Body Weight and Personality
By:
THEODORE MILLON and
Seth Grossman
Carrie Millon
Sarah Meagher
Rowena Ramnath
A long tradition of clinical speculation compares body characteristics with psychopathology.
Kretschmer
(1925), for example, categorized individuals according to body build. The
asthenic, one of four body types he proposed, was characterized by fragility,
poor muscularity, and a frail bone structure. The greater an individual’s
resemblance to the asthenic prototype, according to Kretschmer, the greater the
chance of developing schizophrenia.
Because
body types are rather global variables, contemporary researchers have begun to
focus on more specific measures. Low birthweight, for example, has been
associated with the development of mental disorders later in life (Kopp &
Kaler, 1989).
Following
up on this theme, Hebebrand et al. (1997) examined the relationship between the
body mass index (an empirically derived statistic that correlates highly with
body weight) and the schizoid personality and Asperger’s disorder, a syndrome
similar to autism, in a sample of male adolescents diagnosed with one of the
two disorders. The body mass index of all patients was significantly below
normal.
What
mediates the relationship between body weight and the schizoid personality is
unclear. Clinical records indicate abnormal eating behavior by some patients,
including fussiness about food, preference for unusual foods, habits of eating
alone or only when at home, and hypochondriacal fears related to food. One
patient commented that he had always been a “poor eater” (Hebebrand et al.,
1997). Many schizoids seem to withdraw not only from the social world but also
from themselves; they may be relatively insensitive to feelings of hunger.
However, schizoids also derive little pleasure from anything. Accordingly, they
may simply be anhedonic for eating; they don’t enjoy it, so they don’t eat much.
Another
area of research in psychopathology links exposure to traumatic environmental events
to the development of later characteristics. Hoek et al. (1996) studied the
relationship between schizoid personality and prenatal exposure to famine,
created by the Nazi blockade of western Holland during the winter of 1944 to
1945. Their findings show that the children of pregnant women affected during
the first trimester of gestation were at significantly greater risk of
developing a schizoid personality. These results were similar to those obtained
in a previous study (Susser et al., 1996) that looked at the relationship
between prenatal exposure to famine and schizophrenia. Perhaps both disorders,
then, can be seen as existing on a continuum of prenatal damage, though this is
only speculation.
References
Personality Disorders in Modern Life,
second edition, 2000, 2004 by John Wiley & Sons, Inc.
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