Personality traits are continuous with mental illnesses

Geoffrey Miller: Personality traits are continuous with mental illnesses

Our instinctive way of thinking about insanity — our intuitive psychiatry — is dead wrong... There's a scientific consensus that personality traits can be well-described by five main dimensions of variation. These "Big Five" personality traits are called openness, conscientiousness, extraversion, agreeableness, and emotional stability. The Big Five are all normally distributed in a bell curve, statistically independent of each other, genetically heritable, stable across the life-course, unconsciously judged when choosing mates or friends, and found in other species such as chimpanzees. They predict a wide range of behavior in school, work, marriage, parenting, crime, economics, and politics.

Mental disorders are often associated with maladaptive extremes of the Big Five traits. Over-conscientiousness predicts obsessive-compulsive disorder, whereas low conscientiousness predicts drug addiction and other "impulse control disorders". Low emotional stability predicts depression, anxiety, bipolar, borderline, and histrionic disorders. Low extraversion predicts avoidant and schizoid personality disorders. Low agreeableness predicts psychopathy and paranoid personality disorder. High openness is on a continuum with schizotypy and schizophrenia. Twin studies show that these links between personality traits and mental illnesses exist not just at the behavioral level, but at the genetic level. And parents who are somewhat extreme on a personality trait are much more likely to have a child with the associated mental illness.