Abstract
This is a study of effects of client personality on interpersonal presentation during early Rational-Emotive therapy (RET). Independent variables were intake scores for clients from the Millon Clinical Multiaxial Inventory (MCMI; Millon, 1983). Dependent variables, from audiotapes of sessions at the Institute for RET (IRET), were Revised Interpersonal Adjective Scale (IAS-R; Wiggins, Trapnell and Phillips, 1988) ratings of clients and therapists. Three commonly adaptive axis II traits (histrionic, narcissistic and antisocial) had significant positive effects on clients, increasing their apparent interpersonal dominance. Paranoid traits, which have previously shown either neutral or positive patterns, mirrored the adaptive patterns. Compulsive traits, which have also been helpful in other stressful situations, seemed maladaptive, however, here. Finally, six commonly maladaptive axis II traits (schizoid, avoidant, dependent, passive-aggressive, schizotypal and borderline) had weak, insignificant effects on clients. In general, these findings suggest that the IRET therapeutic setting may be a psychologically “safe” place for clients. Personality traits that are usually troublesome did not impair self presentation in early sessions of RET, and several usually positive traits appear helpful.
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References
American Psychiatric Association, (1980).Diagnostic and Statistical Manual of Mental Disorders, Third Edition, Washington, D. C.: American Psychiatric Association.
American Psychiatric Association, (1987).Diagnostic and Statistical Manual of Mental Disorders, Third Edition-Revised, Washington, D. C.: American Psychiatric Association.
American Psychiatric Association, (1994).Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Washington, D. C.: American Psychiatric Association.
Coryell, W. H., and Zimmerman, M., (1989). “Personality Disorder in the Families of Depressed, Schizophrenic, and Never-III Probands,”American Journal of Psychiatry, 146, 496–502.
Freeman, A. (1987). Understanding personal, cultural and religious schema in psychotherapy. In A. Freeman, N. Epstein, and K.M. Simon,Depression in the family (pp. 79–99). New York: Haworth Press.
Freeman, A., and Leaf, R. C. (1989). “Cognitive therapy applied to personality disorders,” in Arthur Freeman, K. M. Simon, L. E. Beutler, and H. Arkowitz, (Eds.),Comprehensive handbook of Cognitive Therapy, New York, NY: Plenum Publishers, 403–434.
Garfield, S.L., and Bergin, A.E. (1971). Therapeutic conditions and outcome.Journal of Abnormal Psychology, 77, 108–114.
Kiesler, D.J. (1986). The 1982 Interpersonal Circle: A taxonomy for complimentarity in human transactions.Psychological Review, 90, 185–214.
Kiesler, D.J. (1986). The 1982 Interpersonal Circle: An analysis of DSM-III personality disorders. In Millon and Klerman (1986),Contemporary Directions in Psychopathology: Toward the DSM-IV (Ch. 28), 571–597. New York: The Guilford Press.
Kiesler, D.J., Mathieu, P.L., and Klein, M.H. (1964). Sampling from the recorded therapy interview: A comparative study of different segment lengths.Journal of Consulting Psychology, 28, 349–357.
Lamon, S., (1989).Interaction in Psychotherapy: The Effect of Patient Personality Upon Therapist Response, unpublished Ph. D. Dissertation, Burlington, Vermont: The University of Vermont.
Leaf, R. C., DiGiuseppe, R., Ellis, A., Wolfe, J., Yeager, R., and Alington, D. E. (1987). “Treatment intake status and the MCMI's ‘axis II’ scale scores.” In Green, C. (Ed.),Proceedings of the First Conference on the Millon Inventories, 21–29, Minneapolis, Ml: National Computer Systems, Inc.
Leaf, R. C., DiGiuseppe, R., Ellis, A., Mass, R., Backx, W., Wolfe, J., and Alington, D. E. (1990). “‘Healthy’ correlates of MCMI scales 4, 5, 6 and 7.”Journal of Personality Disorders, 4, 312–328.
Leaf, R. C., Ellis, A., Mass, R., DiGiuseppe, R., and Alington, D. E., (1990). “Countering perfectionism in research on clinical practice. II, Retrospective analysis of treatment programs.”Journal of Rational-Emotive and Cognitive-Behavior Therapy, 8, 203–220.
Leaf, R. C., Ellis, A., DiGiuseppe, R., Mass, R., and Alington, D. E. (1991). “Rationality, self-regard and the ‘healthiness’ of personality disorders.”Journal of Rational-Emotive and Cognitive-Behavior Therapy, 9, 3–37.
