“Personality disorders are becoming more common across the country due to an increase in mental health understanding. Most of these disorders have several similarities but just enough differences to distinguish between them. AllPsych.com provides readers with The Diagnostic and Statistical Manual of Mental Disorders, referred to as DSM, which was developed by the American Psychiatric Association. It is a system used in the mental health field as a way of classifying abnormal behaviors. There are 3 classes that the DSM-4 recognizes as personality disorders and they are Cluster A, Cluster B and Cluster C. Cluster B disorders will be the topic of this discussion. Individuals with Cluster B Personality Disorders are known for being dramatic, emotional, erratic, manipulative, and having a sense of entitlement. Symptoms are prominent although it may take years to form a diagnosis, and the prognoses with these types of disorders are often poor. There are four disorders under Cluster B; they are Antisocial, Borderline, Histrionic, and Narcissistic Personality Disorders.” Body
Antisocial Personality Disorder (ASPD)
“The DSM-4 defines Antisocial Personality Disorder as “...a pervasive pattern of disregard for, and violation of, the rights of others that begins in childhood or early adolescence and continues into adulthood” (Hefner Media Group, Inc., 2004). Childhood misconduct includes aggression, cruelty towards animals, vandalism and stealing. Adults with this disorder are known for their repeated unlawful offenses, lying, and disregard for others. They are impulsive, lack remorse, are irresponsible, and display reckless behavior. Relationships with these individuals are usually very unstable and unpredictable.” “For a concrete diagnosis of Antisocial Personality Disorder, an individual must meet the diagnostic criteria for the DSM. This includes signs of misconduct before the age of 15, the individual must be at least 18 years of age at the time of the diagnosis and have at least three of the previously mentioned behaviors. The DSM-4 specifically states “There is a failure to conform to society's norms and expectations that often results in numerous arrests or legal involvement as well as a history of deceitfulness where the individual attempts to con people or use trickery for personal profit. Impulsiveness if often present, including angry outbursts, failure to consider consequences of behaviors, irritability, and/or physical assaults” (Hefner Media Group Inc., 2004). “Prognosis for this disorder is poor since treatment is rarely sought voluntarily and these individuals are habitually noncompliant. The World Health Organization developed the ICD-10, a diagnostic tool much like the DSM-4 and it claims that “[Antisocial] behavior is not readily modifiable by adverse experience, including punishment” (World Health Organization, 2006).” Borderline Personality Disorder
“Borderline personality disorder (BPD) is defined by The National Institute of Mental Health as “a serious mental illness characterized by pervasive instability in moods, interpersonal relationships, self-image, and behavior” (National Institute of Mental Health, 2010). Individuals with this disorder display “disturbances in self-image, and internal preferences, chronic feelings of emptiness, intense and unstable interpersonal relationships, and a tendency to have self-destructive behavior, including suicide gestures and attempts” (World Health Organization, 2006). DSM criteria for diagnosis must be a pervasive pattern beginning in early adult hood that includes: five or more of the following observations: attempts to avoid real or imagined abandonment, persistent unstable relationships, poor self image, self destructive behavior, (such as excessive spending, promiscuity, drugs, alcohol, and/or recklessness), recurrent suicidal gestures or...