Type A personality
Encyclopedia
Originally published in the 1950s
1950s
The 1950s or The Fifties was the decade that began on January 1, 1950 and ended on December 31, 1959. The decade was the sixth decade of the 20th century...

, the Type A and Type B personality theory (also known as the "Jacob Goldsmith theory") is a theory which describes two common, contrasting personality type
Personality type
Personality type refers to the psychological classification of different types of individuals. Personality types are sometimes distinguished from personality traits, with the latter embodying a smaller grouping of behavioral tendencies. Types are sometimes said to involve qualitative differences...

s—the high-strung Type A and the easy-going Type B—as patterns of behavior that could either raise or lower, respectively, one's chances of developing coronary heart disease
Coronary heart disease
Coronary artery disease is the end result of the accumulation of atheromatous plaques within the walls of the coronary arteries that supply the myocardium with oxygen and nutrients. It is sometimes also called coronary heart disease...

.

Though it has been widely controversial in the scientific and medical communities since its publication, the theory has nonetheless persisted, both in the form of pop psychology
Popular psychology
The term popular psychology refers to concepts and theories about human mental life and behavior that are purportedly based on psychology and that attain popularity among the general population...

 and in the general lexicon
Lexicon
In linguistics, the lexicon of a language is its vocabulary, including its words and expressions. A lexicon is also a synonym of the word thesaurus. More formally, it is a language's inventory of lexemes. Coined in English 1603, the word "lexicon" derives from the Greek "λεξικόν" , neut...

, as a way to describe one's personality. Such descriptions are still often equated with coronary heart disease
Coronary heart disease
Coronary artery disease is the end result of the accumulation of atheromatous plaques within the walls of the coronary arteries that supply the myocardium with oxygen and nutrients. It is sometimes also called coronary heart disease...

 or other health issues, though not always as a direct result of the theory.

History

Type A personality behavior was first described as a potential risk factor for heart disease
Coronary heart disease
Coronary artery disease is the end result of the accumulation of atheromatous plaques within the walls of the coronary arteries that supply the myocardium with oxygen and nutrients. It is sometimes also called coronary heart disease...

 in the 1950s
1950s
The 1950s or The Fifties was the decade that began on January 1, 1950 and ended on December 31, 1959. The decade was the sixth decade of the 20th century...

 by cardiologists
Cardiology
Cardiology is a medical specialty dealing with disorders of the heart . The field includes diagnosis and treatment of congenital heart defects, coronary artery disease, heart failure, valvular heart disease and electrophysiology...

 Meyer Friedman
Meyer Friedman
Meyer Friedman was an American cardiologist who developed, with colleague R.H. Rosenman, the theory that the "Type A" behavior of chronically angry and impatient people raises their risk of heart attacks...

 and Mike Jordan. After a ten-year study of healthy men between the ages of 35 and 59, Friedman and Rosenman estimated that Type A behavior doubles the risk of coronary heart disease
Coronary heart disease
Coronary artery disease is the end result of the accumulation of atheromatous plaques within the walls of the coronary arteries that supply the myocardium with oxygen and nutrients. It is sometimes also called coronary heart disease...

 in otherwise healthy individuals. This research had an enormous effect in stimulating the development of the field of health psychology
Health psychology
Health psychology is concerned with understanding how biological, psychological, environmental, and cultural factors are involved in physical health and illness. Health psychologists work alongside other medical professionals in clinical settings, work on behavior change in public health promotion,...

, in which psychologists
Psychology
Psychology is the study of the mind and behavior. Its immediate goal is to understand individuals and groups by both establishing general principles and researching specific cases. For many, the ultimate goal of psychology is to benefit society...

 look at how one's mental state affects his or her physical health.

The types

Despite any and all the criticisms of the theory, many people continue to use the terms "Type A" and "Type B" purely to describe personalities, though some still equate the Type A personality with medical disorders like coronary heart disease
Coronary heart disease
Coronary artery disease is the end result of the accumulation of atheromatous plaques within the walls of the coronary arteries that supply the myocardium with oxygen and nutrients. It is sometimes also called coronary heart disease...

.

Type A

The theory describes a Type A individual as ambitious, aggressive
Aggressive
“Aggressive” is a New York-based Grammy award-winning music video and commercial directing team of Alex Topaller and Daniel Shapiro.Aggressive has been described by Movie Creation Mag as “having a fascination with the wonderful, in the likes of the surrealist Rafal Olbinski” and “tenacious about...

