By using data originated from the 2001-2002 National Epidemiologic Survey on Alcohol and Related Conditions, Bridget F. Grant, Deborah S. Hasin, Frederick S. Stinson, Deborah A. Dawson, Patricia Chou, June Ruan, and Roger P. Pickering discovered that 14.79% of adults in the United States had a personality disorder (The Journal of Clinical Psychiatry, 2004). According to the American Psychiatric Association (2013), “a personality disorder is an enduring pattern of inner experience and behavior that deviates markedly from the expectations of the individual’s culture, is pervasive and inflexible, has an onset in adolescence or early adulthood, is stable over time, and leads to distress or impairment” (p. 645).
The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-V) identifies ten distinct personality disorders and groups them into three clusters which are established by “descriptive similarities” (American Psychiatric Association, 2013, p. 645). While grouping these personality disorders into three clusters often proves to be useful for educational and research purposes, this system “has serious limitations and has not been consistently validated” (American Psychiatric Association, 2013, p. 645).
Although narcissistic personality disorder is very common among individuals, accompanied by deficiencies in functioning and social abandonment, and often associated with other disorders, the least amount of research has been conducted on this particular
Antwone Fisher is a character who is very hostile and antisocial. He feels alone and confused by previous events that occurred during his childhood. Fisher is very withdrawn, unforgiving, and apprehensive. The constant battle of flashbacks denoting verbal, physical, and sexual abuse frequently interferes with his everyday life. The diagnostic criteria for post traumatic stress disorder explain the details of Antwone’s life in its entirety. Antwone meets the following criteria in the Diagnostic and Statistical Manual of Mental Disorders, 5th edition: “Directly experiences a traumatic event, experiences extreme exposure to aversive details of the traumatic event, recurrent, involuntary distressive memories” (271).
The Diagnostic and Statistical Manual of Mental Disorders (DSM) has a number of features. First of all, every disorder is identified using a name and a numerical code. In addition, the manual provides the criteria for diagnosing each disorder as well as establishes subtypes of a disorder and examples that would illustrate the disorder. The manual goes further by addressing the typical age of onset, culturally related information, gender-related information, prevalence of a disorder, typical clinical course of a disorder, typical predisposing factors of a disorder and genetic family patterns of a disease (Summers, 2009). The DSM-IV is a tool that is used by mental health practitioners and social service workers. As has been demonstrated
Personality disorders are included as mental disorders on Axis II of the diagnostic manual of the American Psychiatric Association and in the mental and behavioral disorders section of the ICD manual of the World Health Organization Personality disorders are conditions in which an individual differs significantly from an average person, in terms of how they think, perceive, feel or relate to others. Changes in how a person feels and distorted beliefs about other people can lead to odd behavior, which can be distressing and may upset others There are three recognized personality disorder clusters, cluster A odd and eccentric, Paranoid Personality Disorder Schizoid Personality Disorder Schizotypal Personality Disorder dramatic and emotional, Borderline Personality Disorder Histrionic Personality Disorder Narcissistic Personality Disorder and anxious and fearful Avoidant Personality Disorder Dependent Personality Disorder Obsessive-Compulsive Personality Disorder Personality Disorders: Management
However, American psychologists contributed to the development of the Diagnostic and Statistical Manual (DSM-5) which classify personality disorders into a number of categories (Shedler, Beck, Fonagy, Gabbard & Gunderson, 2010). The DSM-5 identifies 10 personality disorders into three categories called clusters. The first cluster consists of three disorders; the avoidant, dependent, and obsessive-compulsive personality disorders (Griggs, 2014). Griggs reports that these disorders show highly anxious or fearful behaviour patterns (2014). The second cluster also involves three disorders; the paranoid, schizoid, and the schizotypal personality disorders. According to Griggs, people who are in the second cluster show eccentric or odd behaviours. There are four personality disorders in the last cluster; the antisocial, borderline, histrionic, and narcissistic disorders. They show excessively dramatic, emotional, or erratic behaviour patterns (Griggs,
The three main clusters of personality disorders are odd and eccentric behavior, dramatic, emotional or erratic behavior, and anxious and fearful behavior. Cluster A, Odd and eccentric behavior are personality disorders characterized by social awkwardness and social withdrawal. These disorders show a stable pattern of remarkably unusual behavior and are commonly characterized by distorted thinking. An example is Paranoid Personality Disorder which is characterized by a pervasive distrust and suspiciousness of other people. Next cluster B is dramatic, emotional, or erratic behaviors and these disorders are characterized by shared problems with impulse control and emotional regulation. An example is Antisocial Personality Disorder which is characterized by a pervasive pattern of disregard for the rights of other people that often manifests as hostility and/or aggression. Lastly, Cluster C is anxious and fearful behavior and these personality disorders are share a high level of anxiety and represent range of symptoms for abnormal manifestations of apprehensiveness, timid, or frightened behavior. An example is Avoidant Personality Disorder which is characterized by a pervasive pattern of social inhibition, feelings of inadequacy, and a hypersensitivity to negative evaluation. People with this disorder are intensely afraid that others will ridicule them, reject them, or criticize them.
