Thursday, March 29, 2012

Personality problems

People with personality problems are commonly seen in clinics[1]. It is in fact a cluster of problems which is even more troublesome than most other psychiatric problems. Some of these problems affects the person (patient) more than others, others affect the people surrounding the person having the problem.

"Psychosis, you can treat, but personality disorders, not really." - said my friend who is now a psychiatrist.

This in fact reflects both the resistance to treatment, as well as the general resentment that such disorder actually occurs in our population, and in our clinics.

Some personality disorders are very traumatic to others (not that these are not traumatic to oneself):

Paranoid personality disorder

People with this kind of personality are suspicious and sensitive. One can see a marked sense of self-importance but you can always feel a hint of shame, and humiliation, in their eyes, even after minor setbacks.

They are keen observers, as observant as the best scientists, they search not for scientific hypotheses, but attempts by others to deceive them.

They are very sensitive to rebuff, they are prickly and argumentative and they often read between the lines to see non-existent threatening meaning in obviously innocent remarks. They never forgive others for real or imagined threats, and they often seek revenge in this modern society by hiring lawyers and proceeding to litigations (often unnecessarily).

Borderline personality disorder

You see extreme efforts by them to avoid abandonment - they manipulate others by acts such as recurrent suicidal behavior to relieve themselves of their chronic feeling of emptiness. They are impulsive, they can't control their anger.

People often quote these borderline people to have intense, but brief, and unstable relationships, and this is true, and in addition, approaching the end of their relationship, you see paranoia in their behavioral pattern, and they become suspicious when they are stressed.

What's the personality problem described here?

[1] Not that I don't have one. I am a dependent person. Dependent on my girlfriend.

3 comments:

  1. At which point we can call this a 'disorder'?

    I am a bit confused since no one is perfect...

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    1. There are diagnostic criteria in both DSM-IV-TR as well as in the ICD-10. A person has to fulfill a number of criteria, for a period of time in order to be diagnosed to have such problem. The issue with diagnosis though, is that there are no treatments...

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    2. I guess it is hard to cure a jerk...

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