Affiliation:
1. Department of Clinical Psychology, Faculty of Psychology, Kazimierz Wielki University in Bydgoszcz, Bydgoszcz, Poland
Abstract
Introduction and objective: Psychodynamic concepts assume that early experiences in relationships with close family members influence mental health. Kernberg’s model of personality organisation also assumes that the structure of personality depends on object relations, and the adaptability of individual dimensions of personality organisation will depend on, among others, quality of care in early childhood. In recent years, the self-medication hypothesis has become increasingly popular, arguing that alcohol use is secondary to personality difficulties. The research presented in the article aimed to assess the relationships between dimensions of personality organisation, traumatic childhood experiences, and alcohol use. Materials and methods: The sample consisted of 148 Polish adults, including 85 women and 63 men. The mean age was M = 32.61 (standard deviation, SD = 9.29). The Inventory of Personality Organization, the Childhood Experience Questionnaire (CEQ-58), and the Alcohol Use Disorder Identification Test (AUDIT) were used. Results: The results indicate positive low to moderate correlations between all personality dimensions and the severity of various adverse experiences. Alcohol use also increases with greater disturbances across all dimensions of personality organisation. Moreover, as traumatic experiences such as physical abuse, physical and emotional neglect, and environmental instability increase, the tendency to use alcohol also increases. Three clusters of individuals with different configurations of the investigated variables were also identified. Conclusions: The research has confirmed the relationships between personality organisation, traumatic childhood experiences, and alcohol use reported in the literature, thus prompting reflection on the use of alcohol as a form of self-medication.
Publisher
Medical Communications Sp. z.o.o.
Reference44 articles.
1. Berenz EC, Roberson-Nay R, Latendresse SJ et al.: Posttraumatic stress disorder and alcohol dependence: epidemiology and order of onset. Psychol Trauma 2017; 9: 485–492.
2. Caligor E, Clarkin, JF: An object relations model of personality and personality pathology. In: Clarkin JF, Fonagy P, Gabbard GO (eds.): Psychodynamic Psychotherapy for Personality Disorders: A Clinical Handbook. American Psychiatric Publishing, Inc., Washington 2010: 3–36.
3. Caligor E, Kernberg OF, Clarkin JF: Handbook of Dynamic Psychotherapy for Higher Level Personality Pathology. American Psychiatric Publishing, Inc., Washington, London 2007.
4. Clarkin JF, Foelsch PA, Kernberg OF: The Inventory of Personality Organization. The Personality Disorder Institute, Weill Cornell Medicine of Cornell University, New York 2001.
5. Cross D, Crow T, Powers A et al.: Childhood trauma, PTSD, and problematic alcohol and substance use in low-income, African-American men and women. Child Abuse Negl 2015; 44: 26–35.