Clinical Psychology: Science and Practice, 7, 104–112.

    Article  Google Scholar 

  • Korenblum, M., Marton, P., Golombek, H., & Stein, B. (1990). Personality status: changes through adolescence. adolescence: psychopathology, normality, and creativity. Psychiatric Clinics of North America, 13, 389–399.

    PubMed  Google Scholar 

  • Korenblum, M., Marton, P., Golombek, H., & Stein, B. (1987). Disturbed personality functioning: patterns of change from early to middle adolescence. In S. C. Feinstein et al. (Eds.), Adolescent Psychiatry (Volume 14 (pp. 407–416)). Chicago: University of Chicago Press.

    Google Scholar 

  • Krischer, M. K., Sevecke, K., Lehmkuhl, G., & Pukrop, R. (2007). Dimensional assessment of personality pathology in female and male juvenile delinquents. Journal of Personality Disorders, 21, 675–689.

    Article  PubMed  Google Scholar 

  • Lenzenweger, M. F. (1999). Stability and change in personality disorder features: the longitudinal study of personality disorders. Archives of General Psychiatry, 56, 1009–1015.

    Article  PubMed  Google Scholar 

  • Lenzenweger, M. F. (2008). Epidemiology of personality disorders. Psychiatric Clinics of North America, 31(3), 395–403.

    Article  PubMed  Google Scholar 

  • Lenzenweger, M. F., Lane, M. C., Loranger, A. W., & Kessler, R. C. (2007). DSM-IV personality disorders in the National Comorbidity Survey Replication. Biological Psychiatry, 62(6), 553–564.

    Article  PubMed  Google Scholar 

  • Lenzenweger, M. F., Loranger, A. W., Korfine, L., & Neff, C. (1997). Detecting personality disorders in a nonclinical population. Application of a 2-stage procedure for case identification. Archives of General Psychiatry, 54, 345–351.

    PubMed  Google Scholar 

  • Levy, K. N., Becker, D. F., Grilo, C. M., Mattanah, J. J. F., Garnet, K. E., Quinlan, D. M., et al. (1999). Concurrent and predictive validity of the personality disorder diagnosis in adolescent inpatients. American Journal of Psychiatry, 156, 1522–1528.

    PubMed  Google Scholar 

  • Lieberman, R., DeRisi, W., & Mueser, K. (1989). Social skills training for psychiatric patients. New York: Pergamom.

    Google Scholar 

  • Linehan, M. M. (1993). Cognitive-behavioral treatment of borderline personality disorder. New York: Guilford Press.

    Google Scholar 

  • Linehan, M. M., Armstrong, H. E., Suarez, A., Allmon, D., & Heard, H. L. (1991). Cognitive-behavioral treatment of chronically parasuicidal borderline patients. Archives of General Psychiatry, 48, 1060–1064.

    PubMed  Google Scholar 

  • Linehan, M. M., Heard, H. L., & Armstrong, H. E. (1993). Naturalistic follow-up of a behavioral treatment for chronically parasuicidal borderline patients. Archives of General Psychiatry, 50, 971–974.

    PubMed  Google Scholar 

  • Livesley, W. J., Jackson, D. N., & Schroeder, M. L. (1992). Factorial structure of traits delineating personality disorders in clinical and general population samples. Journal of Abnormal Psychology, 101, 432–440.

    Article  PubMed  Google Scholar 

  • Livesley, W. J., Jang, K. L., & Vernon, P. A. (1998). Phenotypic and genetic structure of traits delineating personality disorder. Archives of General Psychiatry, 55, 941–948.

    Article  PubMed  Google Scholar 

  • Loranger, A., Sartorius, N., Andreoli, A., Berger, P., Buchheim, S., Regier, D. (1994). International Personality Disorder Examination. Archives of General Psychiatry, 51, 215–224.

    Google Scholar 

  • Ludolph, P. S., Westen, D., Misle, B., Jackson, A., Wixom, J., & Wiss, F. C. (1990). The borderline diagnosis in adolescents: symptoms and developmental history. American Journal of Psychiatry, 147, 470–476.

    PubMed  Google Scholar 

  • Magnavita, J. J. (2007). A systemic family perspective on child and adolescent personality disorders. In A. Freeman & M. A. Reinecke (Eds.), Personality Disorders in Childhood and Adolescence. Hoboken: John Wiley & Sons.

