6D11.0

Negative affectivity in personality disorder or personality difficulty

Afetividade negativa em transtorno de personalidade ou dificuldade de personalidade

Category

Definition

The core feature of the Negative Affectivity trait domain is the tendency to experience a broad range of negative emotions. Common manifestations of Negative Affectivity, not all of which may be present in a given individual at a given time, include: experiencing a broad range of negative emotions with a frequency and intensity out of proportion to the situation; emotional lability and poor emotion regulation; negativistic attitudes; low self-esteem and self-confidence; and mistrustfulness.

Coding Note

This category should ONLY be used in combination with a Personality disorder category (Mild, Moderate, or Severe) or Personality difficulty.

Diagnostic Criteria

The core feature of the Negative Affectivity trait domain (sometimes referred to as Neuroticism) is the tendency to experience a broad range of negative emotions. Common manifestations of Negative Affectivity, not all of which may be present in a given individual at a given time, include the following:

  • Experiencing a broad range of negative emotions with a frequency and intensity out of proportion to the situation. Common negative emotions include but are not limited to anxiety, worry, depression, vulnerability, fear, anger, hostility, guilt, and shame. The particular negative emotions that are most characteristic of any particular person vary across individuals and are largely dependent on the presence or degree of other trait domains. For example, individuals high on Dissociality are more likely to experience ‘externalizing’ negative emotions (e.g., anger, hostility, contempt), whereas those high on Detachment are more likely to experience ‘internalizing’ negative emotions (e.g., anxiety, depression, pessimism, guilt).
  • Emotional lability and poor emotion regulation. Individuals high on Negative Affectivity are overreactive to both their own negative cognitions and to external events. They can become overwrought through their own thought processes, such as by ruminating over their shortcomings or past mistakes, over real or perceived threats, slights, or insults; or over potential future problems. They are overreactive to external threats or criticism, problems, and setbacks. They have low frustration tolerance and easily become visibly upset over even minor issues. They often experience and display multiple emotions simultaneously or vacillate among a range of emotions in a short period of time. Once upset, they have difficulty regaining their composure and must rely on others or on leaving the situation to calm down.
  • Negativistic attitudes. Individuals high on Negative Affectivity typically reject others’ suggestions or advice, arguing that enacting others’ ideas would be too complicated or difficult; or that the suggested actions would not lead to the desired outcomes or have a high likelihood of negative consequences. The manner of rejection is largely dependent on the individual’s other traits. For example, those high on Detachment are most likely to blame themselves for the likely difficulties or poor outcomes, whereas those high on Dissociality are most likely to blame others for offering such bad ideas.
  • Low self-esteem and self-confidence. Individuals high on Negative Affectivity may exhibit low self-esteem and self-confidence in several different ways. These include: avoidance of situations and activities that either are judged to be too difficult (e.g., intellectually, physically, socially, interpersonally, emotionally, etc.), even despite evidence to the contrary; dependency, which may be manifested in frequent reliance on others for advice, direction, and other kinds of help; envy of others’ abilities and indicators of success; and, in more severe cases of low self-esteem, believing themselves to be useless, to have lived a worthless life, to be incapable of accomplishing anything of value, which may be associated with suicidal ideation or behaviours.
  • Mistrustfulness. Interpersonally, this is typically manifested as suspicion that others have ill intent, and that neutral or even benign remarks and positive behaviours are hidden threats, slights, or insults. Individuals high on Negative Affectivity tend to hold grudges and be unforgiving even over long time periods. In non-interpersonal situations, this mistrustfulness typically takes the form of bitterness and cynicism (e.g., the belief that the ‘system is rigged’).

Index Terms

Negative affectivity in personality disorder or personality difficulty