anti-Causality


Sunday, September 23, 2012

What is the difference between state and trait?

Here, I attempt to use material about a state-trait anger test, the STAXI-2, to describe state and trait in real terms that we can apply (Borteyrou, et al. 2008).  I chose anger because it is often a component of personality disorder (Varghese, et al. 2010), especially Borderline PD.

Trait anger is measured as temperament and reaction (Varghese, et al. 2010).  State anger is measured as angry feelings, verbal expression, and physical expression--or violence.  Trait here can be described as a personality construct that consists of cognitive and motivational factors that describe how a client thinks and what he believes; his thinking (state) may be distorted because of problems in the underlying constructs (traits) (Owen, 2011).  As construct implies permanence, a therapist would want to find ways to alter or replace those permanent constructs (traits), that, in turn, would improve behaviors (state).  Reconstruction of traits to provide better states (behaviors) is a way to describe the cognitive strategy of CBT.

Pharmacology seeks to manage traits as vulnerabilities and states as symptoms (Bellino, 2008).  This implies that a defective trait needs to be fixed by making it less vulnerable with medicine. Topiramate is an anticonvulsant that can be used to manage anger in Borderline PD clients, and especially shows improvement for trait anger using the STAXI-2 (Varghese, et al. 2010), implying that it makes the clients less "vulnerable" to angry outbursts.

References

Bellino, S., Paradiso, E., & Bogetto, F. (2008). Efficacy and Tolerability of Pharmacotherapies for Borderline Personality Disorder. CNS Drugs, 22(8), 671-692. Retrieved from EBSCOhost.

Borteyrou, X., Bruchon-Schweitzer, M., & Spielberger, C. D. (2008).  The French adaptation of the STAXI-2, C.D. Spielberger's State-trait anger expression inventory. Encephale. 34(3) (pp 249-255).

Owen, J. M. (2011). Transdiagnostic cognitive processes in high trait anger. Clinical Psychology Review.31(2) (pp 193-202). 

Varghese, B. S., Rajeev, A., Norrish, M., & Bin Mohammed Al Khusaiby, S. (2010). Topiramate for anger control: A systematic review. Indian Journal of Pharmacology. 42(3) (pp. 135–141).

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