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According to Drew Westen and Jonathan Shedler in their article An Empirically Derived Taxonomy for Personality Diagnosis, these are the personality types or disorders:
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Anxious-Avoidant or Avoidant:
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Individuals who match this prototype are chronically anxious. They tend to ruminate, dwelling on problems or replaying conversations in
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their minds. They are more concerned with avoiding harm than pursuing desires, and their choices and actions are unduly influenced by
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efforts to avoid perceived dangers. They are prone to feelings of shame and embarrassment. Individuals who match this prototype tend to
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be shy and self-conscious in social situations and to feel like an outcast or outsider. They are often socially awkward and tend to avoid social
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situations because of fear of embarrassment or humiliation. They tend to be inhibited and constricted and to have difficulty acknowledging
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or expressing desires. They may adhere rigidly to daily routines, have trouble making decisions, or vacillate when faced with choices. Their
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anxiety may find expression through a variety of channels, including panic attacks, hypochondriacal concerns (e.g., excessive worry about
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-
normal aches and pains), or somatic symptoms in response to stress (e.g., headache, backache, abdominal pain, asthma).
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-
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-
Dependent-Victimized or Dependent:
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Individuals who match this prototype tend to be needy and dependent, fear being alone, and fear rejection or abandonment. They tend
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to be ingratiating or submissive, often consenting to things they find objectionable in an effort to maintain support or approval. They tend
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to be passive and unassertive and to feel helpless and powerless. They tend to be indecisive, suggestible or easily influenced, and naïve or
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innocent, seeming to know less about the ways of the world than would be expected. They tend to become attached to people who are
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emotionally unavailable, and to create relationships in which they are in the role of caring for or rescuing the other person. Individuals
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who match this prototype tend to get drawn into or remain in relationships in which they are emotionally or physically abused, or needlessly
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put themselves in dangerous situations (e.g., walking alone or agreeing to meet strangers in unsafe places). They are insufficiently
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concerned with meeting their own needs and tend to feel unworthy or undeserving. Individuals who match this prototype have trouble
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acknowledging or expressing anger and instead become depressed, self-critical, or self-punitive. They tend to express anger in passive and
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indirect ways (e.g., making mistakes, procrastinating, forgetting) that may provoke or trigger anger or mistreatment from others.
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-
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-
Schizoid-Schizotypal:
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Individuals who match this prototype lack close relationships and appear to have little need for human company or contact, often seeming
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detached or indifferent. They lack social skills and tend to be socially awkward or inappropriate. Their appearance or manner may be odd
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or peculiar (e.g., their grooming, posture, eye contact, or speech rhythms may seem strange or off ), and their verbal statements may be
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incongruous with their accompanying emotion or non-verbal behavior. They have difficulty making sense of others’ behavior and appear
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unable to describe important others in a way that conveys a sense of who they are as people. They likewise have little insight into their own
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-
motives and behavior, and have difficulty giving a coherent account of their lives. Individuals who match this prototype appear to have a
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limited or constricted range of emotions and tend to think in concrete terms, showing limited ability to appreciate metaphor, analogy, or
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nuance. Consequently, they tend to elicit boredom in others. Despite their apparent emotional detachment, they often suffer emotionally:
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They find little satisfaction or enjoyment in life’s activities, tend to feel life has no meaning, and feel like outcasts or outsiders. A subset of
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35 |
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individuals who match this prototype show substantial peculiarities in their thinking and perception. Their speech and thought processes
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may be circumstantial, rambling, or digressive, their reasoning processes or perceptual experiences may seem odd and idiosyncratic, and
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they may be suspicious of others, reading malevolent intent into others’ words and actions.
