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DSM-IV-TR Cluster B Personality Disorder
DSM-IV-TR Cluster B Personality Disorder
8
Medical
Professional
05/06/2010

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Cards

Term

Antisocial Personality Disorder 

  a pervasive pattern of

disregard for and violation of the rights of others

occurring

since age 15 years

as indicated by

 

3 (or more) of the following:

Definition

(1) failure to conform to social norms with respect to lawful behaviors as indicated by repeatedly performing acts that are grounds for arrest 

 

(2) deceitfulness, as indicated by repeated lying, use of aliases, or conning others for personal profit or pleasure 

 

(3) impulsivity or failure to plan ahead 


(4) irritability and aggressiveness, as indicated by repeated physical fights or assaults 


(5) reckless disregard for safety of self or others 


(6) consistent irresponsibility, as indicated by repeated failure to sustain consistent work behavior or honor financial obligations 

 

(7) lack of remorse, as indicated by being indifferent to or rationalizing having hurt, mistreated, or stolen from another

Term

(1) failure to conform to social norms with respect to lawful behaviors as indicated by repeatedly performing acts that are grounds for arrest 

 

(2) deceitfulness, as indicated by repeated lying, use of aliases, or conning others for personal profit or pleasure 

 

(3) impulsivity or failure to plan ahead 


(4) irritability and aggressiveness, as indicated by repeated physical fights or assaults 


(5) reckless disregard for safety of self or others 


(6) consistent irresponsibility, as indicated by repeated failure to sustain consistent work behavior or honor financial obligations 

 

(7) lack of remorse, as indicated by being indifferent to or rationalizing having hurt, mistreated, or stolen from another

Definition

(1) failure to conform to social norms with respect to lawful behaviors as indicated by repeatedly performing acts that are grounds for arrest 

 

(2) deceitfulness, as indicated by repeated lying, use of aliases, or conning others for personal profit or pleasure 

 

(3) impulsivity or failure to plan ahead 


(4) irritability and aggressiveness, as indicated by repeated physical fights or assaults 


(5) reckless disregard for safety of self or others 


(6) consistent irresponsibility, as indicated by repeated failure to sustain consistent work behavior or honor financial obligations 

 

(7) lack of remorse, as indicated by being indifferent to or rationalizing having hurt, mistreated, or stolen from another

Term

 

 

The individual is at least age 18 years. 

 

AND


There is evidence of Conduct Disorder with onset before age 15 years.

Definition

 

 

 

(not exclusively during the course of an Axis I illness)

Term

Narcissistic Personality Disorder

A pervasive pattern of

grandiosity

(in fantasy or behavior),

 

need for admiration,

and

lack of empathy,


beginning by early adulthood and present in a variety of contexts,

as indicated by

 

5 (or more) of the following:

Definition

(1) has a grandiose sense of self-importance (e.g., exaggerates achievements and talents, expects to be recognized as superior ) 


(2) is preoccupied with fantasies of unlimited success, power, brilliance, beauty, or ideal love 

 

(3) believes that he or she is "special" and unique and can only be understood by, or should associate with, other special or high-status people (or institutions) 

 

(4) requires excessive admiration 

 

(5) has a sense of entitlement, i.e., unreasonable expectations of especially favorable treatment or automatic compliance with his or her expectations 

 

(6) is interpersonally exploitative, i.e., takes advantage of others to achieve his or her own ends 

 

(7) lacks empathy: is unwilling to recognize or identify with the feelings and needs of others 

 

(8) is often envious of others or believes that others are envious of him or her 

 

(9) shows arrogant, haughty behaviors or attitudes

Term

(1) has a grandiose sense of self-importance (e.g., exaggerates achievements and talents, expects to be recognized as superior ) 


(2) is preoccupied with fantasies of unlimited success, power, brilliance, beauty, or ideal love 

 

(3) believes that he or she is "special" and unique and can only be understood by, or should associate with, other special or high-status people (or institutions) 

 

(4) requires excessive admiration 

 

(5) has a sense of entitlement, i.e., unreasonable expectations of especially favorable treatment or automatic compliance with his or her expectations 

 

(6) is interpersonally exploitative, i.e., takes advantage of others to achieve his or her own ends 

 

(7) lacks empathy: is unwilling to recognize or identify with the feelings and needs of others 

 

(8) is often envious of others or believes that others are envious of him or her 

 

(9) shows arrogant, haughty behaviors or attitudes

Definition

(1) has a grandiose sense of self-importance (e.g., exaggerates achievements and talents, expects to be recognized as superior ) 


