Paranoid Personality Disorder (PPD)

PPD, though more common than NPD,  is often ignored or overlooked and I think can be (and often is) mistaken for Narcissistic Personality Disorder (NPD).   The symptoms are remarkably similar and resemble the way a narcissist acts when in defense or attack mode. These are not very nice people. Someone with PPD acts like narcissist who is perpetually suffering narcissistic injury (must be fun!).   They are combative, controlling, envious/jealous, unforgiving, and quick to project blame onto others.  Also like narcissists, they are unlikely to think they have a problem so they rarely try to get help.

I wonder if PPD should actually be classified as a Cluster B personality disorder, since it involves a weak sense of self, hypersensitivity to real or imagined slights, and resultant abusiveness toward others and lack of insight/inability to accept blame.  Other then a tendency to avoid social interaction, PPD doesn’t seem that much like the “odd/eccentric” (Cluster A) disorder it is currently classified as (it’s in the same subcategory with Schizoid and Schizotypal Personality Disorders, neither of which bear much resemblance to PPD).

I’ve known people who I thought were narcissists and who were definitely abusive, but their behavior actually more closely resembles PPD than NPD.

One thing that’s unique about people with PPD is that they are more likely than others to have a parent with schizophrenia.

PPD2

Source:

http://www.mentalhealth.com/home/dx/paranoidpersonality.html

 

 

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A “new” personality disorder?

passive-aggressive-watch-out

I’ve heard of Passive Aggressive (Negativistic) Personality Disorder before, but it’s not currently recognized by the DSM. I think it should be added because I know people like this. In many ways it resembles narcissism, but some of the well known traits of narcissism are lacking, such as arrogance and grandiosity. It also resembles Paranoid Personality Disorder in some ways, without the schizoid traits. Passive-aggressives can be quite manipulative. They are well known for giving the “silent treatment” and sabotaging others. A person who complains constantly, is never satisfied, always sees the glass as half empty, and openly envies the more fortunate would probably qualify.

Negativistic (Passive-Aggressive) Personality Disorder
From “Personality Disorders Revisited” (450 page e-book) – by Sam Vaknin

Negativistic (Passive-Aggressive) Personality Disorder is not yet recognized by the DSM Committee. It makes its appearances in Appendix B of the Diagnostic and Statistical Manual, titled “Criteria Sets and Axes Provided for Further Study.”

Some people are perennial pessimists and have “negative energy” and negativistic attitudes (“good things don’t last”, “it doesn’t pay to be good”, “the future is behind me”). Not only do they disparage the efforts of others, but they make it a point to resist demands to perform in workplace and social settings and to frustrate people’s expectations and requests, however reasonable and minimal they may be. Such persons regard every requirement and assigned task as impositions, reject authority, resent authority figures (boss, teacher, parent-like spouse), feel shackled and enslaved by commitment, and oppose relationships that bind them in any manner.

Whether these attitudes and behaviors are acquired/learned or the outcome of heredity is still an open question. Often, passive-aggression is the only weapon of the weak and the meek, besieged as they are by frustration, helplessness, envy and spite, the organizing principles of their emotional landscape and the engines and main motivating forces of their lives.

Passive-aggressiveness wears a multitude of guises: procrastination, malingering, perfectionism, forgetfulness, neglect, truancy, intentional inefficiency, stubbornness, and outright sabotage. This repeated and advertent misconduct has far reaching effects. Consider the Negativist in the workplace: he or she invests time and efforts in obstructing their own chores and in undermining relationships. But, these self-destructive and self-defeating behaviors wreak havoc throughout the workshop or the office.

passive_aggressive_bitch

People diagnosed with the Negativistic (Passive-Aggressive) Personality Disorder resemble narcissists in some important respects. Despite the obstructive role they play, passive-aggressives feel unappreciated, underpaid, cheated, and misunderstood. They chronically complain, whine, carp, and criticize. They blame their failures and defeats on others, posing as martyrs and victims of a corrupt, inefficient, and heartless system (in other words, they have alloplastic defenses and an external locus of control).

Passive-aggressives sulk and give the “silent treatment” in reaction to real or imagined slights. They suffer from ideas of reference (believe that they are the butt of derision, contempt, and condemnation) and are mildly paranoid (the world is out to get them, which explains their personal misfortune). In the words of the DSM: “They may be sullen, irritable, impatient, argumentative, cynical, skeptical and contrary.” They are also hostile, explosive, lack impulse control, and, sometimes, reckless.

Inevitably, passive-aggressives are envious of the fortunate, the successful, the famous, their superiors, those in favor, and the happy. They vent this venomous jealousy openly and defiantly whenever given the opportunity. But, deep at heart, passive-aggressives are craven. When reprimanded, they immediately revert to begging forgiveness, kowtowing, maudlin protestations, turning on their charm, and promising to behave and perform better in the future.

Click here to read about passive aggressive bureaucracies and collectives: http://www.narcissistic-abuse.com/personalitydisorders36.html#pacollect