    Google Scholar 

  • Marcia, J. E. (1994). Ego identity and object relations. In J. M. Masling & R. F. Bornstein (Eds.), Empirical ­perspectives on object relations theory (Vol. 5). Washington, DC: American Psychological Association.

    Google Scholar 

  • McCloskey, G., Kane, P., Morera, C. C., Gipe, K., & McLaughlin, A. (2007). Assessment of personality disorders in childhood. In A. Freeman & M. A. Reinecke (Eds.), Personality Disorders in Childhood and Adolescence. Hoboken, NJ: Wiley.

    Google Scholar 

  • McDavid, J. D., & Pilkonis, P. A. (1996). The stability of personality disorder diagnoses. Journal of Personality Disorders, 10, 1–15.

    Google Scholar 

  • McGlashan, T. H., Grilo, C. M., Skodol, A. E., Gunderson, J. G., Shea, M. T., Morey, L. C., et al. (2000). The collaborative longitudinal personality disorders study: Baseline Axis I/II and II/II diagnostic co-occurrence. Acta Psychiatrica Scandinavica, 102, 256–264.

    Article  PubMed  Google Scholar 

  • Miller, A. L., Glinski, J., Woodberry, K. A., Mitchell, A. G., & Indik, J. (2002). Family therapy and dialectical behavioral therapy with adolescents: part I: proposing a clinical synthesis. American Journal of Psychotherapy, 56, 568–584.

    PubMed  Google Scholar 

  • Miller, A. L., Wyman, S. E., Huppert, J. D., Glassman, S. L., & Rathus, J. H. (2000). Analysis of behavioral skills utilized by suicidal adolescents receiving dialectical behavior therapy. Cognitive and Behavioral Practice, 7, 183–187.

    Article  Google Scholar 

  • Mulder, R. (2008). Commentary: Personality disorder in adolescence: The diagnosis that dare not speak its name. Personality and Mental Health, 2, 44–45.

    Article  Google Scholar 

  • O’Boyle, M., & Self, D. (1990). A comparison of two interviews for DSM-III-R personality disorders. Psychiatry Research, 32, 85–92.

    Article  PubMed  Google Scholar 

  • O’Malley, F. (2003). Mentalizing in the psychotherapy of a disturbed adolescent girl. Bulletin of the Menninger Clinic, 67, 150–157.

    Article  PubMed  Google Scholar 

  • Oldham, J. M. (1994). Personality disorders: Current ­perspectives. Journal of American Medical Association, 272, 1770–1776.

    Article  Google Scholar 

  • Oldham, J. M., Skodol, A. E., & Bender, D. S. (2005). Textbook of Personality Disorders. Washington, DC: American Psychiatric Publishing Inc.

    Google Scholar 

  • Pinto, A., Grapentine, W. L., Francis, G., & Picariello, C. M. (1996). Borderline personality disorder in ­adolescents: affective and cognitive features. Journal of the American Academy of Child and Adolescent Psychiatry, 34, 1338–1343.

    Article  Google Scholar 

  • Pfohl, B., Blum, N., & Zimmerman, M. (1997). Structured Interview for DSM-IV Personality: SIDP-IV. Washington, DC: American Psychiatric Press.

    Google Scholar 

  • Pretzer, J. (2004). Cognitive therapy of personality disorders. In J. J. Magnavita (Ed.), Handbook of Personality Disorders (pp. 169–193). Hoboken, NJ: John Wiley & Sons.

    Google Scholar 

  • Rathus, J. H., & Miller, A. L. (2002). Dialectical behavior therapy adapted for suicidal adolescents. Suicide & Life-Threatening Behavior, 32, 146–157.

    Article  Google Scholar 

  • Rettew, D. C., Zanarini, M. C., Yen, S., Grilo, C. M., Skodol, A. E., Shea, M. T., et al. (2003). Childhood antecedents of avoidant personality disorder: A retrospective study. Journal of the American Academy of Child and Adolescent Psychiatry, 42, 1122–1130.