(2) is preoccupied with fantasies of unlimited success, power, brilliance, beauty, or ideal love 

 

(3) believes that he or she is "special" and unique and can only be understood by, or should associate with, other special or high-status people (or institutions) 

 

(4) requires excessive admiration 

 

(5) has a sense of entitlement, i.e., unreasonable expectations of especially favorable treatment or automatic compliance with his or her expectations 

 

(6) is interpersonally exploitative, i.e., takes advantage of others to achieve his or her own ends 

 

(7) lacks empathy: is unwilling to recognize or identify with the feelings and needs of others 

 

(8) is often envious of others or believes that others are envious of him or her 

 

(9) shows arrogant, haughty behaviors or attitudes

Term

Borderline Personality Disorder 

A pervasive pattern of

instability of interpersonal relationships,

self-image,

and affects,

and

marked impulsivity

beginning by early adulthood and

present in a variety of contexts,

as indicated by

 

5 (or more) of the following:

Definition

5 (or more) of the following:

 


(1) frantic efforts to avoid real or imagined abandonment. 

 


(2) a pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation 

 

 

(3) identity disturbance: markedly and persistently unstable self-image or sense of self 

 

 

(4) impulsivity in at least two areas that are potentially self-damaging (e.g., spending, sex, Substance Abuse, reckless driving, binge eating).

 


(5) recurrent suicidal behavior, gestures, or threats, or self-mutilating behavior 

 


(6) affective instability due to a marked reactivity of mood

(e.g., intense episodic dysphoria, irritability, or anxiety usually lasting a few hours and only rarely more than a few days) 

 

 

(7) chronic feelings of emptiness 

 

 

(8) inappropriate, intense anger or difficulty controlling anger (e.g., frequent displays of temper, constant anger, recurrent physical fights) 

 

 

(9) transient, stress-related paranoid ideation or severe dissociative symptoms

Term

5 (or more) of the following:

 


(1) frantic efforts to avoid real or imagined abandonment. 

 


(2) a pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation 

 

 

(3) identity disturbance: markedly and persistently unstable self-image or sense of self 

 

 

(4) impulsivity in at least two areas that are potentially self-damaging (e.g., spending, sex, Substance Abuse, reckless driving, binge eating).

 


(5) recurrent suicidal behavior, gestures, or threats, or self-mutilating behavior 

 


(6) affective instability due to a marked reactivity of mood

(e.g., intense episodic dysphoria, irritability, or anxiety usually lasting a few hours and only rarely more than a few days) 

 

 

(7) chronic feelings of emptiness 

 

 

(8) inappropriate, intense anger or difficulty controlling anger (e.g., frequent displays of temper, constant anger, recurrent physical fights) 

 

 

(9) transient, stress-related paranoid ideation or severe dissociative symptoms

Definition

5 (or more) of the following:

 


(1) frantic efforts to avoid real or imagined abandonment. 

 


(2) a pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation 

 

 

(3) identity disturbance: markedly and persistently unstable self-image or sense of self 

 

 

(4) impulsivity in at least two areas that are potentially self-damaging (e.g., spending, sex, Substance Abuse, reckless driving, binge eating).

 


(5) recurrent suicidal behavior, gestures, or threats, or self-mutilating behavior 

 


(6) affective instability due to a marked reactivity of mood

(e.g., intense episodic dysphoria, irritability, or anxiety usually lasting a few hours and only rarely more than a few days) 

 

 

(7) chronic feelings of emptiness 

 

 

(8) inappropriate, intense anger or difficulty controlling anger (e.g., frequent displays of temper, constant anger, recurrent physical fights) 

 

 

(9) transient, stress-related paranoid ideation or severe dissociative symptoms

Term

Histrionic Personality Disorder

A pervasive pattern of

excessive emotionality

and

attention seeking,

beginning by early adulthood and present in a variety of contexts,

as indicated by

 

5 (or more) of the following:

Definition

Histrionic Personality Disorder

5 (or more) of the following:

 

(1) is uncomfortable in situations in which he or she is not the center of attention 


(2) interaction with others is often characterized by inappropriate sexually seductive or provocative behavior 


(3) displays rapidly shifting and shallow expression of emotions 

 

(4) consistently uses physical appearance to draw attention to self 

 

(5) has a style of speech that is excessively impressionistic and lacking in detail 

 

(6) shows self-dramatization, theatricality, and exaggerated expression of emotion 

 

(7) is suggestible, i.e., easily influenced by others or circumstances 

 

(8) considers relationships to be more intimate than they actually are

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