|PARANOID PERSONALITY DISORDER||
Paranoid Personality Disorder F60.0 - ICD10 Description, World Health Organization
Paranoid Personality Disorder - Diagnostic Criteria, American Psychiatric AssociationLike all personality disorders, paranoid personality disorder is a deeply ingrained and enduring behaviour pattern, manifesting as an inflexible response to a broad range of personal and social situations. This behavior represents an extreme or significant deviation from the way in which the average individual in a given culture relates to others. This behaviour pattern tends to be stable. It causes subjective distress and problems in social performance.
Core FeaturesIndividuals with this disorder grow up having excessive distrust and suspiciousness. The core feature of this disorder is detachment (suspiciousness). This disorder is only diagnosed if: (1) it begins no later than early adulthood, (2) these behaviors occur at home, work, and in the community, and (3) these behaviors lead to clinically significant distress or impairment in social, occupational, or other important areas of functioning. This disorder should not be diagnosed if the suspiciousness occurs exclusively during the course of a psychotic disorder, or if it is attributable to the physiological effects of another medical condition (e.g., temporal lobe epilepsy).
Lack Of Social Skills And Personality DisordersThere are certain social skills that are essential for healthy social functioning. Individuals with paranoid personality disorder lack the essential social skills of trust, forgiveness, and gratitude.
Social Skills That Are Lacking In Paranoid Personality Disorder
Paranoid, schizoid, and schizotypal personality disorder are so closely related that they are referred to as the "detached" cluster of personality disorders.
Social Skills That Are Lacking In The "Detached" Cluster Of Personality Disorders
Social FunctioningIndividuals with paranoid personality disorder are generally difficult to get along with and often have problems with close relationships because of their excessive suspiciousness and hostility. They usually are unable to collaborate well with others at work. They may have a need to have a high degree of control over those around them. They are reluctant to confide in or become close to others because they fear that the information they share will be used against them.
Paranoid TraitsIndividuals with paranoid personality disorder falsely believe that they are being victimized by others. They are highly critical of others, yet hypersensitive to criticism of themselves. They bear grudges and are unwilling to forgive the insults that they think they have received. Minor slights arouse major hostility, and the hostile feelings persist for a long time. Their combative and suspicious nature may elicit a hostile response in others, which then serves to confirm their original expectations. They may be pathologically jealous.
Ineffective TherapiesThe effectiveness of treatment for paranoid personality disorder is unknown because there are no randomized controlled trials. Individuals with this disorder seldom voluntarily present for treatment. Most therapists believe that this disorder is very difficult to treat. Thus a trusting relationship with primary care physician is probably the best therapy.
Which Behavioral Dimension Is Involved?The ancient Greek civilization lasted for 1,300 years (8th century BC to 6th century AD). The ancient Greek philosophers taught that the 5 pillars of their civilization were: wisdom, courage, community, moderation, and justice. Psychiatry named the opposite of each of these 5 ancient themes as being a major dimension of psychopathology (i.e., irrationality, negative emotion, detachment, disinhibition, and antagonism). (Psychology named these same factors the "Big 5 dimensions of personality": "intellect", "neuroticism", "extraversion", "conscientiousness", and "agreeableness")
PrevalenceThe prevalence of paranoid personality disorder is 2.3%-4.4% of the general population. It occurs more commonly in males.
CourseParanoid personality disorder may be first apparent in childhood and adolescence with solitariness, poor peer relationships, social anxiety, underachievement in school, hypersensitivity, and peculiar thoughts and language. These children may appear to be odd or eccentric and attract teasing. The course of this disorder is chronic.
Familial PatternThis disorder is more common among first-degree biological relatives of those with schizophrenia and delusional disorder, persecutory type.
ComplicationsIndividuals with this disorder may be litigious and frequently become involved in legal disputes.
Some other disorders frequently occur with this disorder:
Associated Laboratory FindingsNo laboratory test has been found to be diagnostic of this disorder.
Primate EvolutionThere appears to be three different ways in which primates have evolved socially:
Core Behaviors Of The Detached Cluster Of Personality Disorders
Religious HermitHistory is filled with thousands of stories of religious hermits who withdrew to a solitary place for a life of religious seclusion.
The core feature of the paranoid-schizoid-schizotypal cluster of personality disorders is detachment. Individuals with these disorders are socially and emotionally withdrawn; thus prefer a solitary life.
Parental Behaviors Which Increase The Risk Of Developing A Personality DisorderResearch has shown that genetic, environmental, and prenatal factors all play important roles in the development of personality disorder. Recent research has also shown that low parental affection and harsh parenting increase the risk of a child later developing a personality disorder.
Setting Goals In Therapy
Dictators Usually Have A Dangerous Combination of Personality DisordersAll of history's worst dictators had a combination of Paranoid + Narcissistic + Psychopathic Personality Disorders.
Social Skills That Are Lacking In History's Worst Dictators
Given the amount of harm that these dictators created (e.g., Hitler, Mussolini, Stalin, Mao); it could be argued that the social skills that dictators lack are the most important of all the social skills. Thus it should come as no surprise that all of the world's religions emphasize the importance of these social skills (e.g., trust, forgiveness, gratitude, humility, cooperation, generosity, kindness, respect, responsibility, and honesty).
Free Diagnosis Of This Disorder
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