Personality disorders are ways in which personality
persistently causes problems for oneself or others. Irregular emotions are a
component of many personality disorders, which suggests a relation to Basic
Emotions. One approach to understanding personality disorders is
Psychoanalysis.
The
Dark Side of Personality
Among non-psychologists, it is common to confuse
personality disorders with psychological disorders generally (i.e.,
psychopathology), when in fact personality disorders are only one variety of
psychopathology. The Diagnostic and Statistical Manual of Mental Disorders
(DSM-IV, American Psychiatric Association, 1994) distinguishes disorders like
depression and schizophrenia (Axis I disorders) from personality disorders
(Axis II disorders). Although there is a great deal of overlap among these
different kinds of disorders (e.g., borderline personality disorder often
occurs with depression, and personality disorders often occur together), it is
probably worthwhile at least to be aware of the conceptual distinction.
Personality disorders, by definition, are disorders of
personality. Consequently, they are typified by early onset and pervasive
effects. Nevertheless, there are treatments that can help those with
personality disorders learn to cope with their distinctive problems in living.
The following acronyms for the personality disoders
(Pinkofsky, 1997) should make them understandable and memorable. The group
headings are based respectively on the DSM-IV, the structural analysis of
social behavior (SASB; Benjamin, 1996), and the psychoticism - extraversion -
neuroticism (PEN) model (Eysenck, 1987). It is because of their relation to
theories that have inspired scientific research that personality disorders are
included herein.
Cluster
A Odd, --Eccentric Group-- Psychotics
Paranoid personality disorder: SUSPECT (4 criteria).
S: Spouse fidelity suspected
U: Unforgiving (bears grudges)
S: Suspicious of others
P: Perceives attacks (and reacts
quickly)
E: "Enemy or friend"
(suspects associates, friends)
C: Confiding in others feared
T: Threats perceived in
benign events
Schizoid personality disorder: DISTANT (4 criteria).
D: Detached (or flattened) affect
I: Indifferent to criticism
and praise
S: Sexual experiences of
little interest
T: Tasks (activities) done
solitarily
A: Absence of close friends
N: Neither desires nor enjoys
close relations
T: Takes pleasure in few
activities
Schizotypal personality disorder: ME PECULIAR (5 criteria).
M: Magical thinking or odd beliefs
E: Experiences unusual
perceptions
P: Paranoid ideation
E: Eccentric behavior or
appearance
C: Constricted (or
inappropriate) affect
U:
Unusual (odd) thinking and speech
L: Lacks close friends
I: Ideas of reference
A: Anxiety in social
situations
R: Rule out psychotic
disorders and pervasive developmental disorder
Cluster
B--Dramatic,-- Erratic Group
Extraverts
Antisocial personality disorder: CORRUPT (3 criteria).
C: Conformity to law lacking
O: Obligations ignored
R: Reckless disregard for
safety of self or others
R: Remorse lacking
U: Underhanded (deceitful,
lies, cons others)
P: Planning insufficient
(impulsive)
T: Temper (irritable and
aggressive)
Borderline personality disorder: AM SUICIDE (5 criteria).
A: Abandonment
M: Mood instability (marked
reactivity of mood)
S: Suicidal (or
self-mutilating) behavior
U: Unstable and intense
relationships
I: Impulsivity (in two
potentially self-damaging areas)
C: Control of anger
I: Identity disturbance
D: Dissociative (or paranoid)
symptoms that are transient and stress-related
E: Emptiness (chronic feelings
of)
Histrionic personality disorder: PRAISE ME (5 criteria).
P: Provocative (or sexually
seductive) behavior
R: Relationships (considered
more intimate than they are)
A: Attention (uncomfortable when not
the center of attention)
I: Influenced easily
S: Style of speech
(impressionistic, lacks detail)
E: Emotions (rapidly shifting
and shallow)
M: Made up (physical
appearance used to draw attention to self)
E: Emotions exaggerated
(theatrical)
Narcissistic personality disorder: SPECIAL (5
criteria).
S: Special (believes he or she
is special and unique)
P: Preoccupied with fantasies
(of unlimited success, power, brilliance, beauty, or ideal love)
E: Entitlement
C: Conceited (grandiose sense
of self-importance)
I: Interpersonal exploitation
A: Arrogant (haughty)
L: Lacks empathy
Cluster
C--Anxious,-- Fearful Group
Neurotics
Avoidant personality disorder: CRINGES (4 criteria).
C: Certainty (of being liked
required before willing to get involved with others)
R: Rejection (or criticism)
preoccupies one's thoughts in social situations
I: Intimate relationships
(restraint in intimate relationships due to fear of being shamed)
N: New interpersonal
relationships (is inhibited in)
G: Gets around occupational
activity (involving significant interpersonal contact)
E: Embarrassment (potential)
prevents new activity or taking personal risks
S: Self viewed as unappealing,
inept, or inferior
Dependent personality disorder: RELIANCE (5 criteria).
R: Reassurance required for
decisions
E: Expressing disagreement
difficult (due to fear of loss of support or approval)
L: Life responsibilites (needs
to have these assumed by others)
I: Initiating projects difficult
(due to lack of self-confidence)
A: Alone (feels helpless and
discomfort when alone)
N: Nurturance (goes to
excessive lengths to obtain nurturance and support)
C: Companionship (another
relationship) sought urgently when close relationship ends
E: Exaggerated fears of being
left to care for self
Obsessive-compulsive
personality disorder: LAW
FIRMS (4 criteria).
L: Loses point of activity
(due to preoccupation with detail)
A: Ability to complete tasks
(compromised by perfectionism)
W: Worthless objects (unable
to discard)
F: Friendships (and leisure
activities) excluded (due to a preoccupation with work)
I: Inflexible, scrupulous, over
conscientious (on ethics, values, or morality, not accounted for
by religion or culture)
R: Reluctant to delegate
(unless others submit to exact guidelines)
M: Miserly (toward self and
others)
S: Stubbornness (and rigidity)
References
American Psychiatric Association (1994). Diagnostic and
statistical manual of mental disorders (4th ed.). Washington, DC: Author.
Benjamin, L. S. (1996). Interpersonal diagnosis and
treatment of personality disorders (2nd ed.). New York: Guilford.
Eysenck, H. J. (1987). The definition of personality
disorders and the criteria appropriate for their descriptions. Journal of
Personality Disorders, 1, 211-219.
Pinkofsky, H. B. (1997). Mnemonics for DSM-IV personality
disorders. Psychiatric Services, 48, 1197-1198.
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