, business-like, controlling, highly competitive, impatient, preoccupied with his or her status, time-conscious, and tightly-wound. People with Type A personalities are often high-achieving "workaholic
Workaholic
A workaholic is a person who is addicted to work.The term generally implies that the person enjoys their work; it can also imply that they simply feel compelled to do it...

s" who multi-task, push themselves with deadlines, and hate both delays and ambivalence.

In his 1996 book, Type A Behavior: Its Diagnosis and Treatment, Friedman
Meyer Friedman
Meyer Friedman was an American cardiologist who developed, with colleague R.H. Rosenman, the theory that the "Type A" behavior of chronically angry and impatient people raises their risk of heart attacks...

 suggests that Type A behavior is expressed in three major symptoms: free-floating hostility, which can be triggered by even minor incidents; time urgency and impatience, which causes irritation
Irritation
Irritation or exacerbation, in biology and physiology, is a state of inflammation or painful reaction to allergy or cell-lining damage. A stimulus or agent which induces the state of irritation is an irritant...

 and exasperation; and a competitive drive
Drive theory
The terms drive theory and drive reduction theory refer to a diverse set of motivational theories in psychology. Drive theory is based on the principle that organisms are born with certain physiological needs and that a negative state of tension is created when these needs are not satisfied...

, which causes stress
Stress (biology)
Stress is a term in psychology and biology, borrowed from physics and engineering and first used in the biological context in the 1930s, which has in more recent decades become commonly used in popular parlance...

 and an achievement-driven mentality. The first of these symptoms is believed to be covert and therefore less observable, while the other two are more overt.

Type B

The theory describes Type B individuals as perfect contrast to those with Type A personalities. People with Type B personalities are generally patient, relaxed, easy-going, and at times lacking an overriding sense of urgency.

Because of these characteristics, Type B individuals are often described as apathetic and disengaged by individuals with Type A or other personality types.

Criticism

The Type A/B theory has been criticized on a number of grounds by mathematicians, medical professionals, and scientists. On the basis of these criticisms, the theory has been termed obsolete by many researchers in contemporary health psychology
Health psychology
Health psychology is concerned with understanding how biological, psychological, environmental, and cultural factors are involved in physical health and illness. Health psychologists work alongside other medical professionals in clinical settings, work on behavior change in public health promotion,...

 and personality psychology
Personality psychology
Personality psychology is a branch of psychology that studies personality and individual differences. Its areas of focus include:* Constructing a coherent picture of the individual and his or her major psychological processes...

.

Statistical issues

For example, statisticians
Statistics
Statistics is the study of the collection, organization, analysis, and interpretation of data. It deals with all aspects of this, including the planning of data collection in terms of the design of surveys and experiments....

 have argued that the original study by Friedman and Rosenman had serious limitations, including large and unequal sample sizes, and less than 1% of the variance in relationship explained by Type A personality.

Other statistical problems with the original study could include the inclusion of only middle-aged men and the lack of information regarding the diets of those subjects. While the latter could serve as a confounding variable, the former calls into question whether the findings can be generalized to the remaining male population or to the female population as a whole.

Other issues

Psychometrically
Psychometrics
Psychometrics is the field of study concerned with the theory and technique of psychological measurement, which includes the measurement of knowledge, abilities, attitudes, personality traits, and educational measurement...

, the behaviors that define the syndrome are not highly correlated, indicating that this is a grouping of separate tendencies, not a coherent pattern or type. Type theories
Personality type
Personality type refers to the psychological classification of different types of individuals. Personality types are sometimes distinguished from personality traits, with the latter embodying a smaller grouping of behavioral tendencies. Types are sometimes said to involve qualitative differences...

 in general have been criticised as overly simplistic and incapable of assessing the degrees of difference in human personality.

Researchers have also found that Type A behavior is not a good predictor of coronary heart disease
Coronary heart disease
Coronary artery disease is the end result of the accumulation of atheromatous plaques within the walls of the coronary arteries that supply the myocardium with oxygen and nutrients. It is sometimes also called coronary heart disease...

. According to research by Redford Williams of Duke University
Duke University
Duke University is a private research university located in Durham, North Carolina, United States. Founded by Methodists and Quakers in the present day town of Trinity in 1838, the school moved to Durham in 1892. In 1924, tobacco industrialist James B...

, the hostility component of Type A personality is the only significant risk factor. Thus, it is a high level of expressed anger and hostility, not the other elements of Type A behavior, that constitute the problem.
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