Passive-Aggressive Personality Disorder: Where did it go?

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Passive-Aggressive Personality Disorder: Where did it go?

For many years, professional psychologists and lay people have used the term “passive-aggressive” to describe people, such as bosses, co-workers, and perhaps friends who demonstrate behaviors of tacit aggression. The concept has repeatedly showed up in the academic literature and in pop psychology magazines for decades. That said, however, how does someone identify truly passive-aggressive behavior? What characteristics are exhibited when an individual becomes passive-aggressive? And, finally, what actually is passive-aggressive behavior?

The roots of passive-aggressive behavior as a psychological concepts goes back to WWII. According to researchers Christopher J. Hopwood and Aidan G. C. Wright, the term, “ . . . was first used clinically during WWII to describe soldiers who refused to comply with offers’ demands.” In a paper titled, “A Comparison of Passive-Aggressive and Negativistic Personality Disorders,” published in 2012 in the Journal of Personality Assessment, Hopwood and Wright explore the extent to which passive-aggressive behavior overlaps with other clinical pathologies.

After the war, passive-aggressive behavior was included in the first edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM) in 1952. “The passive-aggressive type was pouty, stubborn, inefficient, and prone to procrastination and obstruction,” the authors note. They continue: “The aggressive type was irritable, destructive, and resentful, with an underlying dependency though to differentiate these behaviors from antisocial personality.”

As the decades passed, some individuals within the psychological community debated whether the concept of passive-aggressive behavior ought to remain included in the DSM. But by the mid-1990s, “. . . [t]he diagnostic criteria were expanded further, [and] the disorder was renamed “negativistic,” as in “negativistic personality disorder” (NEGPD). It’s features included:

• Passive resistance to routine social or occupational tasks

• Complaints of being misunderstood

• Sullen argumentativeness

• Criticism and scorn of authority

• Envy and resentment of the relatively fortunate

• Alternation between hostility and contrition

These symptoms help identify NEGPD traits. However, as noted by the authors, “[d]espite the historical relevance of passive-aggressive to a number of influential clinical theories, empirical research on the construct is limited, and the diagnosis has been abandoned by the DSM” (my emphasis).

Additionally, in their 2012 paper mentioned above, Hopwood and Write attempt to lay an empirical basis for the inclusion of passive-aggressive to remain included in the DSM as a clinical pathology. In an attempt to support their position, the authors designed a study that included 1,453 participants and used a variety of measures to assess and identify correlations between passive-aggressive behavior and NEGPD. The authors described the results reported in their 2012 paper as “ . . . a modest correlation” between the abovementioned disorders. The researchers suggest further empirical investigation into passive-aggressive behavior as a clinical category with the aim of inclusion in a later edition of the DSM.

Although, at present, passive-aggressive and NEGPD are no longer exist as clinical categories in the DSM, perhaps these disorders still warrant a second look. What is certain, however, is that the concept of “passive-aggressive” behavior has had both an important clinical and popular role to play. Finally, perhaps other researchers will heed Haywood and Wright’s call and begin to revisit this historically interesting psychological concept.

References:

Haywood, C. J., and Wright, A. G. C. (2012). A comparison of passive-aggressive and negativistic personality disorders. Journal of Personality Assessment, 94(3), 296 – 303.

Kenny Luck
Kenny Luck
Kenny Luck is an author and educator from Wilkes-Barre, Pennsylvania. A graduate of Marywood University in Scranton, PA, Luck holds a Bachelor's Degree in Political Science and graduated with a Master's Degree in Education from the same institution in 2010. He has written for local publications such as The Weekender. His published work includes: Thumbing Through Thoreau (2010), NEPATIZED (2011), and 101 Facts of Love (2014). Luck has worked in public relations and media, and has taught college-level writing courses at several colleges and universities around Northeastern Pennsylvania. In 2010, he was voted "Best Author" by Electric City readers.

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