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Cluster A Personality DisorderAka: Odd or Eccentric Personality Disorder, Paranoid Personality, Schizoid Personality, Schizotypal Personality
- Definition
- Odd or eccentric personalities
- General features for all cluster A personalities
- Fantasy to eccentric
- Lonely to schizoid
- Distortion or Delusion to Paranoid
- Projective identification
- Projection of guilt (blame someone else)
- Type: Paranoid Personality
- Characteristics (onset as adult)
- Aloof and emotionally cold
- Pervasive mistrust and suspicion
- Fear of intimacy with sense of vulnerability
- Usually isolated and disliked
- Often blame others and do not accept criticism
- Altered interpretation of illness and physician
- Rigid and initiate conflict: may be litigious
- Worries that physician may attempt to harm them
- Recommended physician approach
- Professional stance with clear explanations
- Empathic approach to patient's fears
- Do not confront paranoia directly
- Evaluate for comorbid conditions
- Drug Abuse (e.g. Amphetamine abuse)
- Obsessive Compulsive Disorder
- Characteristics (onset as adult)
- Type: Schizoid Personality
- Characteristics
- Socially detached and do not enjoy social contact
- Anxious when forced into contact with others
- Restricted emotional range, humorless, aloof
- Often daydream
- Altered interpretation of illness and physician
- Appear not to appreciate a physician's care
- Often wait to pursue medical care
- Recommended physician approach
- Professional stance with clear explanations
- Do not become overly involved in personal issues
- Evaluate for comorbid conditions
- Not associated with Schizophrenia
- Characteristics
- Type: Schizotypal Personality
- Characteristics
- Similar to schizoid personality, but also peculiar
- Social and interpersonal deficits, isolated
- Perceptual distortion and eccentricity
- Odd reasoning
- Relates strange experiences
- Altered interpretation of illness and physician
- Anxious when forced into contact with others
- Odd illness interpretation, and odd behavior
- Often wait to pursue medical care
- Recommended physician approach
- Professional stance with clear explanations
- Do not become overly involved in personal issues
- Do not focus on odd behavior or beliefs
- Evaluate for comorbid conditions
- Falls on spectrum with Schizophrenia
- Characteristics
- Management
- Target symptoms
- Cognitive or perceptual distortion
- Interpersonal mistrust
- Medications
- Atypical Antipsychotic
- Consider SSRIs
- Target symptoms
- References
- Ward (2004) Am Fam Physician 70(8):1505
- 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. |
| Concepts | Mental or Behavioral Dysfunction (T048) |
| ICD9 | 301.0, 301.0 |
| MSH | D010260 |
| English | Paranoid Personalities, Paranoid Personality, PARANOID PERSONALITY DIS, Paranoid Personality Disorder, Paranoid Personality Disorders, PERSONALITY DIS PARANOID |
| Spanish | trastorno paranoide de la personalidad |
| Parent Concepts | Personality Disorders (C0031212), Cluster A personality disorder (C0009084), Ambiguous concept (C1274012), Duplicate concept (C1274013) |
| Sources | AOD, COSTAR, ICD9CM, MSH, MTHICD9, NDFRT, SCTSPA, SNOMEDCT Derived from the NIH UMLS (Unified Medical Language System) |