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Disorders of Adult Personality and Behaviour
Terms in this set (11)
Personality is defined as?
an individual's characteristic pattern of thinking, feeling, and acting
when these personality traits become abnormal, i.e.
become inflexible and maladaptive, and cause significant social or occupational impairment, or significant
Although personal distress may occur in some
personality disorders, classically the abnormal personality
The life-time prevalence of personality disorders
in the general population
ICD-10, the diagnostic guidelines for
specific personality disorder include conditions not
directly attributable to gross brain damage or disease,
1. Markedly disharmonious attitudes and behaviour,
involving usually several areas of functioning,
e.g. affectivity, arousal, impulse control, ways of
perceiving and thinking, and style of relating to
2. The abnormal behaviour pattern is enduring, of
long standing, and not limited to episodes of
3. The abnormal behaviour pattern is pervasive and
clearly maladaptive to a broad range of personal
and social situations;
4. The above manifestations always appear during
childhood or adolescence and continue into adulthood;
5. The disorder leads to considerable personal distress
but this may only become apparent late in its
6. The disorder is usually, but not invariably, associated
with significant problems in occupational and
types of personality disorders
paranoid, schizoid, schizotypal, antisocial, borderline, histrionic, narcissistic, avoidant, dependent, obsessive-compulsive
What is ENDURING PERSONALITY CHANGES,
NOT ATTRIBUTABLE TO BRAIN
DAMAGE AND DISEASE?
This new category in ICD-10 includes disorders of
adult personality and behaviour which develop following
catastrophic or excessive prolonged stress, or
following a severe psychiatric illness, in people with
no personality disorder. The pre sence of brain damage
or disease which may cause similar clinical features
should be ruled out.
HABIT AND IMPULSE DISORDERS
This category includes disorders such as patholo gical
gambling, pyromania, kleptomania, tricho tillomania,
and intermittent explosive disorder. The disorders
in this heterogeneous group are characterised by
impulsive behaviour which the patient cannot resist or
control. There may be a feeling of release of tension by
doing the act and a feeling of guilt after the act is over.
Munchausen syndrome (also known variously
as hospital addiction, hospital hoboes, or professional
patients) is used for those patients who
repeatedly simulate or fake diseases for the sole
purpose of obtaining medical attention. There is no
other recognisable motive (hence, it is different from
Factitious disorders can present with?
physical signs and symptoms, or psychological
signs and symptoms, or combined signs and symptoms.
The patients distort their clinical histories, laboratory
tests' reports, and even facts about other aspects of
their lives ( pseudologia fantastica).
Certain points must be kept in mind by the physician
(or surgeon), after the diagnosis has been made.
1. Avoid the feelings of anger, hostility and ridicule
which are aroused by the discovery of factitious
2. Patients should not be confronted or labelled as
liars. Instead, a psychiatric or psychological consultation
should be sought, as these patients may
3. Of course, the unnecessary surgical procedure(s)
should not be carried out.
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