Externalization (psychology)

Last updated

Externalization is a term used in psychoanalytic theory which describes the tendency to project one's internal states onto the outside world. It is generally regarded as an unconscious defense mechanism, thus the person is unaware they are doing it. Externalization takes on a different meaning in narrative therapy, where the client is encouraged to externalize a problem in order to gain a new perspective on it.

Contents

Psychoanalysis

In Freudian psychology, externalization (or externalisation) is a defense mechanism by which an individual projects their own internal characteristics onto the outside world, particularly onto other people. [1] For example, a patient who is overly argumentative might instead perceive others as argumentative and themselves as blameless.

Like other defense mechanisms, externalization can be a protection against anxiety and is, therefore, part of a healthy, normally functioning mind. However, if taken to excess, it can lead to the development of a neurosis.

Narrative therapy

Michael White states that the problem of the client is externalized, to alter the client's point of view. [2]

Neuroscience of externalization

Problems with self-regulation, including impulsivity, violence, sensation-seeking, and rule-breaking, are indicative of an externalizing risk pathway. [3] A discrepancy exists between bottom-up reward-related circuitry, such as the ventral striatum, and top-down inhibitory control circuitry, which is located in the prefrontal cortex, linking externalizing behaviors. [4] Externalization is often related to substance use disorders. In particular, alcohol use disorder is one of disorders that much externalization research has been dedicated to. Often, issues within the externalizing risk pathway, namely vulnerabilities in self-regulation, may impact the development of alcohol use disorder differently across stages of the addiction cycle. [5]  Likewise, marijuana use has been linked to an externalizing pathway that highlights aggressive and delinquent behavior. [6]  Another type of disorder that is linked to the externalizing pathway is Antisocial Personality Disorder due to its tendency to relate by lack of constraint. [7] Much research has examined the similarities of antisocial personality disorder and substance use disorder in relation to externalizing behaviors. [8] [9] [10]

See also

Notes

  1. Sandler, Joseph (1988). Projection, identification, projective identification. Karnac Books. ISBN   0-946439-40-0.
  2. Gladding, Samuel (2018). Family Therapy: History, Theory, and Practice (7 ed.). Pearson. p. 347. In externalization, the problem is the problem. As such, it becomes objective and can be addressed in unique ways (White, 1991). Externalization separates the person from the problem and permits the problem to be viewed from a variety of perspectives and contexts.
  3. Zucker, Robert A.; Heitzeg, Mary M.; Nigg, Joel T. (2011). "Parsing the Undercontrol-Disinhibition Pathway to Substance Use Disorders: A Multilevel Developmental Problem: Undercontrol-Disinhibition Pathway to SUD". Child Development Perspectives. 5 (4): 248–255. doi:10.1111/j.1750-8606.2011.00172.x. PMC   3221325 . PMID   22116786.
  4. Nigg, Joel T. (2000). "On inhibition/disinhibition in developmental psychopathology: Views from cognitive and personality psychology and a working inhibition taxonomy". Psychological Bulletin. 126 (2): 220–246. doi:10.1037/0033-2909.126.2.220. ISSN   1939-1455.
  5. Hardee, Jillian E.; Cope, Lora M.; Martz, Meghan E.; Heitzeg, Mary M. (2018). "Review of Neurobiological Influences on Externalizing and Internalizing Pathways to Alcohol Use Disorder". Current Behavioral Neuroscience Reports. 5 (4): 249–262. doi:10.1007/s40473-018-0166-5. ISSN   2196-2979.
  6. Wasserman, Alexander M.; Shaw-Meadow, K. J.; Moon, T. J.; Karns-Wright, T. E.; Mathias, C. W.; Hill-Kapturczak, N.; Dougherty, D. M. (2021). "The externalizing and internalizing pathways to marijuana use initiation: Examining the synergistic effects of impulsiveness and sensation seeking". Developmental Psychology. 57 (12): 2250–2264. doi:10.1037/dev0001267. ISSN   1939-0599.
  7. Krueger, Robert F; McGue, Matt; Iacono, William G (2001). "The higher-order structure of common DSM mental disorders: internalization, externalization, and their connections to personality". Personality and Individual Differences. 30 (7): 1245–1259. doi:10.1016/S0191-8869(00)00106-9.
  8. Ruiz, Mark A.; Pincus, Aaron L.; Schinka, John A. (2008). "Externalizing Pathology and the Five-Factor Model: A Meta-Analysis of Personality Traits Associated with Antisocial Personality Disorder, Substance Use Disorder, and Their Co-Occurrence". Journal of Personality Disorders. 22 (4): 365–388. doi:10.1521/pedi.2008.22.4.365. ISSN   0885-579X.
  9. Krueger, Robert F.; Hicks, Brian M.; Patrick, Christopher J.; Carlson, Scott R.; Iacono, William G.; McGue, Matt (2009), "Etiologic connections among substance dependence, antisocial behavior, and personality: Modeling the externalizing spectrum.", Addictive behaviors: New readings on etiology, prevention, and treatment., Washington: American Psychological Association, pp. 59–88, retrieved 2023-11-16
  10. Krueger, Robert F.; Markon, Kristian E.; Patrick, Christopher J.; Benning, Stephen D.; Kramer, Mark D. (2007). "Linking antisocial behavior, substance use, and personality: An integrative quantitative model of the adult externalizing spectrum". Journal of Abnormal Psychology. 116 (4): 645–666. doi:10.1037/0021-843X.116.4.645. ISSN   1939-1846.

