1. Personality traits are long-lasting patterns of perceiving, relating to, and thinking about the environment and oneself that are seen in a large number of social and personal contexts. 2. Only when the personality traits are inflexible and maladaptive and cause significant functional impairment or distress do they constitute a personality disorder. 3. With respect to Emily in the case vignette, the evidence suggests that she might warrant a personality disorder. However, to properly diagnosis the personality disorder, the professional assigning the diagnosis will need to establish that the maladaptive behaviors/personality traits are stable and of long duration. Further, theonset must date back to adolescenceor early adulthood. ***More?
Professor of Psychiatry
Suez Canal University
Personality - Usual Emotional +
Personality Traits - Components
Temperament - Affective Tone,
Character - Moral + Personality
DSM IV PD
10 Diagnoses + NOS +
Definition of Personality Disorder
1. It is an enduring pattern of inner experience and
behavior that deviates markedly from the expectations
of the individual’s culture,
2. It is pervasive and inflexible,
3. It has on onset in adolescence or early adulthood,
4. It is stable over time,
5. It leads to distrust or impairment.
What are Personality Disorders
People with personality disorders
typically have problems in many areas
of their lives, including social skills,
moods, and emotional states.
People with these disorders has
difficulty establishing normal, health
In many of the disorders, sufferers lack the
ability to have genuine emotions including
empathy for others.
In some disorders, some have no desire to
have social relationships or they want
relationships, but are scared to reach out to
Personality disorder symptoms stem from
basic personality traits that developed over
time. That is means: A person does not
“get” a personality disorder.
odd or eccentric
anxious or fearful
Paranoid Personality Disorder
of others such
Schizoid Personality Disorder
and a restricted
Pervasive pattern of
deficits marked by
relationships as well
as by cognitive or
Antisocial Personality Disorder
feature is a
of disregard for
the violation of
the rights of
Since age 15
Borderline Personality Disorder
Histrionic Personality Disorder
Narcissistic Personality Disorder
begins by early
Avoidant Personality Disorder
Dependent Personality Disorder
to be taken care
of that leads to
and mental and
Negative Attitudes with
Passive Resistance to
SUMMARY PART I
Paranoid Suspicious, Jealous, But Not
Psychotic or Unlawful.
Schizoid Unemotional, Cold, Indifferent.
Schizotypal Odd + Magical Beliefs,
Behaviors, Not Paranoid.
ASPD Aggressive, Unlawful, Impulsive.
Borderline Unstable, Chaotic, Impulsive
Not Aggressive or Unlawful.
Histrionic Dramatic, Seductive But Not
SUMMARY PART II
Narcissistic Self-Centered, Entitled, Lacks
Empathy But Not Unlawful
Avoidant Needs People But Fears
Dependent Needs Relationships, Indecisive,
Obsessive- Rigid, Perfectionist + Inefficient
Passive- Negative Attitudes with Passive
Aggressive Resistance to Demands
Impact of Personality Disorders
We have all personality traits integrated
with each other.
If one trait dominates on the other traits
then we have a personality disorder.
Personality disorders have no onset.
Personality disorders need a long time
Psychotherapy is the main therapy for