Abstract
Each culture with its specific history, dimensions, values, and practices influences, gears the individual and family or group in unique ways. Culture, not only shapes different dimensions of life, but also has a plastic effect on incidence, symptoms and types of personality disorders, which has been reflected in a novel written more than 300 years ago (Chapter “Narrations of Personality Disorders in A Dream of Red Mansions”), and might be reflected by other factors. In this chapter, we further discussed cultural factors in association with personality disorders, according to the clinical prevalence, characteristics and other aspects of these disorders. We have emphasized on the evidence supporting the association between Chinese culture and personality disorders. From literature, there are unique components of Chinese culture contributing to the cognition, behavior and emotion malfunctions in different types of personality disorder. However, it might be tested whether the Chinese culture influences normal personality structures in contemporary Chinese society, by studying the Chinese adjective descriptors of personality (see Chapter “Personality Traits in Contemporary China: A Lexical Approach”).
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References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorder (5th ed.). Washington, DC: American Psychiatric Association.
Asarnow, R. F., Nuechterlein, K. H., Fogelson, D., Subotnik, K. L., Payne, D. A., Russell, A. T., Asamen, J., Kuppinger, H., & Kendler, K. S. (2001). Schizophrenia and schizophrenia-spectrum personality disorders in the first-degree relatives of children with schizophrenia: The UCLA family study. Archives of General Psychiatry, 58, 581–588.
Bedford, O. (2004). The individual experience of guilt and shame in Chinese culture. Culture and Psychology, 10, 29–52.
Bienenfeld, D. (2007). Personality disorders. Psychiatric Annals, 37, 84–85.
Bornstein, R. F. (1998). Dependency in the personality disorders: Intensity, insight, expression, and defense. Journal of Clinical Psychology, 54, 175–189.
Brook, J. S., Brook, D. W., & Whiteman, M. (2003). Maternal correlates of toddler insecure and dependent behavior. Journal of Genetic Psychology, 164, 72–87.
Cai, H., Sedikides, C., Gaertner, L., Wang, C., Carvallo, M., Xu, Y., O’Mara, E. M., & Jackson, L. E. (2011). Tactical self-enhancement in China: Is modesty at the service of self-enhancement in East Asian culture? Social Psychological and Personality Science, 2, 59–64.
Caldwell-Harris, C. L., & Aycicegi, A. (2006). When personality and culture clash: The psychological distress of allocentrics in an individualist culture and idiocentrics in a collectivist culture. Transcultural Psychiatry, 43, 331–361.
Campbell, W. K., Rudich, E. A., & Sedikides, C. (2002). Narcissism, self-esteem, and the positivity of self-views: Two portraits of self-love. Personality and Social Psychology Bulletin, 28, 358–368.
Carvalho, C. B., da Motta, C., Pinto-Gouveia, J., & Peixoto, E. (2016). Influence of family and childhood memories in the development and manifestation of paranoid ideation: Influence of family and childhood memories. Clinical Psychology and Psychotherapy, 23, 397–406.
Chai, H., Xu, S., Zhu, J., Chen, W., Xu, Y., He, W., & Wang, W. (2012). Further evidence for the fifth higher trait of personality pathology: A correlation study using normal and disordered personality measures. Psychiatry Research, 200, 444–449.
Chen, X., & Li, B. (2000). Depressed mood in Chinese children: Development significance for social and school adjustment. International Journal of Behavioral Development, 24, 472–479.
Chen, X., Hastings, P. D., Rubin, K. H., Chen, H., Cen, G., & Stewart, S. L. (1998). Child-rearing attitudes and behavioral inhibition in Chinese and Canadian toddlers: A cross-cultural study. Developmental Psychology, 34, 677–686.
Cheng, H., Huang, Y., Liu, B., & Liu, Z. (2010). Familial aggregation of personality disorder: Epidemiological evidence from high school students 18 years and older in Beijing, China. Comprehensive Psychiatry, 51, 524–530.
Chentsova-Dutton, Y. E., Chu, J. P., Tsai, J. L., Rottenberg, J., Gross, J. J., & Gotlib, I. H. (2007). Depression and emotional reactivity: Variation among Asian Americans of East Asian descent and European Americans. Journal of Abnormal Psychology, 116, 776–785.
Chinese Society of Psychiatry. (2001). The Chinese classification and diagnostic criteria of mental disorders, version 3 (CCMD-3). Jinan: Chinese Society of Psychiatry (in Chinese).
Compton, W. M., Heizer, J. E., Hwu, H., Yeh, E., McEvoy, L., Tipp, J. E., & Spitznagel, E. L. (1991). New methods in cross-cultural psychiatry: Psychiatric illness in Taiwan and the United States. American Journal of Psychiatry, 148, 1697–1704.