Related Research Articles

Conduct disorder (CD) is a mental disorder diagnosed in childhood or adolescence that presents itself through a repetitive and persistent pattern of behavior that includes theft, lies, physical violence that may lead to destruction, and reckless breaking of rules, in which the basic rights of others or major age-appropriate norms are violated. These behaviors are often referred to as "antisocial behaviors", and is often seen as the precursor to antisocial personality disorder; however, the latter, by definition, cannot be diagnosed until the individual is 18 years old. Conduct disorder may result from parental rejection and neglect and can be treated with family therapy, as well as behavioral modifications and pharmacotherapy. Conduct disorder is estimated to affect 51.1 million people globally as of 2013.

<span class="mw-page-title-main">Histrionic personality disorder</span> Personality disorder involving excessive emotionality and attention-seeking

Histrionic personality disorder (HPD) is defined by the American Psychiatric Association as a personality disorder characterized by a pattern of excessive attention-seeking behaviors, usually beginning in early adulthood, including inappropriate seduction and an excessive desire for approval. People diagnosed with the disorder are said to be lively, dramatic, vivacious, enthusiastic, extroverted and flirtatious.

Antisocial personality disorder is a personality disorder characterized by a limited capacity for empathy and a long-term pattern of disregard or violation of the rights of others. Other notable symptoms include impulsivity and reckless behavior, a lack of remorse after hurting others, deceitfulness, irresponsibility, and aggressive behavior.

In psychology, trait theory is an approach to the study of human personality. Trait theorists are primarily interested in the measurement of traits, which can be defined as habitual patterns of behavior, thought, and emotion. According to this perspective, traits are aspects of personality that are relatively stable over time, differ across individuals, are relatively consistent over situations, and influence behaviour. Traits are in contrast to states, which are more transitory dispositions.

Adolescent cliques are cliques that develop amongst adolescents. In the social sciences, the word "clique" is used to describe a group of 3 to 12 "who interact with each other more regularly and intensely than others in the same setting". Cliques are distinguished from "crowds" in that their members socially interact with one another more than the typical crowd. Crowds, on the other hand, are defined by reputation. Although the word 'clique' or 'cliquey' is often used in day-to-day conversation to describe relational aggression or snarky, gossipy behaviors of groups of socially dominant teenage girls, that is not always accurate. Interacting with cliques is part of normative social development regardless of gender, ethnicity, or popularity. Although cliques are most commonly studied during adolescence and in educational settings, they can exist in all age groups and settings.

