DISORDERS OF
PERSONALITY
DR.HarshithMahadev
PERSONALITY
• Totality
of
the
person’s
emotion
and
behavioural traits that characterize their dayto-day living.
• Enduring and habitual patterns of behaviour,
cognition, emotion, motivation and ways of
relating to others.
PERSONALITY DISORDER:
• Enduring pattern of experience and behaviour
that is maladaptive, inflexible and pervasive which
is affecting broad range of individual's personal
and social situations and deviating markedly from
the expectations of an individual's culture.
• Clinically significant distress or impairment in
social, occupational or other important areas of
functioning.
TRAITS IN PERSONALITY DISORDERS
Cluster-A: Odd or eccentric
Cluster B: Emotional or erratic.
Cluster C: anxious or fearful.
CLUSTER-A
Paranoid.
Schizoid.
Schizotypal.
Cluster A – odd or eccentric cluster
• Severe mistrust or lack of interest in others.
• Paranoid thinking.
• Rarely seek psychiatric treatment.
PARANOID PERSONALITY DISORDER
Men>women.
Touchy and
umbrage.
Belief of
malevolent
intentions.
Insight is lacking
Jealous and
mistrust.
Questioning the
loyalty and
trustworthiness.
Diogenes
syndrome.
SCHIZOID PERSONALITY DISORDER
Men>women.
Social withdrawal.
Aloof, detachment
and emotional
coldness.
Enthusiasm in
philosophy or art.
Detachment
Isolated with
profession
avoiding
interactions..
SCHIZOTYPAL PERSONALITY
DISORDER
Equal among men
and women.
Isolated
Capacity to form
relationships .
Inappropriate
affect.
Cognitive or
perceptual
distortions..
Ideas of reference,
magical thinking
and
suspiciousness..
Cluster B:
Anti social.
Emotionally
unstable.
Histrionic.
Narcissistic.
Cluster B- Dramatic, emotional &erratic.
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•
•
•
•
Emotional reactivity.
Poor impulse control.
Unclear sense of identity.
High levels of aggression.
At times self-destructive behaviour.
HISTRIONIC PERSONALITY DISORDER
Women>men.
Seductive & over
dramatic
behaviour.
Lability of mood &
demand for praise
and approval..
Briquet’s
syndrome
Centre of attention
& superficial
expression of
emotion..
EMOTIONALLY UNSTABLE PERSONALITY DISORDER:
IMPULSIVE PERSONALITY DISORDER
Outbursts
disproportionate to
any stressor.
May have lowering
of mood and
remorse after
outburst.
Inability to plan
ahead.
Poor impulse
control..
BORDERLINE PERSONALITY DISORDER
Repeated selfharm
Initial dependence
later aggression.
cause disharmony
among individuals.
Mood swings
Projective
identification.
Fear of
abandonment..
History of sexual or
physical abuse is
common..
Instability of
behaviour, affect,
mood and selfimage..
ANTI-SOCIAL PERSONALITY DISORDER
Lack of empathy.
Substance misuse,
gambling,
promiscuity.
Short lasting
relationships.
Pleasure from
hurting others .
Projection.
Thrill seeking..
NARCISSISTIC PERSONALITY DISORDER
Grandiose
sense of self
Feelings of
envy.
Arrogant
Exploitative
interpersonal
relationships.
Criticism are
poorly
tolerated..
Cluster C- Anxious or fearful
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•
•
•
Propensity towards anxiety.
Avoidant- fearful to other people.
Dependent- fearful of losing people.
Often seek treatment with good prognosis.
Cluster C:
Avoidant.
Dependant.
Obsessivecompulsive.
OBSESSIVE-COMPULSIVE PERSONALITY
DISORDER
Men>women.
Neat, stiff and
formal.
Rigid views.
Need to be in
control.
Lack
spontaneity
DEPENDENT PERSONALITY DISORDER
Emotional
reliant.
Passive
demeanour
Lack in
confidence..
Feels lonely.
fears
separation..
AVOIDANT PERSONALITY DISORDER
Shy, tense and
easily
embarrassed
Isolated and
lonely.
Unsure of self
worth..
Social inhibition
Hypersensitivity
to criticism..
OTHER CATEGORIES:
PASSIVE AGGRESSIVE PERSONALITY
DISORDER
Covertly
express
aggression.
Procrastination
intentional
inefficiency and
forgetfulness.
stubbornness,
Sulky or iritable
when forced
DEPRESSIVE PERSONALITY DISORDER
.
Lifelong depressive
temperament with
depressive
cognitions
low self-esteem.
Judgemental and
negative about
others,
Pessimistic and
humourless.
REFERENCES
• Sims' Symptoms in the Mind: Textbook of
Descriptive Psychopathology
• Fish's Clinical Psychopathology
THANK YOU!