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-
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-
Antisocial-Psychopathic or Antisocial:
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Individuals who match this prototype take advantage of others, tend to lie or deceive, and to be manipulative. They show a reckless
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disregard for the rights, property, or safety of others. They lack empathy for other people’s needs and feelings. Individuals who match this
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prototype experience little remorse for harm or injury they cause. They appear impervious to consequences and seem unable or unwilling
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to modify their behavior in response to threats or consequences. They generally lack psychological insight and blame their difficulties on
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other people or circumstances. They often appear to gain pleasure by being sadistic or aggressive toward others, and they may attempt to
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-
dominate significant others through intimidation or violence. Individuals who match this prototype tend to be impulsive, to seek thrills,
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46 |
-
novelty, and excitement, and to require high levels of stimulation. They tend to be unreliable and irresponsible and may fail to meet work
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47 |
-
obligations or honor financial commitments. They may engage in antisocial behavior, including unlawful activities, substance abuse, or
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interpersonal violence. They may repeatedly convince others of their commitment to change, leading others to think this time is really different,
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-
only to revert to their previous maladaptive behavior.
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-
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-
Paranoid:
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-
Individuals who match this prototype are chronically suspicious, expecting that others will harm, deceive, conspire against, or betray them.
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-
They tend to blame their problems on other people or circumstances, and to attribute their difficulties to external factors. Rather than
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recognizing their own role in interpersonal conflicts, they tend to feel misunderstood, mistreated, or victimized. Individuals who match this
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-
prototype tend to be angry or hostile and prone to rage episodes. They tend to see their own unacceptable impulses in other people instead
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of in themselves, and are therefore prone to misattribute hostility to other people. They tend to be controlling, to be oppositional, contrary,
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57 |
-
or quick to disagree, and to hold grudges. They tend to elicit dislike or animosity and to lack close friendships and relationships. Individuals
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58 |
-
who match this prototype tend to show disturbances in their thinking, above and beyond paranoid ideas. Their perceptions and reasoning
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can be odd and idiosyncratic, and they may become irrational when strong emotions are stirred up, to the point of seeming delusional.
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-
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Narcissistic:
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Individuals who match this prototype have an exaggerated sense of self-importance. They feel privileged and entitled, expect preferential
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treatment, and seek to be the center of attention. They have fantasies of unlimited success, power, beauty, or talent, and tend to treat others
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64 |
-
primarily as an audience to witness their importance or brilliance. They tend to believe they can only be appreciated by, or should only
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associate with, people who are high-status, superior, or special. They have little empathy and seem unable to understand or respond to
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others’ needs and feelings unless they coincide with their own. Individuals who match this prototype tend to be dismissive, haughty, and
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arrogant. They tend to be critical, envious, competitive with others, and prone to get into power struggles. They attempt to avoid feeling
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helpless or depressed by becoming angry instead, and tend to react to perceived slights or criticism with rage and humiliation. Their overt
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grandiosity may mask underlying vulnerability: Individuals who match this prototype are invested in seeing and portraying themselves as
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emotionally strong, untroubled, and emotionally in control, often despite clear evidence of underlying insecurity or distress. A substantial
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subset of narcissistic individuals tend to feel inadequate or inferior, to feel that life has no meaning, and to be self-critical and intolerant of
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their own human defects, holding themselves to unrealistic standards of perfection.
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-
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-
Borderline-Dysregulated or Borderline:
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Individuals who match this prototype have emotions that can change rapidly and spiral out of control, leading to extremes of sadness,
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anxiety, and rage. They tend to catastrophize, seeing problems as disastrous or unsolvable, and are often unable to soothe or comfort
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77 |
-
themselves without the help of another person. They tend to become irrational when strong emotions are stirred up, showing a significant
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-
decline from their usual level of functioning. Individuals who match this prototype lack a stable sense of self: Their attitudes, values, goals,
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79 |
-
and feelings about themselves may seem unstable or ever-changing, and they are prone to painful feelings of emptiness. They similarly
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-
have difficulty maintaining stable, balanced views of others: When upset, they have trouble perceiving positive and negative qualities in
|
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the same person at the same time, seeing others in extreme, black-or-white terms. Consequently, their relationships tend to be unstable,
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-
chaotic, and rapidly changing. They fear rejection and abandonment, fear being alone, and tend to become attached quickly and intensely.
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83 |
-
They are prone to feeling misunderstood, mistreated, or victimized. They often elicit intense emotions in other people and may draw them
|
84 |
-
into roles or scripts that feel alien and unfamiliar (e.g., being uncharacteristically cruel, or making heroic efforts to rescue them). They
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-
may likewise stir up conflict or animosity between other people. Individuals who match this prototype tend to act impulsively. Their work
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-
life or living arrangements may be chaotic and unstable. They may act on self-destructive impulses, including self-mutilating behavior,
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suicidal threats or gestures, and genuine suicidality, especially when an attachment relationship is disrupted or threatened.