The Minnesota Center for Twin and Family Research is a series of behavioral genetic longitudinal studies of families with twin or adoptive offspring conducted by researchers at the University of Minnesota. It seeks to identify and characterize the genetic and environmental influences on the development of psychological traits.

Oppositional defiant disorder (ODD) is listed in the DSM-5 under Disruptive, impulse-control, and conduct disorders and defined as "a pattern of angry/irritable mood, argumentative/defiant behavior, or vindictiveness". This behavior is usually targeted toward peers, parents, teachers, and other authority figures. Unlike conduct disorder (CD), those with ODD do not show patterns of aggression towards people or animals, destruction of property, theft, or deceit. One half of children with ODD also fulfill the diagnostic criteria for ADHD.

Emotion dysregulation is a range of emotional responses that do not lie within a desirable scope of emotive response, considering the stimuli.

An addictive behavior is a behavior, or a stimulus related to a behavior, that is both rewarding and reinforcing, and is associated with the development of an addiction. There are two main forms of addiction: substance use disorders and behavioral addiction. The parallels and distinctions between behavioral addictions and other compulsive behavior disorders like bulimia nervosa and obsessive-compulsive disorder (OCD) are still being researched by behavioral scientists.

Psychopathy is a mental health condition characterized by persistent antisocial behavior, impaired empathy and remorse, and bold, disinhibited, and egotistical traits. Different conceptions of psychopathy have been used throughout history that are only partly overlapping and may sometimes be contradictory.

Emotional and behavioral disorders refer to a disability classification used in educational settings that allows educational institutions to provide special education and related services to students who have displayed poor social and/or academic progress.

Victimization refers to a person being made into a victim by someone else and can take on psychological as well as physical forms, both of which are damaging to victims. Forms of victimization include bullying or peer victimization, physical abuse, sexual abuse, verbal abuse, robbery, and assault. Some of these forms of victimization are commonly associated with certain populations, but they can happen to others as well. For example, bullying or peer victimization is most commonly studied in children and adolescents but also takes place between adults. Although anyone may be victimized, particular groups may be more susceptible to certain types of victimization and as a result to the symptoms and consequences that follow. Individuals respond to victimization in a wide variety of ways, so noticeable symptoms of victimization will vary from person to person. These symptoms may take on several different forms, be associated with specific forms of victimization, and be moderated by individual characteristics of the victim and/or experiences after victimization.

In personality pathology, dimensional models of personality disorders conceptualize personality disorders as qualitatively rather than quantitatively different from normal personality. They consist of extreme, maladaptive levels of certain personality characteristics. Within the context of personality psychology, a "dimension" refers to a continuum on which an individual can have various levels of a characteristic, in contrast to the dichotomous categorical approach in which an individual does or does not possess a characteristic. According to dimensional models personality disorders are classified according to which characteristics are expressed at which levels. This stands in contrast to the traditional categorical models of classification, which are based on the boolean presence or absence of symptoms and do not take into account levels of expression of a characteristic or the presence of any underlying dimension.

Externalizing disorders are mental disorders characterized by externalizing behaviors, maladaptive behaviors directed toward an individual's environment, which cause impairment or interference in life functioning. In contrast to individuals with internalizing disorders who internalize their maladaptive emotions and cognitions, such feelings and thoughts are externalized in behavior in individuals with externalizing disorders. Externalizing disorders are often specifically referred to as disruptive behavior disorders or conduct problems which occur in childhood. Externalizing disorders, however, are also manifested in adulthood. For example, alcohol- and substance-related disorders and antisocial personality disorder are adult externalizing disorders. Externalizing psychopathology is associated with antisocial behavior, which is different from and often confused for asociality.

