Louisville Medicine Volume 67, Issue 1 | Page 38

DOCTORS' LOUNGE SPEAK YOUR MIND If you would like to respond to an article in this issue, please submit an article or letter to the editor. Contributions may be sent to [email protected] or may be submitted online at www.glms.org. The GLMS Editorial Board reserves the right to choose what will be published. Please note that the views expressed in Doctors’ Lounge or any other article in this publication are not those of the Greater Louisville Medical Society or Louisville Medicine. WHAT, ME WORRY? AUTHOR Mary Barry, MD R eading about the different types of personalities always makes me squirm a little bit inside. I believe I first subscribed to Psychology Today back in the late ‘60s, falling prey to those tear-out ads that promised years and years of subscriptions for only 99 cents. (I defy you to tell me that you, too, did not also get 12 records for $0.99 and then pay enormous sums for shipping for the five other required albums.) Being put under the psychological microscope, even theoretically, is interesting, but unnerving. We might tend to paint ourselves too optimistically, claiming a better character than we have, or too pessimistically, enjoying the novelty of darker and darker shades. We might underestimate our ignorance and overestimate our acumen. We might shy away from questions that are too probing, as in “none of their damn business.” I think the first time I actually had to take such a test in earnest was in a sociology class at Spalding College, a class I hated. Doctors take a lot of tests. I remember that on our psychiatric rotation as junior students we took a sort of MMPI, then studied it. I was interested to read about not only the Five-Factor Model (FFM) of organizing personalities, but also the newly described Four Personality Types (Martin Gerlach et al in Nature Human Behavior vol. 2, 735-742, 2018). His article, “A Robust Data-Driven Approach Identifies Four Personality Types Across Four Large Data Sets,” is an exercise in reading statistics. A typical sentence: “Although these results suggest that the solution of the GMM with Nc=13 severely overfits the data, a detailed analysis on cluster solutions with different assumed Nc shows a nontrivial dependence of the cluster positions on the number of surmised clusters Nci; that is, fitting with only Nc=4 clusters yields a solution that fails to identify most of the meaningful clusters.” 36 LOUISVILLE MEDICINE I will not attempt to translate that sentence. After a lot of other sentences of that ilk, it becomes clear that the authors took huge databases of people who answered personality questionnaires – 100,000 to 500,000 respondents - and their analysis showed that we fall into four main groups of personality types. But first, the Five Factor Model, named by the psychologists Robert McCrae and Paul Costa, authors of the 1978 book Revised Neo Personality Inventory, characterized these traits/ domains as neuroticism, extraversion, openness, agreeableness and conscientiousness as the basic descriptors of personality. Dr. Gerlach is a physicist by trade, educated in Dresden, Germany, whose professional interest is “to understand the dynamics of different complex systems by applying mathematical models to statistical analysis of experimental data on human behavior and interaction.” He works with other researchers in the lab of Dr. Luis Amaral at Northwestern. He notes in his article that these five domains “have been reliably identified by empirical data across different languages and cultures” and have successfully “predicted patterns of behavior in well-being, mental health, job performance and marital relations.” He notes that the previous classification of personality types as “resilient” or “over controlled” or “under controlled” is based on Freudian Theory and has repeatedly failed statistical tests of validity. Results are not replicable because of the small sample sizes in the studies, he says, ranging up to only a thousand people. Therefore, he used four different datasets (each up to 500,000 people) of web-based questionnaires collected at different times from different countries, with different ages and genders. These questionnaires also use different scales to measure the FFM previously mentioned. He designed a way to make a reliable statistical cluster based on the questionnaires, which were themselves developed on the platform of the multiply-revised Neo-Personality Inventory. His method of analysis identifies and scores the FFM traits as present in four definite clusters of personality types: average,