Table of Contents

F60 : Personality Disorders

F60 Personality disorder

  1. There is evidence that the individual's characteristic and enduring patterns of inner experience and behaviour as a whole deviate markedly from the culturally expected and accepted range. Such deviations must be manifest in more than one of the following areas:

  2. cognition (i.e. ways of perceiving and interpreting things, people and events, forming attitudes and images of self and others)

  3. affectivity (range, intensity and appropriateness of emotional arousal and response)
  4. control over impulses and gratification of needs
  5. manner of relating to others and of handling interpersonal situations

  6. The deviation must manifest itself pervasively as behaviour that is inflexible, maladaptive, or otherwise dysfunctional across a broad range of personal and social situations

  7. There is personal distress, or adverse impact on the social environment, or both

  8. There must be evidence that the deviation is stable and of long duration, having its onset in late childhood or adolescence

  9. The deviation cannot be explained as a manifestation or consequence of other adult mental disorders

  10. Organic brain disease, injury, or dysfunction must be excluded as the possible cause of the deviation

F60.0 Paranoid personality disorder

At least four of the following must be present: - Sensitive : Excessive sensitivity to setbacks and rebuffs - Grudging : Tendency to bear grudges persistently, e.g. refusal to forgive insults, injuries, or slights - Suspicious : Suspiciousness and a pervasive tendency to distort experience by misconstruing the neutral or friendly actions of others as hostile or contemptuous - Argumentative : A combative and tenacious sense of personal rights out of keeping with the actual situation - Jealous : Recurrent suspicions, without justification, regarding sexual fidelity of spouse or sexual partner - Self-centred : Persistent self-referential attitude, associated particularly with excessive self importance - Mistrustful : Preoccupation with unsubstantiated 'conspiratorial' explanations of events either immediate to the patient or in the world at large

F60.1 Schizoid personality disorder

At least four of the following must be present:

| Humourless | Few, if any, activities provide pleasure | | Emotionally cold | Display of emotional coldness, detachment or flattened affectivity| | Detached | Limited capacity to express either warm, tender feelings, or anger towards others | | Indifferent | An appearance of indifference to either praise or criticism| | Loveless | Little interest in having sexual experiences with another person | | Solitary| Consistent choice of solitary activities | | Introspective | Excessive preoccupation with fantasy and introspection| | Friendless | No desire for, or possession of, any close friends or confiding relationships (or only one) | | Unconventional | Marked insensitivity to prevailing social norms and conventions, disregard for such norms and conventions is unintentional |

F60.2 Dissocial personality disorder

At least three of the following must be present:

|Callous | Callous unconcern for the feelings of others| |Irresponsible| Gross and persistent attitude of responsibility and disregard for social norms, rules, and obligations| |Short relationships| Incapacity to maintain enduring relationships, though with no difficulty in establishing them| |Low frustration tolerance|Very low tolerance to frustration and a low threshold for discharge of aggression, including violence| |Lack of guilt |Incapacity to experience guilt, or to profit from adverse experience, particularly punishment| |Blames others|Marked proneness to blame others, or to offer plausible rationalizations for the behaviour that has brought the individual into conflict with society|

F60.3 Emotionally unstable personality disorder

.30 Impulsive type

At least three of the following must be present, one of which must be (2): - Unpredictable : Marked tendency to act unexpectedly and without consideration of the consequences - Quarrelsome : Marked tendency to quarrelsome behaviour and to conflicts with others, especially when impulsive acts are thwarted or criticized - Explosive : Liability to outbursts of anger or violence, with inability to control the resulting behavioural explosions - Desultory : Difficulty in maintaining any course of action that offers no immediate reward - Capricious : Unstable and capricious mood

.31 Borderline type

At least three symptoms of Impulsive type and at least two of the following must be present:

  • Poor self image : Disturbances in and uncertainty about self-image, aims and internal preferences (including sexual)
  • Relationship crisis : Liability to become involved in intense and unstable relationships, often leading to emotional crises
  • Fear of abandonment : Excessive efforts to avoid abandonment
  • Self-harm : Recurrent threats or acts of self harm
  • Feelings of emptiness : Chronic feelings of emptiness  

F60.4 Histrionic personality disorder

At least four of the following must be present:

|Dramatic| Self-dramatization, theatrically, or exaggerated expression of emotion| |Suggestibility| The individual is easily influenced by others or by circumstances| |Affective| Shallow and labile affectivity | |Stimulus seeking|Continual seeking for excitement and activities in which the individual is the centre of attention| |Seductive|Inappropriate seductiveness in appearance or behaviour| |Vanity| Over-concern with physical attractiveness|

F60.5 Anankastic personality disorder

At least four of the following must be present

  • Cautious : Feelings of excessive doubt and caution
  • Orderliness: Preoccupation with details, rules, lists, order, organization, or schedule
  • Perfectionist:Perfectionism that interferes with task completion
  • Conscientiousness : Excessive conscientiousness and scrupulousness
  • Productivity: Undue preoccupation with productivity to the exclusion of pleasure and interpersonal relationships
  • Pedantic:Excessive pedantry and adherence to social conventions
  • Rigid : Rigidity and stubbornness
  • Martinette: Unreasonable insistence by the individual that others submit to exactly his or her way of doing things, or unreasonable reluctance to allow others to do things

F60.6 Anxious [avoidant] personality disorder

At least four of the following must be present:

  • Anxiety : Persistent and pervasive feelings of tension and apprehension
  • Inferiority feelings : Belief that one is socially inept, personally unappealing, or inferior to others
  • Fear of rejection : Excessive preoccupation with being criticized or rejected in social situations
  • Afraid to trust : Unwillingness to become involved with people unless certain of being liked
  • Restricted life : Restrictions in lifestyle because of need for physical security
  • Social avoidance : Avoidance of social or occupational activities that involve significant interpersonal contact, because of fear of criticism, disapproval, or rejection  

F60.7 Dependent personality disorder

At least four of the following must be present:

  • Dependence : Encouraging or allowing others to make most of one's important life decisions
  • Subordination : Subordination of one's own needs to those of others on whom one is dependent, and undue compliance with their wishes
    • Undemanding : Unwillingness to make even reasonable demands on the people one depends on
  • Helplessness : Feeling uncomfortable or helpless when alone, because of exaggerated fears of inability to care for oneself
  • Fear of not coping : Preoccupation with fears of being left to care for oneself
  • Need for reassurance : Limited capacity to make everyday decisions without an excessive amount of advice and reassurance from others

F60.8 Other specific personality disorders

F60.9 Personality disorder, unspecified