Personality Disorders 575
in those situations. The consequences of their behaviors (operant conditioning) will
infl uence the likelihood that they will repeat the behaviors. Furthermore, the conse-
quences can lead to pervasive dysfunctional beliefs—which can form the foundation
for some types of personality disorders.
The Role of Temperament
Temperaments—and their contribution to personality disorders—can be classi-
fi ed in two different ways. As discussed in Chapter 2, Cloninger (1987) proposed
four basic dimensions on which temperaments vary (see Figure 13.2; left side). The
strength of each dimension varies across individuals, and each cluster of personality
disorders is characterized by an extreme on a particular dimension.
In particular, people with Cluster A (odd/eccentric) personality disorders are not
strongly motivated by relationships with other people—they avoid social risk taking
and are generally indifferent to normal social rewards, such as attention from others.
They tend to score low on reward dependence. Indeed, it’s not just that being with
other people isn’t rewarding and doesn’t motivate their behavior; rather, such people
have the opposite motivation, preferring to be alone. People with Cluster B (dramatic/
erratic) personality disorders tend to score high on novelty seeking and tend to en-
gage in new, highly stimulating, or intensely demanding activities, perhaps leading
them to get into arguments more frequently. People with Cluster C (fearful/anxious)
personality disorders tend to be high on harm avoidance; they have in common a fear
of uncertainty that leads them to withdraw from relationships, situations, or activi-
ties that most other people view as relatively safe. For instance, Sarah, in Case 13.1,
generally perceived her co-workers as threatening and tried to avoid them.
Cloninger also proposed three character dimensions (see Figure 13.2; right
side), which can help illuminate the nature of personality disorders; most person-
ality disorders are marked by low levels of cooperativeness, self-directedness, and
self-transcendence, which translate behaviorally into personality characteristics of
being uncooperative, having diffi culty regulating and adapting behavior, and being
13.2 • Cloninger’s Four Basic Tempera ments and Three Character
Dimensions Personality disorders are characterized by extremes on dimensions
of temperament and character.
Figure 13.2g3
Timidity/
Behaviorally
inhibited
Temperament Dimensions
Harm avoidance
Risk taking
Passivity
Novelty seeking
Intrusiveness
Indifference
Reward dependence
Indulgence
Apathy
Persistence
Fanaticism
Antagonism
Character Dimensions
Cooperativeness
Agreeableness
Inept/Insecure
Self-directedness
Responsible/
Goal-directed
Controlling/
Materialistic
Self-transcendence
Imaginative/
Unconventional