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'''Personality''' is a characteristic manner of thinking, feeling, behaving, and relating to self and others. | '''Personality''' is a characteristic manner of thinking, feeling, behaving, and relating to self and others. | ||
− | ==Personality disoder (PD) vs. oddball/ | + | ==Personality disoder (PD) vs. oddball/crank== |
Everyone has personality quirks and peculiarities, but when personality traits are '''inflexible and maladaptive '''and cause significant functional impairment or cause subjective distress that they constitute a personality disorder. | Everyone has personality quirks and peculiarities, but when personality traits are '''inflexible and maladaptive '''and cause significant functional impairment or cause subjective distress that they constitute a personality disorder. |
Latest revision as of 20:42, 8 December 2014
Personality is a characteristic manner of thinking, feeling, behaving, and relating to self and others.
Personality disoder (PD) vs. oddball/crank
Everyone has personality quirks and peculiarities, but when personality traits are inflexible and maladaptive and cause significant functional impairment or cause subjective distress that they constitute a personality disorder.
Main distinction from diagnosis listed on Axis I: personality disorders must be present by late adolescence or early adulthood. 3 clusters are recognized:
Cluster A: "odd-eccentric" PDs including paranoid, schizoid, and schizotypal PDs
Cluster B: "dramatic-emotional-erratic" PDs including the antisocial,borderline, histrionic, and narcissistic PDs.
Cluster C: "fearful-anxious" type includes avoidant, dependent, nd obcessive-compulsive PDs.
Clinical Pearls
PDs are a combination of prevalent traits and changeable or reactive behaviors; when making a diagnosis, keep in mind, that some of the criteria of a PD may be situational or transient, while other criteria are pervasive and unchanging. AmJPsych 162(5) 2005
Personality disorder |
Prevalent, unchanging traits |
Intermittent behavioral and reactive criteria |
Schizotypal PD |
Paranoid ideations, unusual experiences, odd beliefs |
Odd behavior, constricted affect |
Borderline PD |
Affective instability, anger, impulsivity |
Self-injury, ‘defending against abandonment’ behaviors |
Avoidant PD |
Feeling inadequate, socially inept |
Avoiding interpersonal jobs, potentially embarrassing situations |
Obsessive-compulsive PD |
Rigidity, problem delegating |
Miserly behaviors, strict moral behaviors |