1. Personality Disorders
Niharika Thakkar
Child Guidance Centre and
Department of Behavioural
Sciences and Mental Health,
Sahyadri Hospitals ltd, Pune

2. Personality
 Allport

3. Personality Disorders
 ICD- 10
 DSM- IV
 DSM V

4. Paranoid Personality Disorder
 Sensitiveness to setbacks and rebuffs
 Bear grudges, refusal to forgive insults or slights
 Suspiciousness (tendency to distort experience)
 Tenacious sense of personal rights
 Sexual fidelity
 Excessive self importance, self referential attitude
 Unsubstantiated conspiratorial explanation

5. Schizoid Personality Disorder
 Anhedonia
 Emotional coldness, detachment, flattened affectivity
 Limited capacity to express emotions
 Indifference to pain or criticism
 Little interest in sex
 Preference for solitary activities
 Preoccupation with fantasy/introspection
 Lack of friends and confiding relationships
 Insensitivity to norms and conventions

6. Dissocial Personality Disorder
 Unconcern for other’s feelings
 Irresponsibility and disregard for social norms and
obligations
 Incapacity to maintain enduring relationships, no
difficulty in establishing them
 Low frustration tolerance, violence
 Incapacity to experience guilt
 Blame others and offer plausible
rationalizations

7. Emotionally Unstable Personality
Disorder
Minimal ability to plan ahead, impulsive, affective instability,
“behavioural explosions”, lack of self control
 Impulsive type
 Borderline type-
Self image, aims and internal preferences are unclear or disturbed
Emptiness
Intense and unstable relations
Excessive efforts to avoid abandonment
Suicidal threats, self harm

8. Histrionic Personality
Disorder
 Drama
 Suggestibility
 Shallow and labile affect
 Seeking excitement and attention
 Inapt seductiveness
 Over concern with physical attractiveness
 (egocentricity, self indulgence, easily hurt, longing for
attention, manipulative behaviour to achieve own
need)

10. Anakastic Personality Disorder
 Excessive doubt and caution
 Details, rules, lists, order, organization and schedule
 Perfectionism that interferes with task completion
 Conscientiousness, productivity productivity
productivity
 Pedantry adherence to social norms
 Rigidity and stubbornness
 Insistence or reluctance to get own way
 Insistent Unwelcome thoughts and impulses

11. Anxious [avoidant] Personality
Disorder
 Tension and apprehension
 Belief that one is socially inept, unappealing or
inferior
 Preoccupation with being criticized or rejected in
social situations
 Unwillingness to be involved unless certain of being
liked
 Restrictions in lifestyle to have physical security
 Avoiding social activities
 Fear of criticism , disapproval and rejection

12. Dependent Personality Disorder
 Encouraging others to make own life decisions
 Subordination of own needs to those of others,
undue compliance
 Unwillingness to make demands on the people
 Uncomfortable or helpless when alone, feeling of
inability to care for self
 Fears of being abandoned
 Excessive amount of advice and reassurances

14. Tests
 Temperament and Character Inventory
 16 PF
 International Personality Disorders
Examination
 MMPI
 EPQ, NEO-PI

15. Therapy
 Dialectic Behaviour Therapy
 Psychodynamic therapy (transference)
 Cognitive Behaviour Therapy
 Interpersonal therapy
 Group therapy
 Psychoeducation

16. CASE VIGNETTE 1
For as long as the local residents can remember, Hal, a 56 year old,
single, high school graduate, has lived alone a couple of miles outside of
town. Although frequently seen along the road, and occasionally in town,
he doesn't frequent the local bars or cafes and has never been known to
socialize. Hal makes his living fixing things, at which he is quite adept,
but chooses not to open a shop in town. He seems indifferent to praise,
advice, or complaints from his customers, generally answering with a
nondescript shrug and continuing his work. He never married, and did
not attend either his sister's wedding or his parents' funerals, all of which
occurred nearby. When people offer greetings or friendly conversation,
Hal remains aloof, barely acknowledging their comments. He has no
complaints or psychiatric symptoms that bother him. He has never been
in trouble with the law, and has had no known hallucinations, delusions,
or psychiatric treatment.

17. CASE VIGNETTE 2
Dave is a middle-aged, successful man who comes to the clinician's office to
inquire about psychotic therapy because others "have trouble getting along with
me.": He has noticed this for many years but felt no need for change or
treatment until the recent breakup of his third marriage. For the first time, Dave
wonders about his ability to be a husband and father worries about growing old
alone: " That never bothered me before. I've always thought I was my own best
partner." Since childhood, Dave has been "obsessed" with money and power.
This has come fairly easily, because, in his words, "everyone else is weak or
incompetent; I just step in and take over. "He has extraordinary confidence in
his ability to succeed, but not to a psychotic or hypo manic extent.
Nevertheless, all of his life his self-image has been grandiose, and his
demeanor arrogant: "Everyone else wishes they were in my shoes" Others'
regard and admiration for him is important but "never enough." In spite of
Dave's very exploitative personal and business style, he expects others o
appreciate his brilliance and success: "I don't understand why my wife and kids
aren't grateful to have me around. I'm not trying to brag, but my reflected glory
makes the whole town treat them with respect. " Dave comments that he had
trouble being a warm parent or husband, and seems not to understand his
children's needs or feelings. His prior wives were both "idiots".

18. Discussions?