PASSIVE_AGGRESSIVE PERSONALITY DISORDER

PASSIVE_AGGRESSIVE PERSONALITY DISORDER -...

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PASSIVE-AGGRESSIVE PERSONALITY DISORDER DSM-IV 301.9 Personality disorder NOS Passive-Aggressive personality disorder (negativistic personality disorder)—provided for further study. This disorder is characterized by a pervasive pattern of passive resistance, expressed indirectly rather  than directly, to demands for adequate social / occupational performance, with the individual viewing the  future as negatively as they view the present. ETIOLOGICAL THEORIES Psychodynamics These clients are unaware that ongoing difficulties are the result of their own behaviors. They  experience conscious hostility toward authority figures but do not connect their ownpassive-resistant  behaviors  with hostility or resentment. They do not trust others,  are not assertive, are intentionally  inefficient, and try to “get back” at others through aggravation. Anger and hostility are released through  others, who become angry and may suffer because of the client’s inefficiencies. This disorder can lead to  more serious psychological dysfunctions such as major depression, dysthymic disorder, and alcohol and  other drug abuse / dependence. These behaviors, although not disturbing to the client, are disturbing to those in the environment who  interact with the client. Therapy is not usually sought, but the client is generally referred for help by family  members. Biological Personality disturbance is attributed to constitutional abnormalities. There may be a biological base to  behavioral   and   emotional   deviations,   and   researchers   hope   to   demonstrate   a   correlation   between  chromosomal and neuronal abnormalities and a person’s behavior. Family Dynamics Theories of development implicate environmental factors occurring in the very early years of the  child’s life. Feelings of rejection or inadequate nurturing by the primary caregiver result in anger that is  then turned inward on the self. Depression is common. CLIENT ASSESSMENT DATA BASE Ego Integrity Feels cheated, unappreciated, misunderstood Chronically complains to others Blames others for failures Neurosensory Covert aggressive behaviors chosen over self-assertive behaviors Passive resistance to demands (to increase or maintain certain level of performance) through behaviors  such as dawdling, stubbornness, procrastination, and “forgetfulness” Mental Status:   Behavior:  May not appear uncomfortable in social situations but is cold and indifferent, reflecting stiff  perfectionism; superficial bravado   Mood and Affect:  Displays a seriousness with difficulty expressing warm feelings, may sulk and pout, 
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passively acquiesce / conform; harbors unspoken resentment   Emotion:
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PASSIVE_AGGRESSIVE PERSONALITY DISORDER -...

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