Do, L. L. T. N. (2011). American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). In S. Goldstein & J. A. Naglieri (Eds.), Encyclopedia of child behavior and development (pp. 84–85). Boston: Springer.
Durbin, C. E., Hicks, B. M., Blonigen, D. M., Johnson, W., Iacono, W. G., & McGue, M. (2016). Personality trait change across late childhood to young adulthood: Evidence for nonlinearity and sex differences in change. European Journal of Personality, 30, 31–44.
Esterberg, M. L., Goulding, S. M., & Walker, E. F. (2010). Cluster A personality disorders: Schizotypal, schizoid and paranoid personality disorders in childhood and adolescence. Journal of Psychopathology and Behavioral Assessment, 32, 515–528.
Fabrega, H. (2002). Evolutionary theory, culture and psychiatric diagnosis. In M. Maj, W. Gaebel, J. J. López-Ibor, & N. Sartorius (Eds.), Psychiatric diagnosis and classification. London: Wiley.
Fan, Y. (2000). A classification of Chinese culture. Cross Cultural Management, 7, 3–10.
Fineberg, N. A., Sharma, P., Sivakumaran, T., Sahakian, B., & Chamberlain, S. (2007). Does obsessive-compulsive personality disorder belong within the obsessive-compulsive spectrum? CNS Spectrums, 12, 467–482.
Fink, G., Neyer, A. K., & Kölling, M. (2006). Understanding cross-cultural management interaction: Research into cultural standards to complement cultural value dimensions and personality traits. International Studies of Management and Organization, 36, 38–60.
Foster, J. D., Campbell, W. K., & Twenge, J. M. (2003). Individual differences in narcissism: Inflated self-views across the lifespan and around the world. Journal of Research in Personality, 37, 469–486.
Freeman, A., Pretzer, J., Fleming, B., & Simon, K. M. (2004). Avoidant, dependent, and obsessive-compulsive personality disorders. In Clinical applications of cognitive therapy (2nd ed., pp. 287–325). Boston: Springer.
Glenn, A. L., Johnson, A. K., & Raine, A. (2013). Antisocial personality disorder: A current review. Current Psychiatry Reports, 15, 1–8.
Heine, S. J., & Hamamura, T. (2007). In search of East Asian self-enhancement. Personality and Social Psychology Review, 11, 4–27.
Ho, D. Y. F. (1986). Chinese patterns of socialization: A critical review. In M. H. Bond (Ed.), The psychology of the Chinese people. New York: Oxford University Press.
Hofstede, G. (1984). The cultural relativity of the quality of life concept. Academy of Management Review, 9, 389–398.
Huang, X., Ling, H., Yang, B., & Dou, G. (2007). Screening of personality disorders among Chinese college students by personality diagnostic questionnaire-4+. Journal of Personality Disorders, 21, 448–454.
Huang, Y., Kotov, R., de Girolamo, G., Preti, A., Angermeyer, M., Benjet, C., Demyttenaere, K., de Graaf, R., Gureje, O., Karam, A. N., Lee, S., Lépine, J. P., Matschinger, H., Posada-Villa, J., Suliman, S., Vilagut, G., & Kessler, R. C. (2009). DSM-IV personality disorders in the WHO World Mental Health Surveys. British Journal of Psychiatry, 195, 46–53.
Huang, J., Yang, Y., Wu, J., Napolitano, L. A., Xi, Y., & Cui, Y. (2012). Childhood abuse in Chinese patients with borderline personality disorder. Journal of Personality Disorders, 26, 238–254.
Hwu, H.-G., Yeh, E.-K., & Chang, L.-Y. (1986). Chinese diagnostic interview schedule: I. Agreement with psychiatrist’s diagnosis. Acta Psychiatrica Scandinavica, 73, 225–233.
John, O. P., & Srivastava, S. (1999). The Big Five trait taxonomy: History, measurement, and theoretical perspectives. In L. A. Pervin & O. P. John (Eds.), Handbook of personality: Theory and research (2nd ed., pp. 102–138). New York: Guildford.
Johnson, J. G., Liu, L., & Cohen, P. (2011). Parenting behaviours associated with the development of adaptive and maladaptive offspring personality traits. Los Angeles: SAGE.
Keng, S. L., Lee, Y., Drabu, S., Hong, R. Y., Cyi, C., Csh, H., & Rcm, H. (2018). Construct validity of the mclean screening instrument for borderline personality disorder in two singaporean samples. Journal of Personality Disorders, 32, 1–20.
Lieb, K., Zanarini, M. C., Schmahl, C., Linehan, M. M., & Bohus, M. (2004). Borderline personality disorder. Lancet, 364, 453–461.
