Between trait neuroticism and discrete disorders?

[PsyDr]

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How do YOU conceptualize the difference?

 

[singasongofjoy]

Degree and perception of impairment ?

 

[LadyHalcyon]

How do YOU conceptualize the difference?

I tend to view many along a continuum. This may not be exactly what you are referring to, but narcissm can often seem very close to delusions and I find adhd and cluster b traits to be related. Not just related by correlation, maybe more related etiologically. I don't think you can necessarily parse out personality traits. Met a new patient yesterday, severe anxiety accompanied by severe somatic symptoms (fainting, GI issues, violently shaking). Complex trauma. Disrupted arousal level. Definitely some neuroticsm there, also trauma, and anxiety.

I find patients who are not very neurotic and have depression in response to a life change or stressor improve fairly rapidly.

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[temppsych123]

Relevant new article in Clinical Psych Science:

Decoupling Personality and Acute Psychiatric Symptoms in a Depressed and a Community Sample
Jay C. Fournier, Aidan G. C. Wright, Jennifer L. Tackett, Amanda A. Uliaszek, Paul A. Pilkonis, Stephen B. Manuck, R. Michael Bagby

 

[PsyDr]

Relevant new article in Clinical Psych Science:

Decoupling Personality and Acute Psychiatric Symptoms in a Depressed and a Community Sample
Jay C. Fournier, Aidan G. C. Wright, Jennifer L. Tackett, Amanda A. Uliaszek, Paul A. Pilkonis, Stephen B. Manuck, R. Michael Bagby

Might have been a factor in posting the question....

 

[EmotRegulation]

Oh don't get me started on this one, as someone who teaches personality assessment. Psychiatric symptoms are not "supposed" to inform neuroticism ratings, but of course they do....people in depressive episodes often have cognitive impairments that means they have trouble remembering what they were like "generally" or prior to the depressive episode. (This is a central point made in that article, which I appreciate.)

Theoretically, as far as I'm concerned, neuroticism *should* tap sensitivity to and reactivity to emotional experiences, both intrapersonal and interpersonal. People who are more sensitive to and more reactive to stressors and emotional situations should be more vulnerable to biological, cognitive, emotional and sociocultural factors that could "push" someone into dysfunction or impairment that would reflect a diagnosable condition.

To me this question brings up issues of measurement and classification more than anything else, which seem woefully under-understood in our field (IMO, obviously).