    Article  PubMed  Google Scholar 

  • Ronen, T. (2007). The role of developmental components in treating children with personality disorders. In A. Freeman & M. A. Reinecken (Eds.), Personality Disorders in Childhood and Adolescence. Hoboken, NJ: John Wiley & Sons.

    Google Scholar 

  • Ryle, A. (2001). Cognitive analytic therapy. In W. Livesley (Ed.), Handbook of personality disorders: Theory, research, and treatment (pp. 400–413). New York: Guilford Press.

    Google Scholar 

  • Sanderson, W. C., Wetzler, S., Beck, A. T., & Betz, F. (1993). Prevalence of personality disorders among patients with anxiety disorders. Psychiatry Research, 51, 167–174.

    Article  Google Scholar 

  • Silk, K. R. (2008). Commentary: Personality disorder in adolescence: The diagnosis that dare not speak its name. Personality and Mental Health, 2, 46–48.

    Article  Google Scholar 

  • Skodol, A. E., Oldham, J. M., Hyler, S. E., Stein, D. J., Hollander, E., Gallaher, P. E., et al. (1995). Patterns of anxiety and personality disorder comorbidity. Journal of Psychiatric Research, 29, 361–374.

    Article  PubMed  Google Scholar 

  • Skodol, A. E., Oldham, J. M., Rosnick, L., Kellman, H. D., & Hyler, S. E. (1991). Diagnosis of DSM-III-R personality disorders: A comparison of two structured interviews. International Journal of Methods in Psychiatric Research, 1, 13–26.

    Google Scholar 

  • Sperry, L. (2003). Handbook of Diagnosis and Treatment of DSM-IV-TR Personality Disorders (2nd ed.). New York: Brunner-Routledge.

    Book  Google Scholar 

  • Stevenson, J., & Meares, R. (1992). An outcome study of psychotherapy for patients with borderline personality disorder. American Journal of Psychiatry, 149, 358–362.

    PubMed  Google Scholar 

  • Stravynski, A., Elie, R., & Franche, R. L. (1989). Perception of early parenting by patients diagnosed with avoidant personality disorder: A test of the ­overprotection hypothesis. Acta Psychiatrica Scandinavica, 80, 415–420.

    Article  PubMed  Google Scholar 

  • Swales, M., Heard, H. L., Williams, J., & Mark, G. (2000). Linehan’s dialectical behavior therapy (DBT) for borderline Personality Disorder: overview and adaptation. Journal of Mental Health, 9, 7–17.

    Article  Google Scholar 

  • Tackett, J. L. (2006). Evaluating models of the personality-psychopathology relationship in children and adolescents. Clinical Psychology Review, 26, 584–599.

    Article  PubMed  Google Scholar 

  • Tackett, J. L., Balsis, S., Oltmanns, T. F., & Krueger, R. F. (2009). A unifying perspective on personality pathology across the lifespan: Developmental considerations for DSM-V. Development and Psychopathology, 21, 687–713.

    Article  PubMed  Google Scholar 

  • Tackett, J. L., & Krueger, R. F. (2005). Interpreting personality as a vulnerability for psychopathology: A developmental approach to the personality-psychopathology relationship. In B. L. Hankin & J. R. Abela (Eds.), Development of psychopathology: A vulnerability-stress perspective. Thousand Oaks, CA: Sage.

    Google Scholar 

  • Thomaes, S., Bushman, B. J., Stegge, H., & Olthof, T. (2008). Trumping shame by blasts of noise: Narcissism, self-esteem, shame, and aggression in young adolescents. Child Development, 79, 1792–1801.

    Article  PubMed  Google Scholar 

  • Travis, L. A., Binder, J. L., Bliwise, N. G., & Horne-Moyer, H. L. (2001). Changes in clients’ attachment styles over the course of time-limited dynamic psychotherapy. Psychotherapy, 38, 149–159.

    Google Scholar 

  • Tromp, B. N., & Koot, M. H. (2008). Dimensions of personality pathology in adolescents: Psychometric properties of the DAPP-BQ-A. Journal of Personality Disorders, 22(6), 623–638.

    Article  PubMed  Google Scholar 

  • Trull, T. J. (1993). Temporal stability and validity of two personality disorderinventories. Psychological Assessment, 5, 11–18.