Robert Frank Krueger is Hathaway Distinguished Professor of Clinical Psychology and Distinguished McKnight University Professor in the Department of Psychology at the University of Minnesota. Robert attended the University of Wisconsin-Madison and completed his clinical internship at Brown University. He is known for his research on personality psychology, clinical psychology, quantitative psychology, developmental psychology, personality disorders, behavioral genetics, and psychopathology. According to Krueger, the goal of his work is to "reduce the burden these problems place on society by working to understand why some people experience psychopathology, while others remain resilient." Krueger primarily studies the comorbidity between personality disorders and anxiety, as well as twins, heritability, personality development, conduct disorder, and antisocial personality disorder. He is the co-editor-in-chief of the Journal of Personality Disorders. He received the American Psychological Association's Award for Distinguished Scientific Early Career Contributions to Psychology in 2005. Krueger helped work on the section III diagnostic criteria of the Personality and Personality Disorders in the DSM-5. He is also one of the highest cited researchers according to the Web of Science.

Wendy Johnson is an American differential psychologist and professor of psychology at the University of Edinburgh. She holds the chair in Differential Development in the Department of Psychology and Centre for Cognitive Ageing and Cognitive Epidemiology at the University of Edinburgh.

Deborah M. Capaldi is a developmental psychologist known for her research on at-risk male youth and the intergenerational transmission of substance use, antisocial behavior, intimate partner violence, and child abuse. She is a senior scientist at the Oregon Social Learning Center. Her current projects focus on child exposure to family violence and parenting practices of at-risk parents.

Theodore P. Beauchaine is an American psychologist and William K. Warren Foundation Professor of Psychology at the University of Notre Dame. His research focuses on neural bases of behavioral impulsivity, emotion dysregulation, and self-injurious behavior, and how these neural vulnerabilities interact with environmental risk factors across development for both boys and girls. He is among the first psychologists to specify how impulsivity, expressed early in life as ADHD, follows different developmental trajectories across the lifespan for boys vs. girls who are exposed to adversity. In contexts of maltreatment, deviant peer affiliations, and other environment risk factors, boys with ADHD are more likely to develop conduct problems, substance use disorders, and antisocial traits, whereas girls with ADHD are more likely to engage in self-injurious behavior and develop borderline traits. In protective environments, these outcomes are far less likely. Beauchaine has received two awards from the American Psychological Association: the Distinguished Scientific Award for an Early Career Contribution to Psychology and the Mid-Career Award for Outstanding Contributions to Benefit Children, Youth, and Families.

<span class="mw-page-title-main">Hierarchical Taxonomy of Psychopathology</span>

The Hierarchical Taxonomy Of Psychopathology (HiTOP) consortium was formed in 2015 as a grassroots effort to articulate a classification of mental health problems based on recent scientific findings on how the components of mental disorders fit together. The consortium is developing the HiTOP model, a classification system, or taxonomy, of mental disorders, or psychopathology, aiming to prioritize scientific results over convention and clinical opinion. The motives for proposing this classification were to aid clinical practice and mental health research. The consortium was organized by Drs. Roman Kotov, Robert Krueger, and David Watson. At inception it included 40 psychologists and psychiatrists, who had a record of scientific contributions to classification of psychopathology The HiTOP model aims to address limitations of traditional classification systems for mental illness, such as the DSM-5 and ICD-10, by organizing psychopathology according to evidence from research on observable patterns of mental health problems.

The influence of childhood trauma on the development of psychopathy in adulthood remains an active research question. According to Hervey M. Cleckley, a psychopathic person is someone who is able to imitate a normal functioning person, while masking or concealing their lack of internal personality structure. This results in an internal disorder with recurrent deliberate and detrimental conduct. Despite presenting themselves as serious, bright, and charming, psychopathic people are unable to experience true emotions. Robert Hare's two factor model and Christopher Patrick's triarchic model have both been developed to better understand psychopathology; however, whether the root cause is primarily environmental or primarily genetic is still in question.

References