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-
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Obsessional or Obsessive-Compulsive:
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Individuals who match this prototype tend to see themselves as logical and rational, uninfluenced by emotion. They tend to think in abstract
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-
and intellectualized terms, to become absorbed in details (often to the point of missing what is important), and prefer to operate as if
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emotions were irrelevant or inconsequential. They tend to be excessively devoted to work and productivity to the detriment of leisure and
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93 |
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relationships. Individuals who match this prototype tend to be inhibited and constricted, and have difficulty acknowledging or expressing
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94 |
-
wishes, impulses, or anger. They are invested in seeing and portraying themselves as emotionally strong, untroubled, and in control, despite
|
95 |
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evidence of underlying insecurity, anxiety, or distress. They tend to deny or disavow their need for nurturance or comfort, often regarding
|
96 |
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such needs as weakness. They tend to adhere rigidly to daily routines, becoming anxious or uncomfortable when they are altered, and
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97 |
-
to be overly concerned with rules, procedures, order, organization, schedules, and so on. They may be preoccupied with concerns about
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98 |
-
dirt, cleanliness, or contamination. Rationality and regimentation generally mask underlying feelings of anxiety or anger. Individuals who
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-
match this prototype tend to be conflicted about anger, aggression, and authority. They tend to be self-critical, expecting themselves to be
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100 |
-
perfect, and to be equally critical of others, whether overtly or covertly. They tend to be controlling, oppositional, and self-righteous or
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-
moralistic. They are prone to being stingy and withholding (e.g., of time, money, affection). They are often conflicted about authority, struggling
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with contradictory impulses to submit versus defy.
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-
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-
Hysteric-Histrionic or Histrionic:
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-
Individuals who match this prototype are emotionally dramatic and prone to express emotion in exaggerated and theatrical ways. Their reactions
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106 |
-
tend to be based on emotion rather than reflection, and their cognitive style tends to be glib, global, and impressionistic (e.g., missing
|
107 |
-
details, glossing over inconsistencies, mispronouncing names). Their beliefs and expectations seem cliché or stereotypical, as if taken
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-
from storybooks or movies, and they seem naïve or innocent, seeming to know less about the ways of the world than would be expected.
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-
Individuals who match this prototype tend to be sexually seductive or provocative. They use their physical attractiveness to an excessive
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degree to gain attention and notice, and they behave in ways that seem to epitomize gender stereotypes. They may be flirtatious, preoccupied
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-
with sexual conquest, prone to lead people on, or promiscuous. They tend to become involved in romantic or sexual triangles and
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-
may be drawn to people who are already attached or sought by someone else. They appear to have difficulty directing both tender feelings
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and sexual feelings toward the same person, tending to view others as either virtuous or sexy, but not both. Individuals who match this prototype
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tend to be suggestible or easily influenced, and to idealize and identify with admired others to the point of taking on their attitudes
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or mannerisms. They fantasize about ideal, perfect love, yet tend to choose sexual or romantic partners who are emotionally unavailable, or
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who seem inappropriate (e.g., in terms of age or social or economic status). They may become attached quickly and intensely. Beneath the
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surface, they often fear being alone, rejected, or abandoned.
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1 |
+
According to Drew Westen and Jonathan Shedler in their article An Empirically Derived Taxonomy for Personality Diagnosis, these are the personality types or disorders:
|
2 |
+
|
3 |
+
Anxious-Avoidant or Avoidant:
|
4 |
+
Individuals who match this prototype are chronically anxious. They tend to ruminate, dwelling on problems or replaying conversations in
|
5 |
+
their minds. They are more concerned with avoiding harm than pursuing desires, and their choices and actions are unduly influenced by
|
6 |
+
efforts to avoid perceived dangers. They are prone to feelings of shame and embarrassment. Individuals who match this prototype tend to
|
7 |
+
be shy and self-conscious in social situations and to feel like an outcast or outsider. They are often socially awkward and tend to avoid social
|
8 |
+
situations because of fear of embarrassment or humiliation. They tend to be inhibited and constricted and to have difficulty acknowledging
|
9 |
+
or expressing desires. They may adhere rigidly to daily routines, have trouble making decisions, or vacillate when faced with choices. Their
|
10 |
+
anxiety may find expression through a variety of channels, including panic attacks, hypochondriacal concerns (e.g., excessive worry about
|
11 |
+
normal aches and pains), or somatic symptoms in response to stress (e.g., headache, backache, abdominal pain, asthma).
