“…Although people with high self-directedness are described as mature, strong, self-sufficient, responsible, reliable, goal oriented, constructive, well-integrated, and effective, those with low self-directedness are considered to generally be immature, weak, fragile, blaming, destructive, ineffective, irresponsible, unreliable, and as lacking an internal organizational principle, rendering them unable to define, set, and pursue meaningful goals (Cloninger et al, 1993). Previous study findings indicate that low self-directedness has been associated with the prevalence of PDs (Cloninger et al, 1993;Gutierrez et al, 2002;Gutierrez et al, 2008), which, as described in the introduction, have been linked to impaired decision making (eg, Bazanis et al, 2002). However, Gutierrez et al (2002) found that 77% of patients with self-directedness scores less than 43 were diagnosed with a PD, in particular, BPD.…”