- Psychological Issues
A personality disorder is identified by a pervasive pattern of experience and behavior that is abnormal with respect to any of the following two: thinking, mood, personal relations, and the control of impulses.
The character of a person is shown through his or her personality – by the way an individual thinks, feels, and behaves. When the behavior is inflexible, maladaptive, and antisocial, then that individual is diagnosed with a personality disorder.
Most personality disorders begin as problems in personal development and character which peak during adolescence and then are defined as personality disorders.
Personality disorders are not illnesses in a strict sense as they do not disrupt emotional, intellectual, or perceptual functioning. However, those with personality disorders suffer a life that is not positive, proactive, or fulfilling. Not surprisingly, personality disorders are also associated with failures to reach potential.
The DSM-IV: Diagnositc and Statistical Manual of mental disorders (American Psychiatric Association) defines a personality disorder as an enduring pattern of inner experience and behavior that deviates markedly from the expectation of the individual’s culture, is pervasive and inflexible, has an onset in adolescence or early adulthood, is stable over time, and leads to distress or impairment.
Currently, there are 10 distinct personality disorders identified in the DSM-IV:
According to Dr. Sam Vaknin, author of Malignant Self-Love: Narcissism Revisited, individuals with personality disorders have many things in common:
Lack of individual accountability that results in a victim mentality and blaming others, society and the universe for their problems
Vaknin does not propose a unified theory of psychopathology as there is still much to learn about the workings of the world and our place in it. Each personality disorder shows its own unique manifestations through a story or narrative, but we do not have enough information or verifying capability to determine whether they spring from a common psychodynamic source.
It is important to note that some people diagnosed with borderline, antisocial, schizoid, and obsessive-compulsive personality disorders may be suffering from an underlying biological disturbance (anatomical, electrical, or neurochemical). A strong genetic link has been found in antisocial and borderline personality disorders.
Dr. David B. Adams of Atlanta Medical Psychology says that therapists have the most difficulties with those suffering from personality disorders. They are difficult to please, block effective communication, avoid development of a trusting relationship, [and] cannot be relied upon for accurate history regarding problems or how problems arose (The Psychological Letter, February 2000).
According to the Surgeon General, mental disorders are treatable. An armamentarium of efficacious treatments is available to ameliorate symptoms… Most treatments fall under two general categories, psychosocial and pharmacological. Moreover, the combination of the two—known as multimodal therapy—can sometimes be even more effective than each individually.
By reading the DSM-IV’s definition of personality disorders, it seems that these conditions are not treatable. However, when individuals choose to be in control of their lives and are committed to changing their lives, healing is possible. Therapy and medications can help, but it is the individual’s decision to take accountability for his or her own life that makes the difference.
To heal, individuals must first have the desire to change in order to break through that enduring pattern of a personality disorder. Individuals need to want to gain insight into and face their inner experience and behavior. (These issues may concern severe or repeated trauma during childhood, such as abuse.)
This involves changing their thinking – about themselves, their relationships, and the world. This also involves changing their behavior, for that which is not acted upon is not learned.
Then, with a support system (e.g., therapy, self-help groups, friends, family, medication), they can free themselves from their imprisoned life.