Personlighetsstorningar

Diagnostic criteria for:

Anti-social PD

A.Current age at least 18. B. Evidence of Conduct Disorder with onset before age 15, as indicated by a history of three or more of the following: (1) was often truant (2) ran away from home overnight at least twice while living in parental or parental surrogate home (or once without returning) (3) often initiated physical fights (4) used a weapon in more than one fight (5) forced someone into sexual activity with him or her (6) was physically cruel to animals (7) was physically cruel to other people (8) deliberately destroyed others’ property (other than by fire-setting) (9) deliberately engaged in fire-setting (10) often lied (other than to avoid physical or sexual abuse) (11) has stolen without confrontation of a victim on more than one occasion (including forgery) (12) has stolen with confrontation of a victim (e.g., mugging, purse-snatching, extortion, armed robbery) C. A pattern of irresponsible and antisocial behavior since the age of 15, as indicated by at least four of the following: (1) is unable to sustain consistent work behavior, as indicated by any of the following (including similar behavior in academic settings if the person is a student): (a) significant unemployment for six months or more within five years when expected to work and work was available (b) repeated absences from work unexplained by illness in self or family (c) abandonment of several jobs without realistic plans for others (2) fails to conform to social norms with respect to lawful behavior, as indicated by repeatedly performing antisocial acts that are grounds for arrest (whether arrested or not), e.g., destroying property, harassing other, stealing, pursuing an illegal occupation (3) is irritable and aggressive, as indicated by repeated physical fights or assaults (not required by one’s job or to defend someone or oneself), including spouseor child-beating (4) repeatedly fails to honor financial obligations, as indicated by defaulting on debts or failing to provide child support or support for other dependents on a regular basis (5) fails to plan ahead, or is impulsive, as indicated by one or both of the following: (a) traveling from place to place without a prearranged job or clear goal for the period of travel or clear idea about when the travel will terminated (b) lack of a fixed address for a month or more (6) has no regard for the truth, as indicated by repeated lying, use of aliases, or “conning” others for personal profit or pleasure (7) is reckless regarding his or her own or others’ personal safety, as indicated by driving while intoxicated, or recurrent speeding (8) if a parent of guardian, lacks ability to function as a responsible parent, as indicated by one or more of the following: (a) malnutrition of child (b) child’s illness resulting from lack of minimal hygiene (c) failure to obtain medical care for a seriously ill child (d) child’s dependence on neighbors or nonresident relatives for food or shelter (e) failure to arrange for a caretaker for young child when parent is away from home (f) repeated squandering, on personal items, of money required for household necessities (9) has never sustained a totally monogamous relationship for more than one year D. Occurrence of antisocial behavior not exclusively during the course of Schizophrenia or Manic Episodes. Diagnostic criteria for Borderline PD A pervasive pattern of instability of mood, interpersonal relationships, and self-image, beginning by early adulthood and present in a variety of contexts, as indicated by at least five of the following: (1) a pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of overidealization and devaluation (2) impulsiveness in at least two areas that are potentially self-damaging, e.g., spending, sex, substance use, shoplifting, reckless driving binge eating (3) affective instability: marked shifts from baseline mood to depression, irritability, or anxiety, usually lasting a few hours and only rarely more than a few days (4) inappropriate, intense anger or lack of control of anger, e.g., frequent displays of temper, constant anger, recurrent physical fights (5) recurrent suicidal threats, gestures, or behavior, or self-mutilating behavior (6) marked and persistent identity disturbance manifested by uncertainty about at least two of the following: self-image, sexual orientation, long-term goals or career choice, type of friends desired, preferred values (7) chronic feelings of emptiness or boredom (8) frantic efforts to avoid real or imagined abandonment Diagnostic criteria for

Histrionic PD

A pervasive pattern of excessive emotionality and attention-seeking, beginning by early adulthood and present in a variety of contexts, as indicated by at least four of the following: (1) constantly seeks or demands reassurance, approval, or praise