Paranoid Personality Disorder Guadalupe Lupian Mrs.Marsh Period 1
Paranoid Personality Disorder • Paranoid personality disorder is a psychiatric condition in which a person has a long-term distrust and suspicion of others • Their view of the world is very narrow they seek to confirm that others will take advantage of them
What does it bring ? • A person with paranoid personality disorder will nearly always believe that other people's are suspects • Exploit • Harm • Deceive them, even if no evidence exists to support this expectation
DSM-IV-TR CRITERIA • Diagnostic criteria for 301.0 Paranoid Personality Disorder(DSM IV - TR)(cautionary statement) • A.A pervasive distrust and suspiciousness of others such that their motives are interpreted as malevolent, beginning by early adulthood and present in a variety of contexts, as indicated by four (or more) of the following: • (1) suspects, without sufficient basis, that others are exploiting, harming, or deceiving him or her (2) is preoccupied with unjustified doubts about the loyalty or trustworthiness of friends or associates (3) is reluctant to confide in others because of unwarranted fear that the information will be used maliciously against him or her
Symptoms • Unjustified suspicion that others are exploiting,harming,or deceiving them • Doubts about others loyalty or trustworthiness • Reluctant to confide in others for fear that the information will be used against them • Tendency to read hidden demeaning or threatening meanings into harmless remarks • Tendency to bear grudges • Perception of personal attacks that are not apparent to others and tendency to respond with angry counterattacks • Reluctant unjustified suspicion about the faithfulness of spouse or sexual partner
CRITERIA (CONTINUED) • (4) reads hidden demeaning or threatening meanings into benign remarks or events • (5) persistently bears grudges, i.e., is unforgiving of insults, injuries, or slights • (6) perceives attacks on his or her character or reputation that are not apparent to others and is quick to react angrily or to counterattack
ASSOCIATED FEATURES • Extreme social isolation • Interference with work • Distant
CRITERIA CONTINUED • (7) has recurrent suspicions, without justification, regarding fidelity of spouse or sexual partner • n B. Does not occur exclusively during the courseof Schizophrenia, a Mood Disorder With Psychotic Features, or another Psychotic Disorder and is not due to the direct physiological effects of a general medical condition.
PREVALENCE • The prevalence of Paranoid Personality Disorder has been estimated to be as high as 4.5% of the general population • n Occurs more commonly in males • n This disorder is more common among first-degree biological relatives of those with Schizophrenia and Delusional Disorder, Persecutory Type
ETIOLOGY • The specific cause of Paranoid Personality Disorder is unknown, although there are theories which say • A threatening domestic atmosphere experienced during childhood may have given rise to profound insecurities that contributed to the development to this disorder
TREATMENT • Treatment is difficult because people with this condition are often very suspicious of doctors. • Psychotherapy is the treatment likely will focus on increasing general coping skills, as well as on improving social interaction, communication, and self-esteem • Anti depressants
PROGNOSIS • The outlook usually depends on whether the person is willing to accept help • Therapy • Medications can reduce paranoia and limit its impact on the person's daily functioning
DISCUSSION QUESTION • Do you think people with paranoid personality disorder deserve to work ?
Refrences • Myers,d.g.(2011).Myers psychology for ap.NewYork,NY:Worth Publishers • Halign,R.d.&whiteboune,S.K(2005).Abnormal psycology:clinicalpersepectives on psychologicaldisorders.NewYork,NY:Mcgraw Hill • Blais MA, Smallwood P, Groves JE, Rivas-Vazquez RA. Personality and personality disorders. In: Stern TA, Rosenbaum JF, Fava M, Biederman J, Rauch SL, eds. Massachusetts General Hospital Comprehensive Clinical Psychiatry. 1st ed. Philadelphia, Pa: Mosby Elsevier;2008:chap 39. • American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders, fourth edition. Washington, DC: American Psychiatric Association.