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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