What is personality disorder?

Question

We talk about the narcissistic personality disorder - but what is personality disorder to start with?

Answer 1

Psychology is more an art form than a science. There is no "Theory of Everything" from which one can derive all mental health phenomena and make falsifiable predictions. Still, as far as personality disorders are concerned, it is easy to discern common features. Most personality disorders share a set of symptoms (as reported by the patient) and signs (as observed by the mental health practitioner).
Patients suffering from personality disorders have these things in common:

They are persistent, relentless, stubborn, and insistent (except those suffering from the Schizoid or the Avoidant Personality Disorders).

They feel entitled to - and vociferously demand - preferential treatment and privileged access to resources and personnel. They often complain about multiple symptoms. They get involved in "power plays" with authority figures (such as physicians, therapists, nurses, social workers, bosses, and bureaucrats) and rarely obey instructions or observe rules of conduct and procedure.

They hold themselves to be superior to others or, at the very least, unique. Many personality disorders involve an inflated self-perception and grandiosity. Such subjects are incapable of empathy (the ability to appreciate and respect the needs and wishes of other people). In therapy or medical treatment, they alienate the physician or therapist by treating her as inferior to them.

Patients with personality disorders are self-centered, self-preoccupied, repetitive, and, thus, boring.

Subjects with personality disorders seek to manipulate and exploit others. They trust no one and have a diminished capacity to love or intimately share because they do not trust or love themselves. They are socially maladaptive and emotionally unstable.

No one knows whether personality disorders are the tragic outcomes of nature or the sad follow-up to a lack of nurture by the patient's environment.

Generally speaking, though, most personality disorders start out in childhood and early adolescence as mere problems in personal development. Exacerbated by repeated abuse and rejection, they then become full-fledged dysfunctions. Personality disorders are rigid and enduring patterns of traits, emotions, and cognitions. In other words, they rarely "evolve" and are stable and all-pervasive, not episodic. By 'all-pervasive", I mean to say that they affect every area in the patient's life: his career, his interpersonal relationships, his social functioning.

Personality disorders cause unhappiness and are usually comorbid with mood and anxiety disorders. Most patients are ego-dystonic (except narcissists and psychopaths). They dislike and resent who they are, how they behave, and the pernicious and destructive effects they have on their nearest and dearest. Still, personality disorders are defense mechanisms writ large. Thus, few patients with personality disorders are truly self-aware or capable of life transforming introspective insights.

Patients with personality disorder typically suffer from a host of other psychiatric problems (example: depressive illnesses, or obsessions-compulsions). They are worn-out by the need to reign in their self-destructive and self-defeating impulses.

Patients with personality disorders have alloplastic defenses and an external locus of control. In other words: rather than accept responsibility for the consequences of their actions, they tend to blame other people or the outside world for their misfortune, failures, and circumstances. Consequently, they fall prey to paranoid persecutory delusions and anxieties. When stressed, they try to preempt (real or imaginary) threats by changing the rules of the game, introducing new variables, or by trying to manipulate their environment to conform to their needs. They regard everyone and everything as mere instruments of gratification.

Patients with Cluster B personality disorders (Narcissistic, Antisocial, Borderline, and Histrionic) are mostly ego-syntonic, even though they are faced with formidable character and behavioral deficits, emotional deficiencies and lability, and overwhelmingly wasted lives and squandered potentials. Such patients do not, on the whole, find their personality traits or behavior objectionable, unacceptable, disagreeable, or alien to their selves.

There is a clear distinction between patients with personality-disorders and patients with psychoses (schizophrenia-paranoia and the like). As opposed to the latter, the former have no hallucinations, delusions or thought disorders. At the extreme, subjects who suffer from the Borderline Personality Disorder experience brief psychotic "microepisodes", mostly during treatment. Patients with personality disorders are also fully oriented, with clear senses (sensorium), good memory and a satisfactory general fund of knowledge.

Answer 2

Personality disorders are pervasive chronic psychological disorders, which can greatly affect a person's life. Having a personality disorder can negatively affect one's work, one's family, and one's social life. Personality disorders exists on a continuum so they can be mild to more severe in terms of how pervasive and to what extent a person exhibits the features of a particular personality disorder. While most people can live pretty normal lives with mild personality disorders (or more simply, personality traits), during times of increased stress or external pressures (work, family, a new relationship, etc.), the symptoms of the personality disorder will gain strength and begin to seriously interfere with their emotional and psychological functioning.