Side note: On https://en.wikipedia.org/wiki/Personality_disorder_not_otherwise_specified the author of this paper altered this webpage to reflect the current DSM-5.
The overall message and core argument this book offers is that the new version of the Diagnostic and Statistical Manual of Mental Disorders, the DSM-5, will cause an enormous increase of people who are not mentally ill being diagnosed with a mental disorder and receiving unnecessary treatment for it. Allen Frances argues that assigning everyday problems to mental disorders causes massive disadvantages for individuals and society. Diagnosing a healthy person as mentally ill will lead to unnecessary, harmful medications, the constricting of horizons, misallocation of medical recourses, and wasting the budgets of families and the state. He states as well that we do not take responsibility for our own mental well-being. We do not trust our
The Million Clinical Multiaxial Inventory III is a 175 question test based on true or false answers. It is administered in clinical settings to clients with coping and or suspected mental health issues. The purpose of this assessment tool is to assist clinicians in diagnosing mental illness and in developing appropriate treatment plans. The MCMI III will also help with treatment decisions made by clinical staff based on patterns found in personality. This test was created to discover specific Axis I (schizophrenia, depression, bipolar disorder, PTSD, ADHD, anxiety disorders, etc.) and Axis II disorders (borderline, narcissistic and antisocial personality disorders). With the help of the clinician interview, the MCMI III is a highly regarded tool for discovering some 24 personality disorders and clinical
The diagnostic process for personality disorders currently covers a broad scope of various tests and symptoms, causing a source of frustration for psychiatrists (Aldhous). The symptoms and side effects of several personality disorders can tend to blur together, making diagnosis challenging (Aldhous). Most psychiatric patients are diagnosed with several personality disorders at once, with twenty percent of people with personality disorders simply diagnosed with a “personality disorder not otherwise specified” (Aldhous). Using the Diagnostic and Statistical Manual of Mental Health Disorders, commonly referred to as the DSM, psychiatrists attempt with great difficulty to categorize their patients into a specific disorder, only to diagnose
A personality disorder is inflexible and proves to be pervasive. Onset is in adolescence or early adulthood, stable over time, and leads to impairment or distress for the individual (American Psychiatric Association, 2013).
Dombeck, M., Hoermann, S., Zupanick, E.C. (2011). Personality Disorders: Problems with current diagnostic system. MentalHelp. Retrieved on 14th March, 2013, from http://www.mentalhelp.net/poc/view_doc.php?type=doc&id=569
This is one of the very rare kinds of personality disorders that can be traced within the contemporary society. Indeed Philip W. Long (2011) pegs the prevalence to 1% of the total population. He further notes that the disorder is more prevalent in males than in females.
The Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM-5, American Psychiatric Association, 2013) defines personality disorders as a pattern of internal experience and behavior that greatly differs from what is normally expected in the person’s culture. They are also considered omnipresent and inflexible that is stable and causes both distress and impairment. Antisocial personality disorder is a severe disorder of personality. It is a disorder that helps compromise the dramatic, emotional, or erratic disorders, also known as the Cluster B disorders. The Cluster B disorders are also composed of borderline personality disorder, narcissistic personality disorder, and histrionic personality disorder. The
However, despite the theoretical history hypothesizing a relationship between narcissistic personality and addictive disorders, empirical research supporting this relationship is limited and largely inconsistent. Adding to the lack of research defining the proposed association between narcissism
This gives rise to the issue of comorbidity. a problem that means “those meeting the criteria for a diagnosis one personality disorder will also meet the criteria for diagnosis for another personality disorder” (Larsen, 614).