    Article  Google Scholar 

  • Trull, T. J., Useda, J. D., Doan, B. T., Vieth, A. Z., Burr, R. M., Hanks, A. A., et al. (1998). Two-year stability of borderline personality measures. Journal of Personality Disorders, 12, 187–197.

    PubMed  Google Scholar 

  • Weissman, M. M. (1993). The epidemiology of personality disorders: a 1990 update. Journal of Personality Disorders, 7(suppl 1), 44–62.

    Google Scholar 

  • West, M., Rose, S. M., & Sheldon-Keller, A. (1994). Assessment of patterns of insecure attachment in adults and application to dependent and schizoid personality disorders. Journal of Personality Disorders, 8, 249–256.

    Google Scholar 

  • Westen, D., Ludolph, P., Block, M. J., Wixom, J., & Wiss, F. C. (1990). Developmental history and object relations in psychiatrically disturbed adolescent girls. American Journal of Psychiatry, 147, 1061–1068.

    PubMed  Google Scholar 

  • Westen, D., & Muderrisoglu, S. (2003). Reliability and validity of personality disorder assessment using a systematic clinical interview: Evaluating an alternative to structured interviews. Journal of Personality Disorders, 17, 350–368.

    Article  Google Scholar 

  • Westen, D., Shedler, J., Durrett, C., Glass, S., & Martens, A. (2003). Personality diagnosis in adolescence: DSM-IV axis II diagnoses and an empirically derived alternative. American Journal of Psychiatry, 160, 952–966.

    Article  PubMed  Google Scholar 

  • Westen, D., & Shedler, J. (2005). Assessing adolescent personality pathology. British Journal of Psychiatry, 186, 227–238.

    Article  PubMed  Google Scholar 

  • Widiger, T. A., Mangine, S., Corbitt, E. M., Ellis, C. G., & Thomas, G. V. (1995). Personality Disorder Interview-IV. A semistructured interview for the assessment of personality disorders. Professional manual. Odessa, FL: Psychological Assessment Resources.

    Google Scholar 

  • Wilkinson-Ryan, T., & Westen, D. (2000). Identity disturbance in borderline personality disorder: an empirical investigation. American Journal of Psychiatry, 157(4), 528–541.

    Article  PubMed  Google Scholar 

  • Winston, A., Laikin, M., Pollack, J. Samstag, L. W., McCullough, L., & Murran, J. C. (1994). Short-term psychotherapy of personality disorders. American Journal of Psychiatry, 151, 190–194.

    Google Scholar 

  • Yeomans, F. E., Clarkin, J. F., & Levy, K. N. (2005). Psychodynamic psychotherapies. In J. M. Oldham, A. E. Skodol, & D. S. Bender (Eds.), Textbook of Personality Disorders. Washington and London: American Psychiatric Publishing Inc.

    Google Scholar 

  • Young, J., & Klosko, J. (2005). Schema therapy. In J. M. Oldham, A. E. Skodol, & D. S. Bender (Eds.), Textbook of Personality Disorders. Washington and London: American Psychiatric Publishing Inc.

    Google Scholar 

  • Zaider, T. I., Johnson, J. G., & Cockell, S. J. (2000). Psychiatric comorbidity associated with eating disorder symptomatology among adolescents in the community. The International Journal of Eating Disorders, 28, 58–67.

    Article  PubMed  Google Scholar 

  • Zanarini, M. C., Frankenburg, F. R., Sickel, A. E., & Yong, L. (1996). The Diagnostic Interview for DSM-IV Personality Disorders (DIPD-IV). Belmont, Mass: McLean Hospital.

    Google Scholar 

  • Zanarini, M. C., Skodol, A. E., Bender, D., Dolan, R., Sanislow, C., Schaeffer, E., et al. (2000). The Collaborative Longitudinal Personality Disorders Study: Reliability of axis I and II diagnoses. Journal of Personality Disorders, 14, 291–299.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jeffrey G. Johnson .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2011 Springer Science+Business Media, LLC

About this chapter

Cite this chapter

Johnson, J.G. et al. (2011). Emergent Personality Disorders Among Adolescents with Anxiety Disorders. In: McKay, D., Storch, E. (eds) Handbook of Child and Adolescent Anxiety Disorders. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-7784-7_13

Download citation

Publish with us

Policies and ethics