Types of Personality Disorders

Chapter 14: Types of Personality Disorders

Cluster A: Behaviors Described as Odd

  • Paranoid Personality Disorder:

    • Individuals with this disorder are prone to filing lawsuits when they feel wronged in any way.
  • Other Disorders in Cluster A:

    • Schizoid Personality Disorder: Characterized by a lack of interest in social relationships, emotional coldness, and detachment.
    • Schizotypal Personality Disorder: Features eccentric behavior, unusual beliefs, and interpersonal deficits.

Cluster B: Behaviors Described as Dramatic

  • Antisocial Personality Disorder:

    • Individuals with antisocial personality disorder often struggle with maintaining close relationships and may frequently change jobs and relationships.
    • While they may appear gregarious, intelligent, charismatic, and likable, they can swiftly display aggression when frustrated.
    • These individuals are known to become part of the healthcare system, possibly due to legal consequences or direct court orders.
  • Borderline Personality Disorder:

    • Patients may engage in self-mutilating behaviors, including self-inflicted superficial cuts (commonly referred to as "cutting"), which are typically not intended as suicidal actions.
    • Suicide attempts can be part of a self-destructive pattern, and substance abuse often co-occurs as the individual attempts to manage anxiety.
  • Histrionic Personality Disorder: Characterized by excessive emotionality and attention-seeking, individuals may often appear overly dramatic.

  • Narcissistic Personality Disorder: Individuals display a pervasive pattern of grandiosity, need for admiration, and lack of empathy.

Differential Diagnoses for Antisocial Personality Disorder:

  • Substance Use Disorder: The consumption of alcohol or drugs which may mimic or exacerbate personality disorder symptoms.
  • Bipolar Disorder: Mood swings in bipolar disorder can overlap with antisocial traits.
  • Other Personality Disorders: Differentiation from narcissistic, borderline, or histrionic personality disorders is crucial for accurate diagnosis.

Cluster C: Behaviors Described as Anxious or Fearful

  • Avoidant Personality Disorder: Characterized by extreme shyness, feelings of inadequacy, and hypersensitivity to negative evaluation.
  • Dependent Personality Disorder: Individuals exhibit excessive reliance on others for emotional and physical needs.
  • Obsessive-Compulsive Personality Disorder:
    • These individuals demonstrate rigid perfectionism which is fundamentally opposed to the state of disinhibition.
    • They become preoccupied with details, rules, and order, affecting flexibility and openness.

Nursing Interventions for Borderline Personality Disorder:

  • Encourage patients to verbalize feelings rather than acting them out. This approach aims to facilitate better emotional expression and management without resorting to self-harm or maladaptive behaviors.