Home' Trinidad and Tobago Guardian : August 20th 2014 Contents A41
Wednesday, August 20, 2014 www.guardian.co.tt Guardian
I ve come to realise that some
people with personality disorders
see their conduct as right and
cannot discern any variation
from the norm, therefore repeat-
ing their "oddness" ad infinitum.
I ve also learned in most
instances not to suggest any
recourse unless someone asks.
This lesson came many years
ago when I suggested to someone
close to me because of what I know
of the sexual abuse in their past
and owing to what I had gleaned
from searching for my own
answers, that their conduct seemed
to warrant an intervention.
I got cussed verbally followed
by two protracted essays about all
that is/was wrong with me, and
ridiculing me for my many years
of psychiatric intervention. I wit-
ness that individual repeating the
same "weird" conduct over the
years and I ve had many occasions
where others have tried to engage
me in gossip and severe criticism
of the issues, but I m long done
with that discussion.
Even when people ask for help,
I ve learned generally to locate the
relevant literature/references for
them and to suggest a qualified
professional for intervention.
People with personality disor-
ders don t always realise they have
MENTAL HEALTH MATTERS
a disorder, says www.aureachout.com, because their
way of thinking and behaviour seems so natural to
them. Because of this, they often blame other people
for the challenges they face in day-to-day life, even
when the incidents recur in multiple scenarios.
Cluster C of the PDs---the anxious, fearful cluster---
includes the Avoidant, Dependent, and Obsessive-
Compulsive Personality Disorders. These three per-
sonality disorders share a high level of anxiety.
The Avoidant Personality Disorder often has a very
limited social world with a small circle of confidants
and come across as stiff and restricted. Their life is
characterised by a pattern of social inhibition, feelings
of inadequacy, and a hypersensitivity to negative eval-
People with this disorder are intensely afraid that
others will ridicule them, reject them, or criticise them.
This leads them to avoid social situations and to avoid
interactions with others. This further limits their ability
to develop social skills. Their way of thinking about
and interpreting the world revolves around the thought
that they are not good enough, and that others don t
like them. They think of themselves as unappealing
and socially inept. The intensity of this fearful anxiety
might cause them to avoid parties or social events,
and they may have difficulty giving presentations at
work or speaking up in meetings. Others might perceive
them as distant or shy.
The core feature of the Dependent Personality Dis-
order is a strong need to be taken care of by other
people which often leads people with the disorder to
behave in a "clingy" manner. In order to avoid conflict,
they may have great difficulty standing up for them-
selves. The intense fear of losing a relationship makes
them vulnerable to manipulation and abuse. They find
it difficult to express disagreement or make independent
decisions, and are challenged to begin a task when
nobody is available to assist them. Being alone is
extremely hard for them.
People with Obsessive-Compulsive Personality Dis-
order are preoccupied with rules, regulations and
orderliness and tend to be rigid and inflexible in their
approach to things. This preoccupation with perfec-
tionism and control is at the expense of flexibility,
openness and efficiency. They are great makers of lists
and schedules, and are often devoted to work to such
an extent that they often neglect social relationships.
They have perfectionist tendencies and are so driven
in their work to "get it right" that they become unable
to complete projects or specific tasks because they get
lost in the details.
Often, they are unable to delegate tasks for fear that
another person will not "get it right." Sometimes
people with this disorder adopt a miserly style since
money is regarded as something that must be rigidly
controlled in order to ward off future catastrophe.
A personality disorder is a serious condition. As yet
the causes have not been figured out, but it s believed
that certain incidents can contribute to whether you
develop a personality disorder, including:
• family history of personality disorders or other
• experiencing abuse or neglect during childhood
• an unstable or chaotic family life when you re
• being diagnosed with childhood conduct disorder
• loss of parents through death or a traumatic
divorce when you were young
People s personalities develop as people they go
through different life experiences. Most people are
flexible enough to learn from past experiences and
change their behaviour. But, in all cases and types of
personality disorder, there is difficulty to change.
People have different ways of thinking and behaving,
but if you have a personality disorder, your extreme
thoughts and behaviours will make it difficult to cope
with day-to-day living. People with a personality dis-
order don t choose to feel the way they do, and are
in no way responsible for developing a disorder.
• Diagnostic information courtesy: http://www.dsm5.org/ More
CAROLINE C RAVELLO
A case of 'monkey can't see its tail'
Links Archive August 21st 2014 August 19th 2014 Navigation Previous Page Next Page