Lin, C. C., & Fu, V. R. (1990). A comparison of child-rearing practices among Chinese, immigrant Chinese, and Caucasian-American parents. Child Development, 61, 429–433.
Livesley, W. J., & Jang, K. L. (2005). Differentiating normal, abnormal, and disordered personality. European Journal of Personality, 19, 257–268.
Livesley, W. J., & Schroeder, M. L. (1991). Dimensions of personality disorder: The DSM-III-R cluster B diagnoses. Journal of Nervous and Mental Disease, 179, 320–328.
Lock, M. P. (2008). Treatment of antisocial personality disorder. British Journal of Psychiatry, 193, 426–427.
Markus, H. R., & Kitayama, S. (1991). Culture and the self: Implications for cognition, emotion, and motivation. Psychological Review, 98, 224–253.
Matsumoto, D. (1999). Culture and self: An empirical assessment of Markus and Kitayama’s theory of independent and interdependednt self-construal. Asian Journal of Social Psychology, 2, 289–310.
McCrae, R. R., & Costa, P. T., Jr. (1999). A five-factor theory of personality. In L. A. Pervin & O. P. John (Eds.), Handbook of personality: Theory and research (2nd ed., pp. 139–153). New York: Guildford.
Morcillo, C., Duarte, C. S., Shen, S., Blanco, C., Canino, G., & Bird, H. R. (2011). Parental familism and antisocial behaviors: Development, gender and potential mechanisms. Journal of the American Academy of Child and Adolescent Psychiatry, 50, 471–479.
Oyserman, D., Kemmelmeier, M., & Coon, H. M. (2002). Cultural psychology, a new look: Reply to bond (2002), fiske (2002), kitayama (2002), and miller (2002). Psychological Bulletin, 128, 110–117.
Paris, J. (1996). Antisocial personality disorder: A biopsychosocial model. Canadian Journal of Psychiatry, 41, 75–80.
Porter, C. L., Hart, C. H., Yang, C., Robinson, C. C., Olsen, S. F., Zeng, Q., Olsen, J. A., & Jin, S. (2005). A comparative study of child temperament and parenting in Beijing, China and the western United States. International Journal of Behavioral Development, 29, 541–551.
Pye, L. W. (1972). Culture and political science: Problems in the evaluation of the concept of political culture. Social Science Quarterly, 53, 285–296.
Roberts, B. W., & Mroczek, D. (2008). Personality trait change in adulthood. Current Directions in Psychological Science, 17, 31–35.
Roberts, B. W., Robins, R. W., Trzesniewski, K. H., & Caspi, A. (2003). Personality trait development in adulthood (Handbook of the life course). Boston: Springer.
Roitman, S. E., Cornblatt, B. A., Bergman, A., Obuchowski, M., Mitropoulou, V., Keefe, R. S. E., Silverman, J. M., & Siever, L. J. (1997). Attentional functioning in schizotypal personality disorder. American Journal of Psychiatry, 154, 655–660.
Ronningstam, E. F., Keng, S. L., Ridolfi, M. E., Arbabi, M., & Grenyer, B. F. (2018). Cultural aspects in symptomatology, assessment, and treatment of personality disorders. Current Psychiatry Reports, 20, 22.
Rüsch, N., Lieb, K., Göttler, I., Hermann, C., Schramm, E., Richter, H., Jacob, G. A., Corrigan, P. W., & Bohus, M. (2007). Shame and implicit self-concept in women with borderline personality disorder. American Journal of Psychiatry, 164, 500–508.
Ryder, A. G., Sun, J., Dere, J., & Fung, K. (2014). Personality disorders in Asians: Summary, and a call for cultural research. Asian Journal of Psychiatry, 7, 86–88.
Samuel, D. B., & Widiger, T. A. (2008). A meta-analytic review of the relationships between the five-factor model and DSM-IV-TR personality disorders: A facet level analysis. Clinical Psychology Review, 28, 1326–1342.
Schmitt, D. P., & Allik, J. (2005). Simultaneous administration of the rosenberg self-esteem scale in 53 nations: Exploring the universal and culture-specific features of global self-esteem. Journal of Personality and Social Psychology, 89, 623–642.
Schroeder, M. L., Wormworth, J. A., & Livesley, W. J. (1992). Dimensions of personality disorder and their relationships to the Big Five dimensions of personality. Psychological Assessment, 4, 47–53.
Schwartz, S. H. (1994). Are there universal aspects in the structure and contents of human values? Journal of Social Issues, 50, 19–45.
Selby, E. A., & Joiner, T. E. (2008). Ethnic variations in the structure of borderline personality disorder symptomatology. Journal of Psychiatric Research, 43, 115–123.
