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Cluster C
Avoidant Personality Disorder
Avoidant personality disorder is characterized by social discomfort, fear of
negative evaluations, and timidity. Individuals suffering from this disorder
tend to be socially isolated; although they desire acceptance from others, they
are hurt by even minimal signs of disapproval, and therefore attempt to avoid
social situations entirely. The disorder is different from social
phobias and
agoraphobia in that whereas social phobias focus
on anxiety in certain performance situations in which there will be evaluation,
and agoraphobia involves fear of being in public places from which there is no
likelihood of escape, avoidant personality disorder concerns the fear of not
having any friends. Individuals in this category tend not to have a strong
interest in engaging in social interactions, which then is detrimental to
forming and maintaining friendships. The prevalence rate ranges from .5 to 1
percent, and this disorder is highly comorbid with borderline personality
disorder. Research concerning **etiology indicates
that individuals who had parents who were not supportive and affectionate are at
a greater risk for developing this disorder than other individuals in the
general population.
Dependent Personality
Dependent personality disorder is characterized by a pattern of dependent
and submissive behavior. It is highly comorbid with borderline and
avoidant personality disorders, with a prevalence rate of 1.7 percent.
Etiological considerations focus on attachment issues, indicating that
individuals who had gross problematic attachment relationships with their
parents or overly-protective or authoritarian parents are at a higher risk
for developing the disorder than other individuals.
Often, individuals suffering from dependent personality disorder enter treatment
for another primary disorder and therefore, medication, when it is used, is
usually attempting to treat those comorbid axis I disorders.
Psychodynamic therapists attempt to help the
individual recognize his or her dependent behavior and its negative impact.
Behavior and interpersonal therapists attempt to help these individuals increase
their assertive communication skills. Finally, cognitive
therapy, which has been proven somewhat
helpful, attempts not only to better the individual's problem-solving and
decision-making skills to enable them to assert greater independence, but also
to address irrational fears about the potential consequences of greater
independence.
Obsessive-Compulsive Personality Disorder
Obsessive-compulsive personality disorder (OCPD) characterizes individuals
who are inflexible and strive for perfectionism. These individuals tend be
preoccupied with rules and efficiency and are excessively conscientious,
moralistic, and judgmental. They also usually need to have orderliness and
strict control of situations. The prevalence rate is about 1 percent of the
population. OCPD is highly comorbid with avoidant personality disorder.
Etiological considerations have found that the risk for developing OCPD
correlates highly with an individual's rating on the conscientiousness
factor scale of the Big Five theory of personality. Yet, like most
personality disorders, OCPD is ego-syntonic; these individuals do not see
there behavior as a problem.
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