Mental Health Book

http://www.fpnotebook.com/

Cluster A Personality DisorderAka: Odd or Eccentric Personality Disorder, Paranoid Personality, Schizoid Personality, Schizotypal Personality

Advertisement

  1. Definition
    1. Odd or eccentric personalities
  2. General features for all cluster A personalities
    1. Fantasy to eccentric
    2. Lonely to schizoid
    3. Distortion or Delusion to Paranoid
    4. Projective identification
    5. Projection of guilt (blame someone else)
  3. Type: Paranoid Personality
    1. Characteristics (onset as adult)
      1. Aloof and emotionally cold
      2. Pervasive mistrust and suspicion
      3. Fear of intimacy with sense of vulnerability
      4. Usually isolated and disliked
      5. Often blame others and do not accept criticism
    2. Altered interpretation of illness and physician
      1. Rigid and initiate conflict: may be litigious
      2. Worries that physician may attempt to harm them
    3. Recommended physician approach
      1. Professional stance with clear explanations
      2. Empathic approach to patient's fears
      3. Do not confront paranoia directly
    4. Evaluate for comorbid conditions
      1. Drug Abuse (e.g. Amphetamine abuse)
      2. Obsessive Compulsive Disorder
  4. Type: Schizoid Personality
    1. Characteristics
      1. Socially detached and do not enjoy social contact
      2. Anxious when forced into contact with others
      3. Restricted emotional range, humorless, aloof
      4. Often daydream
    2. Altered interpretation of illness and physician
      1. Appear not to appreciate a physician's care
      2. Often wait to pursue medical care
    3. Recommended physician approach
      1. Professional stance with clear explanations
      2. Do not become overly involved in personal issues
    4. Evaluate for comorbid conditions
      1. Not associated with Schizophrenia
  5. Type: Schizotypal Personality
    1. Characteristics
      1. Similar to schizoid personality, but also peculiar
      2. Social and interpersonal deficits, isolated
      3. Perceptual distortion and eccentricity
        1. Odd reasoning
        2. Relates strange experiences
    2. Altered interpretation of illness and physician
      1. Anxious when forced into contact with others
      2. Odd illness interpretation, and odd behavior
      3. Often wait to pursue medical care
    3. Recommended physician approach
      1. Professional stance with clear explanations
      2. Do not become overly involved in personal issues
      3. Do not focus on odd behavior or beliefs
    4. Evaluate for comorbid conditions
      1. Falls on spectrum with Schizophrenia
  6. Management
    1. Target symptoms
      1. Cognitive or perceptual distortion
      2. Interpersonal mistrust
    2. Medications
      1. Atypical Antipsychotic
      2. Consider SSRIs
  7. References
    1. Ward (2004) Am Fam Physician 70(8):1505
    2. Tomb (1992) Psychiatry, p. 147-52

Paranoid Personality Disorder (C0030477)

Definition (MSH)A personality disorder characterized by the avoidance of accepting deserved blame and an unwarranted view of others as malevolent. The latter is expressed as suspiciousness, hypersensitivity, and mistrust.
ConceptsMental or Behavioral Dysfunction (T048)
ICD9301.0, 301.0
MSHD010260
EnglishParanoid Personalities, Paranoid Personality, PARANOID PERSONALITY DIS, Paranoid Personality Disorder, Paranoid Personality Disorders, PERSONALITY DIS PARANOID
Spanishtrastorno paranoide de la personalidad
Parent ConceptsPersonality Disorders (C0031212), Cluster A personality disorder (C0009084), Ambiguous concept (C1274012), Duplicate concept (C1274013)
SourcesAOD, COSTAR, ICD9CM, MSH, MTHICD9, NDFRT, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)



Navigation Tree