Siever, L. J., Bernstein, D. P., & Silverman, J. M. (2013). Schizotypal personality disorder. Journal of Personality Disorders, 27, 652–679.
Simonsen, E. (2012). Culture and diagnosis: Considering avoidant personality disorder: A commentary on the case by toshimasa maruta et al. Personality and Mental Health, 6, 271–272.
Spencer-Rodgers, J., Peng, K., Wang, L., & Hou, Y. (2004). Dialectical self-esteem and east-west differences in psychological well-being. Personality and Social Psychology Bulletin, 30, 1416–1432.
Stinson, F. S., Dawson, D. A., Goldstein, R. B., Chou, S. P., Huang, B., Smith, S. M., Ruan, W. J., Pulay, A. J., Saha, T. D., Pickering, R. P., & Grant, B. F. (2008). Prevalence, correlates, disability, and comorbidity of DSM-IV narcissistic personality disorder: Results from the wave 2 national epidemiologic survey on alcohol and related conditions. Journal of Clinical Psychiatry, 69, 1033–1045.
Tabbat, B. K. (1976). The anatomy of dependence by Takeo Doi, MD. A discussion. Bulletin of the Menninger Clinic, 40, 660–664.
Tang, S. W., & Huang, Y. (1995). Diagnosing personality disorders in China. International Medical Journal, 2, 291–297.
Triandis, H. C. (2001). Individualism-collectivism and personality. Journal of Personality, 69, 907–924.
Triandis, H. C., & Gelfand, M. J. (1998). Converging measurement of horizontal and vertical individualism and collectivism. Journal of Personality and Social Psychology, 74, 118–128.
Triebwasser, J., Chemerinski, E., Roussos, P., & Siever, L. J. (2012). Schizoid personality disorder. Journal of Personality Disorders, 26, 919–926.
Triebwasser, J., Chemerinski, E., Roussos, P., & Siever, L. J. (2013). Paranoid personality disorder. Journal of Personality Disorders, 27, 795–805.
Trull, T. J., & Durrett, C. A. (2005). Categorical and dimensional models of personality disorder. Annual Review of Clinical Psychology, 1, 355–380.
Wang, W., Du, W., Wang, Y., Livesley, W. J., & Jang, K. L. (2004). The relationship between the Zuckerman–Kuhlman personality questionnaire and traits delineating personality pathology. Personality and Individual Differences, 36, 155–162.
Wang, Y., Zhu, X., Cai, L., Wang, Q., Wang, M., Yi, J., & Yao, S. (2013). Screening cluster A and cluster B personality disorders in Chinese high school students. BMC Psychiatry, 13, 116.
Wang, D., Li, S., & Hu, M. (2017). Comparisons of the influence of raising people’s identity on mental health between two-parents family children and single parent family children by propensity score matching. Journal of Hygiene Research, 46, 709–716.
Widiger, T. A., & Simonsen, E. (2005). Alternative dimensional models of personality disorder: Finding a common ground. Journal of Personality Disorders, 19, 110–130.
World Health Organization. (2017). International classification of diseases (11th beta Ed.). Retrived October 12, 2018, from http://www.who.int/classifications/icd/revision/en
Wright, A. G., Thomas, K. M., Hopwood, C. J., Markon, K. E., Pincus, A. L., & Krueger, R. F. (2012). The hierarchical structure of DSM-5 pathological personality traits. Journal of Abnormal Psychology, 121, 951.
Wu, L. T., Blazer, D. G., Gersing, K. R., Burchett, B., Swartz, M. S., Mannelli, P., & Workgroup, N. A. (2013). Comorbid substance use disorders with other Axis I and II mental disorders among treatment-seeking Asian Americans, Native Hawaiians/Pacific Islanders, and mixed-race people. Journal of Psychiatric Research, 47, 1940–1948.
Yang, J., McCrae, R. R., Costa, P. T., Jr., Yao, S., Dai, X., Cai, T., & Gao, B. (2000). The cross-cultural generalizability of Axis-II constructs: An evaluation of two personality disorder assessment instruments in the People’s Republic of China. Journal of Personality Disorders, 14, 249–263.
Zhang, T., Chow, A., Wang, L., Dai, Y., & Xiao, Z. (2012). Role of childhood traumatic experience in personality disorders in China. Comprehensive Psychiatry, 53, 829–836.
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Wang, J., Wang, W. (2019). Cultural Contribution to Personality Disorders in China. In: Wang, W. (eds) Chinese Perspectives on Cultural Psychiatry . Springer, Singapore. https://doi.org/10.1007/978-981-13-3537-2_5
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