CLUSTERING PERSONALITY DISORDERS
Clustering is a 'DSM' assessment tool often used to quickly determine an individual's propensity towards a general
characterological deficit that is underscored with an insidious and progressive onset beginning in adolescence .
Its primary features are pervasive and create a foundation for
cognitive dissonance. They may, or may not be Ego-Dystonic, and often become the basis for subjective distress prompting the individual to use primitive,
immature, or neurotic defenses.
The criteria/descriptions being used below are not part of the DSM, or other sources. Though some similarities may exist, in effect, they derive from this author's experience, and extensive reviews of the literature.
Cluster A .... Schizophrenia, Autistic spectrum, Paranoid pd, Schizoid pd, Schizotypal pd
Individuals that may fall under this category often experience difficulties with relations. Their speech and receptive skills may demonstrate or evince oddities, eccentrism, or peculiarities that inhibit, or interfere with relatedness.
Paranoid personality disorder
- Suspicious, Guarded, Reserved and cautious about being taken advantage of, cheated, manipulated, or betrayed.
- Hyper-vigilant and Untrusting, often reading hidden messages in what people say or do.
- Jealous, possessive and frequently attempting to control others.
- Has serious difficulties with forgetting, or forgiving, and frequently holds grudges.
- An intermittent explosive temperament may not be unusual.
Schizoid personality disorder
- Cold, aloof, detached, and may appear confused or bewildered.
- Gets overwhelmed around people and prefers detachment inclusive of disinterest in intimacy or in in-depth relations.
- Impervious to comments, or criticism, and a profound inability to experience pleasure.
- Affect, as well as affective expression is limited, or constricted.
Schizotypal personality disorder
- Appears confused or bewildered, with unusual or peculiar incongruent -to-mood affect or grimacing.
- Expressive and receptive prosody is virtually absent.
- A prevalence of ideas of reference and other paralogical unsystemitized delusional systems.
- Unusual beliefs around metaphysical constructs such as voodoo, spells, telepathy, telekinesis, alchemy, astrology,
- Preoccupation and beliefs that they have been endowed with special powers that they can use to mentally influence others, or project their thoughts onto them.
- Believing Media articles, or headlines hold secrete or clandestine messages for them.
- Speech may be vague, and underscored with a serious tangential process, or rambling.
- Serious anxiety, discomfort, and awkwardness in social, or group settings, though there is a craving for being a part of group gatherings.
It is not inconceivable that all 3 disorders may be present in some form of a blend in the same individual mimicking, as it were, a "schizoaffective" or "borderline pd in some form or another.
Cluster B
- For the most part these personality disorders are as treatment-resistant as they are lacking in treatment-compliance.
- There is an underlying core best described as "emotional blindness, and a virtual absence of a moral compass
- They often engage in exaggeration, hyperbole, dramatization, and evince high mood lability, and explosive temperament.
- They manifest an insatiable need to be noticed as powerful, or attractive, or special with little, if any, regard for others.
- They are unable to experience remorse, guilt, or empathy, and invariably they are prone to the most primitive of defense mechanisms : Denial, Projection, Projective identification, and splitting.
If there was such a formal condition as "Mental Derangement", the antisocial personality will receive a score of 3 out of 5, the histrionic a 4, and the borderline a 5 .
Antisocial personality disorder
- Little if any regard or concern is exhibited regarding the consequences of their words, or actions.
- They are pompous, arrogant, haughty, controlling, demanding, and persistent in pushing the envelop , as well as evincing a total disregard for protocols, etiquette, or social, cultural, or legal norms.
- They present with an inflated self-esteem, have a sense of grandiose self-importance and believe they are entitled in the absence of any evidence of reciprocal, or commensurate actions, and often engage in fantasies of unlimited power.
- The lack in impulse control, they are erratic and unpredictable, and are unable to sustain in-depth relations.
- Egoism, Eroticism, megalomania, are the underlying keystones.
Borderline personality disorder
A person with borderline personality disorder is emotionally unstable, has impulses to self-harm, and has very intense and unstable relationships with others. Read more about borderline personality disorder.
Histrionic personality disorder
A person with histrionic personality disorder is anxious about being ignored. As a result, they feel a compulsion (overwhelming urge) to be noticed and the center of everyone’s attention. Features include:
- displaying excessive emotion, yet appearing to lack real emotional sincerity
- dressing provocatively and engaging in inappropriate flirting or sexually seductive behaviour
- moving quickly from one emotional state to another
- being self-centered and caring little about other people
- constantly seeking reassurance and approval from other people
- Symptoms and signs may co-exist with borderline and narcissistic personality disorders.
Narcissistic personality disorder
A person with narcissistic personality disorder swings between seeing themselves as special and fearing they are worthless. They may act as if they have an inflated sense of their own importance and show an intense need for other people to look up to them. Other symptoms include:
- exaggerating their own achievements and abilities
- thinking they are entitled to be treated better than other people
- exploiting other people for their own personal gain
- lacking empathy for other people's weaknesses
- looking down on people they feel are "beneath" them, while feeling deeply envious of people they see as being "above" them.
Cluster C
Someone with a cluster C personality disorder fears personal relationships and shows patterns of anxious and fearful behaviour around other people. Others may be withdrawn and reluctant to socialize.
Avoidant personality disorder
A person with avoidant personality disorder appears painfully shy, is socially inhibited, feels inadequate and is extremely sensitive to rejection. Unlike people with schizoid personality disorders, they desire close relationships with others, but lack the confidence and ability to form them.
Dependent personality disorder
A person with dependent personality disorder feels they have no ability to be independent. They may show an excessive need for others to look after them and are "clingy". Other features include:
- finding it difficult to make decisions without other people’s guidance
- needing others to take responsibility over what should be their own important life choices
- not being able to express disagreement with other people
- finding it difficult to start new activities due to a lack of confidence
- going to extremes to obtain support and comfort
- feeling helpless and uncomfortable when alone
- urgently needing to start a new relationship once a previous relationship comes to an end
- having an unrealistic and constant fear they will be left alone to fend for themselves
Obsessive compulsive personality disorder
A person with obsessive compulsive personality disorder is anxious about issues that seem out of control or "messy". They are preoccupied with orderliness and ways to control their environment, and may come across to others as a "control freak".
They are invariable hyper alert, hyper vigilant, and often fail to see the forest from the trees.
Other features include:
- having an excessive interest in lists, timetables and rules
- being so concerned with completing a task perfectly that they have problems completing it (perfectionism)
- being a workaholic
- having very rigid views about issues such as morality, ethics and how a person should behave in daily life
- hoarding items that seem to have no monetary or sentimental value
- being unable to delegate tasks to other people
- disliking spending money, as they think it is always better to save for a "rainy day"
- This personality disorder differs from obsessive compulsive disorder (OCD), a related mental health condition, in several important ways:
People with OCD are aware that their behavior is abnormal and are anxious about it. Most people with obsessive compulsive personality disorder think their behavior is perfectly acceptable and have no desire to change it.
Some people with OCD are compelled to carry out rituals, such as having to touch every second lamppost as they walk down the street. This is not usually the case with people with obsessive compulsive personality disorder.
People with OCD may feel compelled to make lists or organize items in their house, but feel anxious about doing so. People with obsessive compulsive personality disorder find relief from anxiety when doing such tasks and may become irritated when prevented from doing so.