Leaf, R. C., Alington, D. E., Mass, R., Ellis, A., and DiGiuseppe, R. (1991). “Personality disorders, life events, and clinical syndromes.”Journal of Personality Disorders, 5, 264–280.
Leaf, R. C., and Alington, D. E., (1991). “Countering perfectionism in research on clinical practice. III, Implications for randomized designs of the presence of uncontrolled interactions and spontaneous changes.”Journal of Psychology, 125, 657–669.
Leaf, R. C., Alington, D. E., Ellis, A., DiGiuseppe, R., and Mass, R. (1992). “Personality disorders, underlying traits, social problems, and clinical syndromes,”Journal of Personality Disorders, 6, 134–152.
Leaf, R. C., and DiGiuseppe, R. (1992). “Book review, Cognitive therapy of personality disorders.”Journal of Rational-Emotive and Cognitive-Behavior Therapy, 10, 105–108.
Leaf, R. C., “Control, volition, and the “experimental method.”New Ideas in Psychology, 1993, in press.
Leaf, R. C., DiGiuseppe, R., Mass, R., and Alington, D. E., “Statistical methods for analysis of incomplete clinical service records: Concurrent use of longitudinal and cross-sectional data.”Journal of Consulting and Clinical Psychology, in press, 1993.
Leary, T. (1957).Interpersonal diagnosis of personality. New York: Ronald Press.
Lorr, M., and McNair, D.M. (1963). An interpersonal behavior circle.Journal of Abnormal and Social Psychology, 67, 68–75.
McCrae, R., and Costa, P.T., Jr. (1989). The structure of interpersonal traits: Wiggin's Circumplex and the five-factor model.Journal of Personality and Social Psychology, 56, 586–595.
Millon, T., (1981).Disorders of Personality, DSM-III: Axis II, New York, New York: John Wiley & Sons.
Millon, T., (1983).Millon Clinical Multiaxial Inventory Manual, Third Edition, Minneapolis, Minnesota: Interpretive Scoring Systems.
Reich, J., Yates, W., and Nduaguba, M., (1989): “Prevalence of DSM-III Personality Disorders in the Community,”Social Psychiatry and Psychiatric Epidemiology, 24, 12–16.
Topf, M., and Dambacher, B. (1978). Interpersonal features of interviews between psychiatric patients and nursing staff.Journal of Applied Social Psychology, 8, 341–354.
Trapnell, P.D., and Wiggins, J.S. (1990). Extension of the Interpersonal Adjective Scales to include the Big Five dimensions of personality.Journal of Personality and Social Psychology, 59, 781–790.
Wiggins, J.S. (1979). A psychological taxonomy of trait-descriptive terms: The interpersonal domain.Journal of Personality and Social Psychology, 37, 395–412.
Wiggins, J.S. (1982). Circumplex models of interpersonal behavior in clinical psychology. In P.C. Kendall and J.N. Butcher (Eds.),Handbook of research method in clinical psychology (pp. 183–221). New York: Wiley.
Wiggins, J.S., and Pincus, A.L. (1989). Conceptions of personality disorders and dimensions of personality.A Journal of Consulting and Clinical Psychology, 1, 305–316.
Wiggins, J.S., Trapnell, P., and Phillips, N. (1988). Psychometric and geometric characteristics of the revised Interpersonal Adjective Scales (IAS-R).Multivariate Behavioral Research, 23, 517–530.
Zimmerman, M., and Coryell, W., (1989). “DSM-III Personality Disorder Diagnoses in a Nonpatient Sample: Demographic Correlates and Comorbidity,”Archives of General Psychiatry, 46, 682–689.
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The order of authorship was determined by mutual agreement, based on the number of hours each author committed to the project. Dempsey's thesis, based on his work, was submitted in partial fulfillment of the requirements for Henry Rutgers Scholars honors at Rutgers College. Lamon's thesis, based on his work, was submitted in partial fulfillment of the requirements for the Ph. D. at the University of Vermont.
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Dempsey, M., Lamon, S., Sunderland, P. et al. Effects of client personality on dominance and affiliation during early sessions of rational-emotive psychotherapy. J Rational-Emot Cognitive-Behav Ther 12, 237–256 (1994). https://doi.org/10.1007/BF02354551
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DOI: https://doi.org/10.1007/BF02354551
Keywords
- Personality Trait
- Stressful Situation
- Significant Positive Effect
- Insignificant Effect
- Therapeutic Setting