Includes: expansive paranoid, fanatic, querulant and sensitive paranoid personality disorder.Įxcludes: delusional disorder and schizophrenia. preoccupation with unsubstantiated " conspiratorial" explanations of events both immediate to the patient and in the world at large.tendency to experience excessive self-aggrandizing, manifest in a persistent self-referential attitude.recurrent suspicions, without justification, regarding sexual fidelity of spouse or sexual partner.a combative and tenacious sense of self-righteousness out of keeping with the actual situation.suspiciousness and a pervasive tendency to distort experience by misconstruing the neutral or friendly actions of others as hostile or contemptuous.refusal to forgive insults and injuries or slights) tendency to bear grudges persistently (i.e.excessive sensitivity to setbacks and rebuffs.PPD is characterized by at least three of the following symptoms: It is also pointed out that for different cultures it may be necessary to develop specific sets of criteria with regard to social norms, rules and other obligations. It is a requirement of ICD-10 that a diagnosis of any specific personality disorder also satisfies a set of general personality disorder criteria. The World Health Organization's ICD-10 lists paranoid personality disorder under ( F60.0). Cognitive theorists believe the disorder to be a result of an underlying belief that other people are unfriendly in combination with a lack of self-awareness. Psychosocial theories implicate projection of negative internal feelings and parental modeling. A large long-term Norwegian twin study found paranoid personality disorder to be modestly heritable and to share a portion of its genetic and environmental risk factors with the other cluster A personality disorders, schizoid and schizotypal. Patients with this disorder can also have significant comorbidity with other personality disorders, such as schizotypal, schizoid, narcissistic, avoidant, and borderline.Ī genetic contribution to paranoid traits and a possible genetic link between this personality disorder and schizophrenia exist. People with PPD may have a tendency to bear grudges, suspiciousness, tendency to interpret others' actions as hostile, persistent tendency to self-reference, or a tenacious sense of personal right. Their reduced capacity for meaningful emotional involvement and the general pattern of isolated withdrawal often lend a quality of schizoid isolation to their life experience. They tend to be guarded and suspicious and have quite constricted emotional lives. They are eager observers and they often think they are in danger and look for signs and threats of that danger, potentially not appreciating other interpretations or evidence. People with this personality disorder may be hypersensitive, easily insulted, and habitually relate to the world by vigilant scanning of the environment for clues or suggestions that may validate their fears or biases. Paranoid personality disorder ( PPD) is a mental disorder characterized by paranoia, and a pervasive, long-standing suspiciousness and generalized mistrust of others.
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