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How Personality Types Correlate with Specific Disease Risks

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Abstract
"Personality has been defined as an individual's characteristic patterns of thought, emotion, and behavior, together with the psychological mechanisms--hidden or not--behind those patterns.” (Funder, D. C. (2001). The personality puzzle. (2nd Ed.) New York: Norton).

Relationship between Personality Types and Health
Almost every day we describe and assess the personalities of the people around us. In my daily job, as a massage therapist, I meet people on a more personal level and tend to focus more on individuals. Instead, psychologists use the conceptions of personality that can apply to everyone. Personality research has led to the development of a number of theories that help explain how and why certain personality traits develop. There are many different theories of personality; the first step is to understand exactly what is meant by the term personality. A brief definition would be that personality is made up of the characteristic patterns of thoughts, feelings and behaviors that make a person unique. In addition to this, personality arises from within the individual and remains fairly consistent throughout life. Some of the fundamental characteristics of personality include:
* Consistency- Essentially, people act in the same ways or similar ways in a variety of situations.
* Psychological and physiological - Personality is a psychological construct, but research suggests that it is also influenced by biological processes and needs.
* Impact behaviors and actions - Personality does not just influence how we move and respond in our environment; it also causes us to act in certain ways.
* Multiple expressions - Personality is displayed in more than just behavior. It can also be seen in our thoughts, feelings, close relationships and other social interactions.
There are a number of different theories about how personality develops. Some of these major perspectives on personality include:
• Type theories are the early perspectives on personality. These theories suggested that there are a limited number of "personality types" which are related to biological influences.
• Trait theories viewed personality as the result of internal characteristics that are genetically based. Psychodynamic theories of personality are heavily influenced by the work of Sigmund Freud, and emphasize the influence of the unconscious on personality.
• Psychodynamic theories include Sigmund Freud’s psychosexual stage theory and Erik Erikson’s stages of psychosocial development.
• Behavioral theories suggest that personality type characteristics is a result of interaction between the individual and the environment and take internal thoughts and feelings into account. Behavioral theorists include B. F. Skinner and John B. Watson.
• Humanist theories emphasize the importance of free will and individual experience in the development of personality.
Psychology of type A personality relates distinct set of character traits, commonly observed in aggressive, hard-driven, 'workaholics'; a temperament characterized by excessive drive, competitiveness, a sense of time urgency, impatience, unrealistic ambition, and need for control. Type A personality juggles with events, believes in doing two or more things at the same time, ambitious, anxious and impatient. She/he wants things in life to move fast. Besides being anxious, type A personalities can be angry, tense, pressurized and competitive. They speak rapidly and become restless quickly.
Type B personality is characterized by the following: they like games where everyone wins; they are fairly content in their life; they take their time when eating and enjoy dining out; they love jokes and enjoy laughter; they are not overly upset when they miss a deadline. Basically there are two major personality types; type A and type B. Type A people are twice as likely to develop heart diseases as compared to type B personality. The research of Panch Ramalingam (2010) states that “Personality of an individual plays a major role in hypertensive patients. The type-A behavior (TAB) has been shown to be related to coronary heart disease; the relationship between TAB and personality types was rarely studied” (p. 155). “Hypertension is one of the most important causes of stroke, coronary artery disease, peripheral artery disease, renal failure and congestive heart failure (Levy, Larson, Vasan, et al., 1996). Type A behavior “ refers to the behaviors of an individual who reacts to the environment with characteristic gestures, facial expressions, fast pace of activities, and the perception of daily events and stresses as challenges, all leading to an aggressive, time-urgent, impatient, and more hostile style of living.” (Ray Rosenman, “Do You Have Type ‘A’ Behavior?” Health and Fitness, 1987, p. 3). Many cardiologists defined the type A personality as “an action-emotion complex that can be observed in any person who is aggressively involved in a chronic, incessant struggle to achieve more and more in less and less time, and if required to do so, against the opposing efforts of other things or other persons.” (Ethel Roskies, “Stress Management for the Healthy Type A”, New York: Guilford Press, 1987) It would be convenient if we could divide people into type A and type B personalities, but that is not an easy task. There are many types A individuals with normal blood pressure, just there are seemingly relaxed people with high blood pressure. Most people are not pure A or pure B but rather a combination of both.
Type B personality is a child ego state characterized by a form of behavior associated by Friedman and Rosenman with people who appear free of hostility and aggression and who lack a compulsion to meet deadlines. They are not highly competitive at work and play, and have a lower risk of heart attack. Personalities B are typically people who tend to be relaxed, easy-going, and less time-bound or competitive than a type A personality. Type-B category reveals a greater capacity to cope with potentially stressful situations, consequently reducing their risk of becoming ill. “The difference between the two types does not depend on the fact they present two different and well-defined personality structures but rather on the way in which they organize their responses to stressful situations” (Friedman and Rosenman, 1959).
We can see all the differences in the following table:

Type A Behavior Type B Behavior - A high degree of competitiveness pervading every aspect of life. The tendency to seek and accept challenges and a desire to work hard to overcome difficulties or obstacles. - A form of competitiveness which is selective and proportionate to the real importance of planned objectives.
- Aggressiveness (often repressed) constantly present in all personal and social interaction. - Muscular relaxation, tranquil speech and “phasic” vigilance (normal rapid mobilization of resources to process an unexpected stimulus). No difficulty in relaxing.
- Impatience and intolerance towards the different rhythms and faults of others. - A capacity to adapt to and tolerate the differences of others and their different rhythms.
- Muscular tension, explosive speech, hyper-vigilance, difficulty in relaxing. - ‘Physical’ aggressiveness induced by stimuli that are adequately frustrating. Limited basic aggressiveness.
- Tendency to want to perform and obtain an unlimited number of things in a limited period of time. - Tendency to plan things that have to be achieved and obtained in accordance with available time.
- A strong need to always have situations totally under control. - Very little need to be constantly in control in all situations.
- A drive to acquire things, objects and assets and to be a consumer. - Relatively indifferent towards ‘consuming’ and acquiring useless things.
- Smoking, alcohol and repetitive oral activities often present. - Very limited use of tobacco and alcohol.
- Very limited physical activity. - Physical activity.
- Few interests apart from work. - Interests in activities other than work.
- Irregular and excessive eating habits. - Controlled eating habits

Type C Personality is characterized by a temperament seen in those who appear quiet and introspective but are actually frustrated and swallow anger, and who may have an increased risk of cancer; type C’s are the polar opposite of type A’s; they are none motional, non-assertive, and appease others to the point of self-effacement and self-sacrifice. There is research to suggest that there is a certain relationship between cancer and personality type, although not as strong as it is between personality type and heart disease. Psychologists have now identified a type C (cancer-prone) personality which may be characterized as someone who responds to stress with depression and a sense of hopelessness. Type C personalities have a tendency to be introverted, respectful, eager to please, conforming and compliant.
Type D Personality is an anxiety-prone personality type that allegedly has a weak immune system. People with type D personalities seem to have more highly activated immune systems and more inflammation, which could mean more damage to blood vessels in the heart and throughout the body. They also tend to have exaggerated blood pressure and other reactions to stress. Another possibility is that type D is a catchall for depression, anxiety, and poor social connections, each of which has been linked with heart disease. Conclusion
However, the data is far from conclusive, and there are many problems with overemphasizing personality type without considering various other factors and their effect on the disease process. Taken to an extreme, some individuals may even feel guilty in considering that their personality type may be responsible for their disease, which may only add to their problems. If personality type does have some effect on the disease process, it is probably related more to the weakening effect on the immune system functioning through an individual's response to stress. This can then undermine the body's defenses and make an individual more vulnerable to infection. However, much more research needs to be done to understand the effect of personality types on physical health.

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