|
12 |
+
|
13 |
+
Dependent-Victimized or Dependent:
|
14 |
+
Individuals who match this prototype tend to be needy and dependent, fear being alone, and fear rejection or abandonment. They tend
|
15 |
+
to be ingratiating or submissive, often consenting to things they find objectionable in an effort to maintain support or approval. They tend
|
16 |
+
to be passive and unassertive and to feel helpless and powerless. They tend to be indecisive, suggestible or easily influenced, and naïve or
|
17 |
+
innocent, seeming to know less about the ways of the world than would be expected. They tend to become attached to people who are
|
18 |
+
emotionally unavailable, and to create relationships in which they are in the role of caring for or rescuing the other person. Individuals
|
19 |
+
who match this prototype tend to get drawn into or remain in relationships in which they are emotionally or physically abused, or needlessly
|
20 |
+
put themselves in dangerous situations (e.g., walking alone or agreeing to meet strangers in unsafe places). They are insufficiently
|
21 |
+
concerned with meeting their own needs and tend to feel unworthy or undeserving. Individuals who match this prototype have trouble
|
22 |
+
acknowledging or expressing anger and instead become depressed, self-critical, or self-punitive. They tend to express anger in passive and
|
23 |
+
indirect ways (e.g., making mistakes, procrastinating, forgetting) that may provoke or trigger anger or mistreatment from others.
|
24 |
+
|
25 |
+
Schizoid-Schizotypal:
|
26 |
+
Individuals who match this prototype lack close relationships and appear to have little need for human company or contact, often seeming
|
27 |
+
detached or indifferent. They lack social skills and tend to be socially awkward or inappropriate. Their appearance or manner may be odd
|
28 |
+
or peculiar (e.g., their grooming, posture, eye contact, or speech rhythms may seem strange or off ), and their verbal statements may be
|
29 |
+
incongruous with their accompanying emotion or non-verbal behavior. They have difficulty making sense of others’ behavior and appear
|
30 |
+
unable to describe important others in a way that conveys a sense of who they are as people. They likewise have little insight into their own
|
31 |
+
motives and behavior, and have difficulty giving a coherent account of their lives. Individuals who match this prototype appear to have a
|
32 |
+
limited or constricted range of emotions and tend to think in concrete terms, showing limited ability to appreciate metaphor, analogy, or
|
33 |
+
nuance. Consequently, they tend to elicit boredom in others. Despite their apparent emotional detachment, they often suffer emotionally:
|
34 |
+
They find little satisfaction or enjoyment in life’s activities, tend to feel life has no meaning, and feel like outcasts or outsiders. A subset of
|
35 |
+
individuals who match this prototype show substantial peculiarities in their thinking and perception. Their speech and thought processes
|
36 |
+
may be circumstantial, rambling, or digressive, their reasoning processes or perceptual experiences may seem odd and idiosyncratic, and
|
37 |
+
they may be suspicious of others, reading malevolent intent into others’ words and actions.
|
38 |
+
|
39 |
+
Antisocial-Psychopathic or Antisocial:
|
40 |
+
Individuals who match this prototype take advantage of others, tend to lie or deceive, and to be manipulative. They show a reckless
|
41 |
+
disregard for the rights, property, or safety of others. They lack empathy for other people’s needs and feelings. Individuals who match this
|
42 |
+
prototype experience little remorse for harm or injury they cause. They appear impervious to consequences and seem unable or unwilling
|
43 |
+
to modify their behavior in response to threats or consequences. They generally lack psychological insight and blame their difficulties on
|
44 |
+
other people or circumstances. They often appear to gain pleasure by being sadistic or aggressive toward others, and they may attempt to
|
45 |
+
dominate significant others through intimidation or violence. Individuals who match this prototype tend to be impulsive, to seek thrills,
|
46 |
+
novelty, and excitement, and to require high levels of stimulation. They tend to be unreliable and irresponsible and may fail to meet work
|
47 |
+
obligations or honor financial commitments. They may engage in antisocial behavior, including unlawful activities, substance abuse, or
|
48 |
+
interpersonal violence. They may repeatedly convince others of their commitment to change, leading others to think this time is really different,
|
49 |
+
only to revert to their previous maladaptive behavior.
