title: An application of the interpersonal models developed by Karen Horney and Timothy Leary to type A-B behavior patterns.
abstract: Using Horney's clinical concepts and Leary's circle matrix procedures, this study investigated the Type A and B patterns of personality. Significant findings showed the Type A-B continuum to represent two distinct poles, with the Type A direction reflecting the expansive personality pattern (power and aggressiveness) and the Type B direction reflecting the self-effacing pattern (helplessness and affiliation) for self-perceived roles. For behavioral roles, the power-versus-helplessness traits described the two contrasting directions of personality involvement. Three subgroups were identified for behavioral role in each A and B extreme group. The shift in affect between the ACL and MMPI instruments may reflect two factors: the degree of ambiguity set up by the nature of the tests and the responding "pull" of the individual, which was described as an "active" or "quiescent" form of the A and B patterns. Hence, it may be more effective to diagnose individuals in terms of a specific behavioral subtype and active or quiescent enactments. Three maladjustment indicators were investigated. Significant findings showed the A2 group as exhibiting increasing rigidity of behavioral role with lower Type A scores and the A1 group as exhibiting greater discrepancies with increasing Type A scores. The lack of discrepancy for the Type B groups may reflect a dysfunction in that these individuals may be stagnated in their work situations and complacent in the docile-dependent role. The three findings of behavioral subgroups, rigidity of role, and discrepancy were discussed as possible mediating psychosocial factors associated with coronary heart disease. Since this was the first major examination and use of Leary's model (to the author's knowledge) since the late 1950s, it is important to consider these results tentative and heuristic, until replications can be conducted. It is hoped that representative norms from diverse samples can be obtained for developing standard scores on Leary's circle matrix axes. The present study was limited by the narrow demographic characteristics of its subjects, who were mostly white-collar workers in professional, technical, or management positions.
mesh_terms: D000328:Adult; D003327:Coronary Disease / Q000523:psychology*; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D010556:Personality Tests; D011574:Psychoanalytic Theory; D012306:Risk; D012649:Self Concept; D014434:Type A Personality