“…Conversely, psychiatric patients with a wide variety of diagnoses, such as major depressive disorder (Benjamin, 1986(Benjamin, , 1994, bulimia nervosa (Wonderlich, Klein, & Council, 1996), dissociative disorders (Alpher, 1996), borderline personality disorder (Benjamin & Wonderlich, 1994), and alcoholism (Ichiyama, Zucker, Fitzgerald, & Bingham, 1996), often report low affiliation and so may be described as self-neglecting, blaming, or even attacking (e.g., suicidal). Self-directed autonomy may less clearly separate normal from abnormal functioning but instead partly differentiate diagnostic groups.…”