|
50 |
+
|
51 |
+
Paranoid:
|
52 |
+
Individuals who match this prototype are chronically suspicious, expecting that others will harm, deceive, conspire against, or betray them.
|
53 |
+
They tend to blame their problems on other people or circumstances, and to attribute their difficulties to external factors. Rather than
|
54 |
+
recognizing their own role in interpersonal conflicts, they tend to feel misunderstood, mistreated, or victimized. Individuals who match this
|
55 |
+
prototype tend to be angry or hostile and prone to rage episodes. They tend to see their own unacceptable impulses in other people instead
|
56 |
+
of in themselves, and are therefore prone to misattribute hostility to other people. They tend to be controlling, to be oppositional, contrary,
|
57 |
+
or quick to disagree, and to hold grudges. They tend to elicit dislike or animosity and to lack close friendships and relationships. Individuals
|
58 |
+
who match this prototype tend to show disturbances in their thinking, above and beyond paranoid ideas. Their perceptions and reasoning
|
59 |
+
can be odd and idiosyncratic, and they may become irrational when strong emotions are stirred up, to the point of seeming delusional.
|
60 |
+
|
61 |
+
Narcissistic:
|
62 |
+
Individuals who match this prototype have an exaggerated sense of self-importance. They feel privileged and entitled, expect preferential
|
63 |
+
treatment, and seek to be the center of attention. They have fantasies of unlimited success, power, beauty, or talent, and tend to treat others
|
64 |
+
primarily as an audience to witness their importance or brilliance. They tend to believe they can only be appreciated by, or should only
|
65 |
+
associate with, people who are high-status, superior, or special. They have little empathy and seem unable to understand or respond to
|
66 |
+
others’ needs and feelings unless they coincide with their own. Individuals who match this prototype tend to be dismissive, haughty, and
|
67 |
+
arrogant. They tend to be critical, envious, competitive with others, and prone to get into power struggles. They attempt to avoid feeling
|
68 |
+
helpless or depressed by becoming angry instead, and tend to react to perceived slights or criticism with rage and humiliation. Their overt
|
69 |
+
grandiosity may mask underlying vulnerability: Individuals who match this prototype are invested in seeing and portraying themselves as
|
70 |
+
emotionally strong, untroubled, and emotionally in control, often despite clear evidence of underlying insecurity or distress. A substantial
|
71 |
+
subset of narcissistic individuals tend to feel inadequate or inferior, to feel that life has no meaning, and to be self-critical and intolerant of
|
72 |
+
their own human defects, holding themselves to unrealistic standards of perfection.
|
73 |
+
|
74 |
+
Borderline-Dysregulated or Borderline:
|
75 |
+
Individuals who match this prototype have emotions that can change rapidly and spiral out of control, leading to extremes of sadness,
|
76 |
+
anxiety, and rage. They tend to catastrophize, seeing problems as disastrous or unsolvable, and are often unable to soothe or comfort
|
77 |
+
themselves without the help of another person. They tend to become irrational when strong emotions are stirred up, showing a significant
|
78 |
+
decline from their usual level of functioning. Individuals who match this prototype lack a stable sense of self: Their attitudes, values, goals,
|
79 |
+
and feelings about themselves may seem unstable or ever-changing, and they are prone to painful feelings of emptiness. They similarly
|
80 |
+
have difficulty maintaining stable, balanced views of others: When upset, they have trouble perceiving positive and negative qualities in
|
81 |
+
the same person at the same time, seeing others in extreme, black-or-white terms. Consequently, their relationships tend to be unstable,
|
82 |
+
chaotic, and rapidly changing. They fear rejection and abandonment, fear being alone, and tend to become attached quickly and intensely.
