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PERSONALITY DISORDERCompetency Appraisal ------------------------------------------------------------Prepared by: GAGARIN, RM. BSN-IV----------------------------------------
CLUSTERS/ CATEGORIES
A: behaviour appears odd or eccentric
B: appear dramatic, emotional or erratic
C: appear anxious or fearful
CLUSTER A
•PARANOID
CLUSTER A
Personal info
withheld
CLUSTER A
• PARANOID*
CLUSTER A
Reads benign remarks as threatening
CLUSTER A
• PARANOID*
CLUSTER A
Always on the
defensive
CLUSTER A
• PARANOID*
CLUSTER A
Nullifies other
motives
CLUSTER A
• PARANOID*
CLUSTER A
I nsults
CLUSTER A
• PARANOID*
CLUSTER A
N ever off-guard
CLUSTER A
• PARANOID*
CLUSTER A
Generalized
mistrust of others
CLUSTER A
• PARANOID*
CLUSTER A
Lack of interest in social ties
CLUSTER A
• SCHIZOID*
Over preference
for solitary activities
CLUSTER A
• SCHIZOID*
Not affected by praise or criticism
CLUSTER A
• SCHIZOID*
Emotional coldness and detachment-
“unfeeling”
CLUSTER A
• SCHIZOID*
Reduced capacity to express
pleasure- “difficulty expressing”
CLUSTER A
• SCHIZOID*
SHIZOTYPAL
CLUSTER A
Mild Schizophrenia
CLUSTER A
• SCHIZOTYPAL*
Appearance and behaviour:
odd or peculiar
CLUSTER A
• SCHIZOTYPAL*
Generalised social anxiety
CLUSTER A
• SCHIZOTYPAL*
Ideas of reference/ beating around the
bush
CLUSTER A
• SCHIZOTYPAL*
Circumstantial and bizarre thinking
CLUSTER A
• SCHIZOTYPAL*
CLUSTER BCLUSTER B
CLUSTER B
Dysocial PD/
Sociopathy
CLUSTER B
• ANTI- SOCIAL*
CLUSTER B
Exploits others
CLUSTER B
• ANTI- SOCIAL*
CLUSTER B
Violates law
CLUSTER B
• ANTI- SOCIAL*
CLUSTER B
Impulsive and reckless
CLUSTER B
• ANTI- SOCIAL*
CLUSTER B
Loyalty questionable “manipulative”
CLUSTER B
• ANTI- SOCIAL*
CLUSTER B
Incapable of empathy and remorse
CLUSTER B
• ANTI- SOCIAL*
CLUSTER B
Shallow and false emotions
CLUSTER B
• ANTI- SOCIAL*
CLUSTER B
High IQ (reading people “what to
do”)
CLUSTER B
• ANTI- SOCIAL*
CLUSTER B
Boundaries “Do not care”
CLUSTER B
• BORDERLINE*
Obsessive nomination and fear of
abandonement “clingy intense”
CLUSTER B
• BORDERLINE*
Risky and impulsive*
CLUSTER B
• BORDERLINE*
Dichotomous thinking “entire black and
white”
CLUSTER B
• BORDERLINE*
Dissociative episodes “extreme stress”
CLUSTER B
• BORDERLINE*
Dysphoric mood(emotionally numb or
cold inside,hurting self just to feel something)
CLUSTER B
• BORDERLINE*
Emotional numbness
CLUSTER B
• BORDERLINE*
Relationships (clingy prone to stalker/
intense but unstable)
CLUSTER B
• BORDERLINE*
HISTRIONICCLUSTER B
Provocative clothing
CLUSTER B
• HISTRIONIC*
Relationships-
exaggerated intimacy
CLUSTER B
• HISTRIONIC*
Outward appearance
CLUSTER B
• HISTRIONIC*
Sexual
innuendos
CLUSTER B
• HISTRIONIC*
Theatrical behaviour
CLUSTER B
• HISTRIONIC*
Impressionistic
speech
CLUSTER B
• HISTRIONIC*
•NARCISSISTIC
CLUSTER B
Sense of grandeur and entitlement
CLUSTER B
• NARCISSISTIC*
Envious
CLUSTER B
• NARCISSISTIC*
Lack of empathy and compassion
CLUSTER B
• NARCISSISTIC*
Fantasies:
limitless power
CLUSTER B
• NARCISSISTIC*
CLUSTER CCLUSTER C
CLUSTER C
Inadequacy and ineptitude feeling
CLUSTER C
• AVOIDANT*
CLUSTER C
Wishes for closeness but afraid
CLUSTER C
• AVOIDANT*
CLUSTER C
Acceptance must be reassured
• alienation
CLUSTER C
• AVOIDANT*
CLUSTER C
Social inhibition
CLUSTER C
• AVOIDANT*
CLUSTER C
Sibuyas-
skinned
CLUSTER C
• AVOIDANT*
DEPENDENT
CLUSTER C
Clingy
CLUSTER C
• DEPENDENT*
Asthenic PD (body complaints;pain in nature)
CLUSTER C
• DEPENDENT*
Body complaints
CLUSTER C
• DEPENDENT*
Inititiates ideas/projects NEVER!
CLUSTER C
• DEPENDENT*
Trots between relationships
CLUSTER C
• DEPENDENT*
OBSESSIVE- COMPULSIVE
CLUSTER C
Order
CLUSTER C
• OBSESSIVE- COMPULSIVE*
Cleanliness
CLUSTER C
• OBSESSIVE- COMPULSIVE*
Perfection
CLUSTER C
• OBSESSIVE- COMPULSIVE*
Details
CLUSTER C
• OBSESSIVE- COMPULSIVE*
Not expressing
Anger openly
Excuse maker
Give late participation
Ambiguity
Trust Unworthy
Intentional Insufficiency
Very incompetent
DEPRESSIVE
Derogatory
attitude
Overwhelming
pessimist
Worthless
with low self- esteem
Negativistic, critical and
judgmental towards others
• References:• Dobbert, D. (2007) Understanding Personality
Disorders: An Introduction. Greenwood Press.• American Psychiatric Association APA
(2000) Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR)
• Internet Mental Health (www.mentalhealth.com) 1995-2011 by Phillip W. Long, M.D.
• SteadyHealth (www.steadyhealth.com) 2004-2012 by SirGan
•