By Daniel L Segal; Frederick L Coolidge; Erlene Rosowsky
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Additional info for Personality disorders and older adults : diagnosis, assessment, and treatment
Cluster C contains 3 disorders in which individuals often appear fearful or anxious: Avoidant, Dependent, and Obsessive-Compulsive Personality Disorders. Two additional personality disorders are not grouped into the clusters but instead are listed in an appendix of the DSM-IV-TR for further empirical justification; these are the Depressive Personality Disorder and the Passive-Aggressive Personality Disorder (which is also called the negativistic personality disorder). , a patient having three or four symptoms of two different personality disorders but not meeting the threshold for either one).
When the clinician began to inquire about his family of origin, Albert straightened himself in his chair and challenged this line of questioning. “What do you need 32 Chapter 2 The Odd and Eccentric Personality Disorders and Aging to know about that for? ” The clinician was able to coax a little more information before Albert resisted even more vigorously. “Look. I don’t like where this is going. I don’t know what you’re getting at. I came to see you for your opinion about my depression. I just need your opinion.
First, he did not view psychopathologic personalities (his term for personality disorders) as necessary precursors to other or more severe mental disturbances but saw them as coexistent entities. This contribution heralded the multiaxial diagnostic classification system and separate diagnosis for personality disorders that was introduced by the American Psychiatric Association in 1980 in DSM-III. Second, he proposed that psychopathologic personalities developed in childhood and continued into adulthood consistent with modern evidence.