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301 Personality disorders
Deeply ingrained maladaptive patterns of behavior generally recognizable by
the time of adolescence or earlier and continuing throughout most of adult
life, although often becoming less obvious in middle or old age. The
personality is abnormal either in the balance of components, their quality and
expression or in its total aspect. Because of this deviation or psychopathy
the patient suffers or others have to suffer and there is an adverse effect
upon the individual or on society. It includes what is sometimes called
psychopathic personality, but if this is determined primarily by
malfunctioning of the brain, it should not be classified here but as one of
the nonpsychotic organic brain syndromes (310). When the patient exhibits an
anomaly of personality directly related to his neurosis or psychosis, e.g.,
schizoid personality and schizophrenia or anankastic personality and obsessive
compulsive neurosis, the relevant neurosis or psychosis which is in evidence
should be diagnosed in addition.
Character neurosis
301.0 Paranoid personality disorder
Personality disorder in which there is excessive sensitiveness to setbacks or
to what are taken to be humiliations and rebuffs, a tendency to distort
experience by misconstruing the neutral or friendly actions of others as
hostile or contemptuous, and a combative and tenacious sense of personal
rights. There may be a proneness to jealousy or excessive self-importance.
Such persons may feel helplessly humiliated and put upon; others, likewise
excessively sensitive, are aggressive and insistent. In all cases there is
excessive self-reference.
Fanatic personality Paranoid traits
Paranoid personality (disorder)
Excludes: acute paranoid reaction (298.3)
alcoholic paranoia (291.5)
paranoid schizophrenia (295.3)
paranoid states (297.-)
301.1 Affective personality disorder
Personality disorder characterized by lifelong predominance of a pronounced
mood which may be persistently depressive, persistently elated, or alternately
one then the other. During periods of elation there is unshakeable optimism
and an enhanced zest for life and activity, whereas periods of depression are
marked by worry, pessimism, low output of energy and a sense of futility.
Cycloid personality Depressive personality
Cyclothymic personality
Excludes: affective psychoses (296.-)
cyclothymia(296.2-296.5)
neurasthenia (300.5)
neurotic depression (300.4)
301.2 Schizoid personality disorder
Personality disorder in which there is withdrawal from
affectional, social and other contacts with autistic
preference for fantasy and introspective reserve. Behavior
may be slightly eccentric or indicate avoidance of
competitive situations. Apparent coolness and detachment may
mask an incapacity to express feeling.
Excludes: schizophrenia (295.-)
301.3 Explosive personality disorder
Personality disorder characterized by instability of mood with liability to
intemperate outbursts of anger, hate, violence or affection. Aggression may
be expressed in words or in physical violence. The outbursts cannot readily
be controlled by the affected persons, who are not otherwise prone to
antisocial behavior.
Aggressive: Emotional instability
personality (excessive)
reaction Pathological emotionality
Aggressiveness Quarrelsomeness
Excludes: dyssocial personality (301.7)
hysterical neurosis (300.1)
301.4 Anankastic personality disorder
Personality disorder characterized by feelings of personal insecurity, doubt
and incompleteness leading to excessive conscientiousness, checking,
stubbornness and caution. There may be insistent and unwelcome thoughts or
impulses which do not attain the severity of an obsessional neurosis. There
is perfectionism and meticulous accuracy and a need to check repeatedly in an
attempt to ensure this. Rigidity and excessive doubt may be conspicuous.
Compulsive personality Obsessional personality
Excludes: obsessive-compulsive disorder (300.3)
phobic state (300.2)
301.5 Hysterical personality disorder
Personality disorder characterized by shallow, labile affectivity, dependence
on others, craving for appreciation and attention, suggestibility and
theatricality. There is often sexual immaturity, e.g., frigidity and over-
responsiveness to stimuli. Under stress hysterical symptoms [neurosis] may
develop.
Psychoinfantile personality Histrionic personality
Excludes: hysterical neurosis (300.1)
301.6 Asthenic personality disorder
Personality disorder characterized by passive compliance with the wishes of
elders and others and a weak inadequate response to the demands of daily life.
Lack of vigor may show itself in the intellectual or emotional spheres; there
is little capacity for enjoyment.
Dependent personality Passive personality
Inadequate personality
Excludes: neurasthenia (300.5)
301.7 Personality disorder with predominantly sociopathic or asocial
manifestation
Personality disorder characterized by disregard for social obligations, lack
of feeling for others, and impetuous violence or callous unconcern. There is
a gross disparity between behavior and the prevailing social norms.
Behavior is not readily modifiable by experience, including punishment.
People with this personality are often affectively cold and may be abnormally
aggressive or irresponsible. Their tolerance to frustration is low; they
blame others or offer plausible rationalizations for the behavior which
brings them into conflict with society.
Amoral personality
Asocial personality
Antisocial personality
Excludes: disturbance of conduct without specifiable personality disorder
(312.-)
explosive personality (301.3)
301.8 Other personality disorders
Personality:
eccentric
"haltlose" type
immature
passive-aggressive
psychoneurotic
Excludes: psychoinfantile personality (301.5)
301.9 Unspecified
Pathological personality NOS Psychopathic:
Personality disorder NOS constitutional state
personality (disorder)
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