|
83 |
+
They are prone to feeling misunderstood, mistreated, or victimized. They often elicit intense emotions in other people and may draw them
|
84 |
+
into roles or scripts that feel alien and unfamiliar (e.g., being uncharacteristically cruel, or making heroic efforts to rescue them). They
|
85 |
+
may likewise stir up conflict or animosity between other people. Individuals who match this prototype tend to act impulsively. Their work
|
86 |
+
life or living arrangements may be chaotic and unstable. They may act on self-destructive impulses, including self-mutilating behavior,
|
87 |
+
suicidal threats or gestures, and genuine suicidality, especially when an attachment relationship is disrupted or threatened.
|
88 |
+
|
89 |
+
Obsessional or Obsessive-Compulsive:
|
90 |
+
Individuals who match this prototype tend to see themselves as logical and rational, uninfluenced by emotion. They tend to think in abstract
|
91 |
+
and intellectualized terms, to become absorbed in details (often to the point of missing what is important), and prefer to operate as if
|
92 |
+
emotions were irrelevant or inconsequential. They tend to be excessively devoted to work and productivity to the detriment of leisure and
|
93 |
+
relationships. Individuals who match this prototype tend to be inhibited and constricted, and have difficulty acknowledging or expressing
|
94 |
+
wishes, impulses, or anger. They are invested in seeing and portraying themselves as emotionally strong, untroubled, and in control, despite
|
95 |
+
evidence of underlying insecurity, anxiety, or distress. They tend to deny or disavow their need for nurturance or comfort, often regarding
|
96 |
+
such needs as weakness. They tend to adhere rigidly to daily routines, becoming anxious or uncomfortable when they are altered, and
|
97 |
+
to be overly concerned with rules, procedures, order, organization, schedules, and so on. They may be preoccupied with concerns about
|
98 |
+
dirt, cleanliness, or contamination. Rationality and regimentation generally mask underlying feelings of anxiety or anger. Individuals who
|
99 |
+
match this prototype tend to be conflicted about anger, aggression, and authority. They tend to be self-critical, expecting themselves to be
|
100 |
+
perfect, and to be equally critical of others, whether overtly or covertly. They tend to be controlling, oppositional, and self-righteous or
|
101 |
+
moralistic. They are prone to being stingy and withholding (e.g., of time, money, affection). They are often conflicted about authority, struggling
|
102 |
with contradictory impulses to submit versus defy.
|
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|
103 |
|
104 |
+
Hysteric-Histrionic or Histrionic:
|
105 |
+
Individuals who match this prototype are emotionally dramatic and prone to express emotion in exaggerated and theatrical ways. Their reactions
|
106 |
+
tend to be based on emotion rather than reflection, and their cognitive style tends to be glib, global, and impressionistic (e.g., missing
|
107 |
+
details, glossing over inconsistencies, mispronouncing names). Their beliefs and expectations seem cliché or stereotypical, as if taken
|
108 |
+
from storybooks or movies, and they seem naïve or innocent, seeming to know less about the ways of the world than would be expected.
|
109 |
+
Individuals who match this prototype tend to be sexually seductive or provocative. They use their physical attractiveness to an excessive
|
110 |
+
degree to gain attention and notice, and they behave in ways that seem to epitomize gender stereotypes. They may be flirtatious, preoccupied
|
111 |
+
with sexual conquest, prone to lead people on, or promiscuous. They tend to become involved in romantic or sexual triangles and
|
112 |
+
may be drawn to people who are already attached or sought by someone else. They appear to have difficulty directing both tender feelings
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113 |
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and sexual feelings toward the same person, tending to view others as either virtuous or sexy, but not both. Individuals who match this prototype
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114 |
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tend to be suggestible or easily influenced, and to idealize and identify with admired others to the point of taking on their attitudes
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115 |
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or mannerisms. They fantasize about ideal, perfect love, yet tend to choose sexual or romantic partners who are emotionally unavailable, or
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116 |
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who seem inappropriate (e.g., in terms of age or social or economic status). They may become attached quickly and intensely. Beneath the
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117 |
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surface, they often fear being alone, rejected, or abandoned.
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