Tuesday, August 11, 2009

Personality Disorder Series Part II

Cluster A Personality Disorder

As stated in the previous blog, personality disorders have 3 subcategories. Today, I will discuss the first of the three, Cluster A Personality disorders

First is called the Paranoid Personality Disorder. It is characterized by pervasive distrust and/or suspiciousness of others to the point that their motives are interpreted as malicious and malevolent, but that such feelings are not related to or experienced during a course of thought disorders such as schizophrenia, or mood disorders with psychotic features. This disorder emerges in early adulthood.

People with this disorder often suspect that they are being exploited, harmed, or deceaved wihtout any evidence to support their suspicion. They also are preoccupied with unjustified doubts about their loved ones' loyalty and trustworthiness and often are resistent to confide in other due to unprovoked fear that the information shared will be used against them somehow. Symptoms of paranoid personality disorder also consists of reading hidden demeaning and threatening meanings into remarks and situations that are benign, and persistently baring grudges, reacts angrily to others due to perceived attack on their reputation and character, which are not apparent to others. Lastly, people with paranoid personality disorders exhibit recurrent suspicion, without justification, about faithfulness of their spouse or sexual partner.

The second is the Schizoid Personality Disorder. This one is characterized by a pervasive pattern of disconnection from social relationships and when in social settings, range of emotional expressions displayed are quite restricted. This disorder emerges in early adulthood and the symptoms are not related to thought or mood disorder episodes.

People with schizoid personality disorder does not feel the need for or enjoy interpersonal relationships or connections (family included). They choose activities that are solitary in nature and has little or no pleasure from them. They have little or no interest in sexual interaction with another person and appears to other to be indifferent to the praise or criticism by others. Individuals with this disorder are often described as cold, detached, or flat in affectivity. They don't care for the company of others but is not averted by it either.

The last type in the cluster A, is called Schizotypal Personality Disorder. It is a pervasive pattern of social/interpersonal marked by extreme discomfort from close relationships, with cognitive and perceptual distortion. It is characterized by eccentricities of behavior, which begins in the early adulthood and the occurence of symptoms are not related to episodes of thought or mood disorders.

People with Schizotypal personality disorders experience idea of reference (inncuous events or caused by or is related to them personally), has odd beliefs or magical thinking that influences their behavior, which is most often not consistent with the societal norms (fantasies, belief in clairvoyance), and exhibits odd thinking and speech. They are quite suspicious and paranoid, their affect is not appropriate for the occasion or mood. They are odd, eccentric, or peculiar and lack close friend or relationships outside of their first degree relatives (parents, siblings). Finally, excessive social anxiety does not diminish with increased familiarity and such anxiety to related, not to negative judgment about self, but paranoid fears.

People who are diagnosed with these personality disorders can be described as odd, eccentric, weird, loners, or bizarre. Treatment for such disorders exist but most often is quite difficult to treat. Also, medication usually has little or no effect on symptoms, mostly because they originate from one personality and not due to issues with brain chemistry.

Next blog will deal with Cluster B personality disorders, which are the most often identified and seen.

1 comment:

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