Those with a personality disorder possess several distinct psychological features including disturbances in self-image; ability to have successful interpersonal relationships; appropriateness of range of emotion, ways of perceiving themselves, others, and the world; and difficulty possessing proper impulse control. These disturbances come together to create a pervasive pattern of behavior and inner experience that is quite different from the norms of the individual's culture and that often tend to be expressed in behaviors that appear more dramatic than what society considers usual. Therefore, those with a personality disorder often experience conflicts with other people and vice-versa. There are ten different types of personality disorders that exist, which all have various emphases.

Answer 3

did you just get that the above poster called psych more of an art form than a science!!.. then how the s*** can you give drugs to someone if psych is so vague.... when different psychs can easily give the same person a different diagnosis... oh and by the way how can your own personality be a "disorder"???? how can you say to someone you know what your thoughts,your ideas ie your personality that which makes you yourself is actually wrong thats denying the persons right to be who they are!... how can you be ill for being yourself
everyone has their own personality and unique way of being.. how can you drug someone for being the way they are, how can call it therapy to try to change someones own personality ?? How can you categorise labels peoples personalities?? you cant possibly we are all unique..
how can you say borderline personality disorder means having no personality.. what?? EVERYONE has a personality everyone is born with feelings, joys, moodyness etc etc and this can be expressed in any form. How can you involuntarily admit people to hospital and tell them that their PERSONALITY their own unique self is not normal... wha the hell is normal behaviour?? bet the psychs cant define that... they can try and define what is in their mind not normal but bet they cant define normal bcz there is no such thing.. did you know that the top psychs VOTE on what goes into the psych bible of disorders.. VOTE on what they deem to be unacceptable?? and once your labeled you try sueing not gona happen you know why bcz apparently your too ill or crazy not to know you have that "disorder".. not to mention they try to make you believe there is actually something wrong with the way you are.. how can you VOTE on what is an illness or not..
oh and by the way i bet anyone has or can or has experienced a lot of these so-called symptoms..
and after you are drugged, given "therapy", taken involuntarily into hospital over and over, tell me then that your life isnt gona be f***** up just that lil bit and your not gona be moody and seeming to be displaying these "symptoms"... cant hold down a job cz they keep on taking you in, your isolated from society... etc etc etc .. and then tell me you would be trustful of these therapists, yep drug someone, tell them their personality is wrong and THEN tell them to trust a psych you have got to be kidding me!
if you wana report this for abuse go ahead and stifle my right to free speech...

Answer 4

A personality disorder is a fundamentally backward way of interacting with others or viewing the world that affects your day-to-day life. Others include antisocial personality disorder (commonly known as a sociopath), borderline personality disorder (You have no fixed personality), and histrionic personality disorder (a need to be overly dramatic).

Answer 5

This term is usually employed by doctors to describe behavior symptoms that do not squarely fit with a classic psychiatric diagnosis such as bi polar or schizophrenia. It's somewhat of a catch all phrase.

Answer 6

Borderline personality disorder (BPD) is a serious mental illness characterized by pervasive instability in moods, interpersonal relationships, self-image, and behavior. This instability often disrupts family and work life, long-term planning, and the individual's sense of self-identity. Originally thought to be at the "borderline" of psychosis, people with BPD suffer from a disorder of emotion regulation.

a person with BPD may experience intense bouts of anger, depression, and anxiety that may last only hours, or at most a day.5 These may be associated with episodes of impulsive aggression, self-injury, and drug or alcohol abuse. Distortions in cognition and sense of self can lead to frequent changes in long-term goals, career plans, jobs, friendships, gender identity, and values. Sometimes people with BPD view themselves as fundamentally bad, or unworthy. They may feel unfairly misunderstood or mistreated, bored, empty, and have little idea who they are. Such symptoms are most acute when people with BPD feel isolated and lacking in social support, and may result in frantic efforts to avoid being alone.

People with BPD often have highly unstable patterns of social relationships. While they can develop intense but stormy attachments, their attitudes towards family, friends, and loved ones may suddenly shift from idealization (great admiration and love) to devaluation (intense anger and dislike). Thus, they may form an immediate attachment and idealize the other person, but when a slight separation or conflict occurs, they switch unexpectedly to the other extreme and angrily accuse the other person of not caring for them at all. Even with family members, individuals with BPD are highly sensitive to rejection, reacting with anger and distress to such mild separations as a vacation, a business trip, or a sudden change in plans. These fears of abandonment seem to be related to difficulties feeling emotionally connected to important persons when they are physically absent, leaving the individual with BPD feeling lost and perhaps worthless. Suicide threats and attempts may occur along with anger at perceived abandonment and disappointments.

People with BPD exhibit other impulsive behaviors, such as excessive spending, binge eating and risky sex. BPD often occurs together with other psychiatric problems, particularly bipolar disorder, depression, anxiety disorders, substance abuse, and other personality disorders.