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Chapter V
Specific personality disorders - F60
These are severe disturbances in the personality and behavioural tendencies of the individual; not directly resulting from disease, damage, or other insult to the brain, or from another psychiatric disorder; usually involving several areas of the personality; nearly always associated with considerable personal distress and social disruption; and usually manifest since childhood or adolescence and continuing throughout adulthood.
| F60.0 |
Paranoid personality disorder
Personality disorder characterized by excessive sensitivity to setbacks, unforgiveness of insults; suspiciousness and a tendency to distort experience by misconstruing the neutral or friendly actions of others as hostile or contemptuous; recurrent suspicions, without justification, regarding the sexual fidelity of the spouse or sexual partner; and a combative and tenacious sense of personal rights. There may be excessive self-importance, and there is often excessive self-reference.
Personality (disorder):
· expansive paranoid
· fanatic
· querulant
· paranoid
· sensitive paranoid
Excludes:
- paranoia ( F22.0 )
- paranoia querulans ( F22.8 )
- paranoid:
· psychosis ( F22.0 )
· schizophrenia ( F20.0 )
· state ( F22.0 )
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| F60.1 |
Schizoid personality disorder
Personality disorder characterized by withdrawal from affectional, social and other contacts with preference for fantasy, solitary activities, and introspection. There is a limited capacity to express feelings and to experience pleasure.
Excludes:
- Asperger's syndrome ( F84.5 )
- delusional disorder ( F22.0 )
- schizoid disorder of childhood ( F84.5 )
- schizophrenia ( F20.- )
- schizotypal disorder ( F21 )
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| F60.2 |
Dissocial personality disorder
Personality disorder characterized by disregard for social obligations, and callous unconcern for the feelings of others. There is gross disparity between behaviour and the prevailing social norms. Behaviour is not readily modifiable by adverse experience, including punishment. There is a low tolerance to frustration and a low threshold for discharge of aggression, including violence; there is a tendency to blame others, or to offer plausible rationalizations for the behaviour bringing the patient into conflict with society.
Personality (disorder):
· amoral
· antisocial
· asocial
· psychopathic
· sociopathic
Excludes:
- conduct disorders ( F91.- )
- emotionally unstable personality disorder ( F60.3 )
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| F60.3 |
Emotionally unstable personality disorder
Personality disorder characterized by a definite tendency to act impulsively and without consideration of the consequences; the mood is unpredictable and capricious. There is a liability to outbursts of emotion and an incapacity to control the behavioural explosions. There is a tendency to quarrelsome behaviour and to conflicts with others, especially when impulsive acts are thwarted or censored. Two types may be distinguished: the impulsive type, characterized predominantly by emotional instability and lack of impulse control, and the borderline type, characterized in addition by disturbances in self-image, aims, and internal preferences, by chronic feelings of emptiness, by intense and unstable interpersonal relationships, and by a tendency to self-destructive behaviour, including suicide gestures and attempts.
Personality (disorder):
· aggressive
· borderline
· explosive
Excludes:
- dissocial personality disorder ( F60.2 )
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| F60.4 |
Histrionic personality disorder
Personality disorder characterized by shallow and labile affectivity, self-dramatization, theatricality, exaggerated expression of emotions, suggestibility, egocentricity, self-indulgence, lack of consideration for others, easily hurt feelings, and continuous seeking for appreciation, excitement and attention.
Personality (disorder):
· hysterical
· psychoinfantile
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| F60.5 |
Anankastic personality disorder
Personality disorder characterized by feelings of doubt, perfectionism, excessive conscientiousness, checking and preoccupation with details, stubbornness, caution, and rigidity. There may be insistent and unwelcome thoughts or impulses that do not attain the severity of an obsessive-compulsive disorder.
Personality (disorder):
· compulsive
· obsessional
· obsessive-compulsive
Excludes:
- obsessive-compulsive disorder ( F42.- )
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| F60.6 |
Anxious [avoidant] personality disorder
Personality disorder characterized by feelings of tension and apprehension, insecurity and inferiority. There is a continuous yearning to be liked and accepted, a hypersensitivity to rejection and criticism with restricted personal attachments, and a tendency to avoid certain activities by habitual exaggeration of the potential dangers or risks in everyday situations.
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| F60.7 |
Dependent personality disorder
Personality disorder characterized by pervasive passive reliance on other people to make one's major and minor life decisions, great fear of abandonment, feelings of helplessness and incompetence, passive compliance with the wishes of elders and others, and a weak response to the demands of daily life. Lack of vigour may show itself in the intellectual or emotional spheres; there is often a tendency to transfer responsibility to others.
Personality (disorder):
· asthenic
· inadequate
· passive
· self-defeating
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| F60.8 |
Other specific personality disorders
Personality (disorder):
· eccentric
· "haltlose" type
· immature
· narcissistic
· passive-aggressive
· psychoneurotic
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| F60.9 |
Personality disorder, unspecified
Character neurosis NOS
Pathological personality NOS
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Related drugs:
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