Relationship of dependency and achievement/autonomy to depression,☆☆

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Abstract

We review research pertaining to two personality characteristics that have been depicted as vulnerabilities to depression. One pathway is marked by excessive dependency involving intense needs for acceptance and love from others in order to maintain fragile self-esteem and to prevent depressed feelings. The second pathway is marked by excessive demands for accomplishment and control accompanied by very stringent self-standards and relentless self-criticism when these standards are not met. Our review is organized around four topics: (a) measurement of dependency and achievement/autonomy needs; (b) meta-analytic estimation of the effect sizes for these two characteristics on standardized measures of depressive symptoms; (c) investigation of moderators of the personality-depressive experiences relationship paying special attention to the interaction of personality with negative life events; and (d) discussion of clinical implications of current findings and future research directions for potential depressogenic personality dispositions. Although relationships between depression and dependency or depression and achievement/autonomy are moderated by several factors, both relationships are of sufficient magnitude to merit continued attention by clinicians and researchers.

References (44)

  • S.R. Swallow et al.

    Social comparisons and negative self-evaluations: An application to depression

    Clinical Psychology Review

    (1988)
  • D.C. Zuroff et al.

    Construct validation of the Dependency and Self-Criticism scales of the Depressive Experiences Questionnaire

    Journal of Research in Personality

    (1983)
  • M.D.S. Ainsworth

    Attachment: Retrospect and prospect

  • L.B. Alloy et al.

    Judgment of contingency in depressed and nondepressed students: Sadder but wiser?

    Journal of Experimental Psychology

    (1979)
  • S. Arieti et al.

    The psychological organization of depression

    American Journal of Psychiatry

    (1980)
  • P.A. Barnett et al.

    Psychosocial functioning and depression: Distinguishing among antecedents, concomitants, and consequences

    Psychological Bulletin

    (1988)
  • R.F. Baumeister et al.

    Self-defeating behavior patterns among normal individuals: Review and analysis of common self-destructive tendencies

    Psychological Bulletin

    (1988)
  • A.T. Beck

    Cognitive therapy of depression: New perspectives

  • A.T. Beck et al.

    Development of the Sociotropy-Autonomy Scale: A measure of personality factors in psychopathology

    (1983)
  • S.J. Blatt

    Levels of object representation in anaclitic and introjective depression

    Psychoanalytic Study of the Child

    (1974)
  • S.J. Blatt et al.

    Experiences of depression in normal adults

    Journal of Abnormal Psychology

    (1976)
  • S.J. Blatt et al.

    Depressive Experiences Questionnaire

    (1976)
  • S.J. Blatt et al.

    Dependency and self-criticism: Psychological dimensions of depression

    Journal of Consulting and Clinical Psychology

    (1982)
  • S.J. Blatt et al.

    The psychodynamics of opiate addiction

    The Journal of Nervous and Mental Disease

    (1984)
  • S.J. Blatt et al.

    Parental representations and depression in normal young adults

    Journal of Abnormal Psychology

    (1979)
  • J. Bowlby

    Attachment and loss: Vol. 3. Loss, sadness, and depression

    (1980)
  • P.T. Costa et al.

    The NEO Personality Inventory Manual

    (1985)
  • J.C. Coyne

    Toward an interactional description of depression

    Psychiatry

    (1976)
  • J.C. Coyne et al.

    Depression and coping in stressful episodes

    Journal of Abnormal Psychology

    (1981)
  • V.E. Frankl

    The doctor and the soul: From psychotherapy to logotherapy

    (1986)
  • S. Freud

    Mourning and melancholia

  • M.R. Goldfried

    Toward the delineation of psychotherapeutic change principles

    American Psychologist

    (1980)
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    We appreciate the comments of Charles Carlson and David Berry on earlier versions of this manuscript.

    ☆☆

    Requests for further information about the meta-analysis reported or for copies of the manuscript should be sent to either author at Department of Psychology, University of Kentucky, Lexington, KY 40506.

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