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9
21st March 09:12
External User
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paranoid personality disorder (hallucinations)
Thanks, Crackwalker, for that posting you sent about PPD/Paranoid Personality
Disorder. -(Actually, I think, I will save the text to re-read.)-
I note that nearly ALL traits described there...I can easily relate to as being
deep inside of me, as well.
So, maybe, that's why I find it so damned difficult to let anybody get near
me(including strangers/counsellors, as well-instead, I run from them)...which
is mainly due to lack of trust/and, all sorts of paranoid/or, wholly negative
worries about what dreadful things -(ulterior motives/lies/betrayal/physical
attack/being locked away/-etc.)- might happen next?!
The main characteristics of paranoid personality disorder are:
Suspicion
Hold grudges
Paranoia
Problems with intimacy
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....Yep, I can quite honestly say, I've got the whole damned lot of those...;
and, ALL put togeather, at once!
The only part I didn't relate to was being...narcissistic...; but, then, again,
when I really think about it...I am narcissitic, at least, in my dreams...and,
in fact, I day-dream, constantly, all the time(the only way to escape bitter
reality, as I see it, is to DREAM)...until when the harsh bitter light of
reality, quite suddenly, appears to wake me up...(I'm NOT Elvis/I'm NOT Bruce
Lee, anymore?)!
Then, I will instantly revert back to my usual feelings of having all 100% pure
self-hate deep down inside...at being most utterly useless, untalented, plain,
ugly, boring, extremely difficult, exceedingly awkward, 'normal' -totally
f***ed up, mostly, with endless worrying- me!
Definition: Paranoid personality disorder is a psychiatric condition
characaterized by pervasive and long-standing extreme distrust and suspicion
of others; hypersensitivity and scanning of the environment for clues that
selectively validate prejudices, attitudes, or biases. Stable psychotic
features such as delusions and hallucinations are absent. An unwarranted
tendency to interpret the actions of other people as deliberately
threatening or demeaning.
Causes, incidence, and risk factors: Personality disorders are chronic
patterns of behavior that cause lasting problems with work and
relationships. The cause of paranoid personality disorder is unknown, but it
appears to be more common in families with psychotic disorders like
schizophrenia and delusional disorder, which suggests a genetic influence.
This condition manifests itself as an unwarranted tendency to interpret the
actions of other people as deliberately threatening or demeaning. People
with a paranoid personality disorder are suspicious of other people, and
they are usually unable to acknowledge their own negative feelings towards
others.
Persons with paranoid personality disorder are hypersensitive. They expect
trickery and disloyalty from other people. And then they try to avoid all
surprises by anticipating them. In an interview people will be intense and
guarded and overly serious. They have difficulty expressing warm emotions
and tolerating feeling anything that is being dependent on another person.
Including feelings of being dependent on the clinician. They are keenly
aware of power and rank. They will often seize upon irrelevant details to
confirm suspicions. And what happens is that they paranoid people generally
do not see the forest for the trees. They will do this about their treatment
as well as other aspects of their life. They have very poor judgment in
matters relating to their specific fears. Often their judgment is not so
impaired in other areas and so can be quite misleading. It's often only when
you get the paranoid person to talk about his or her fears you begin to see
the disordered thinking and paranoid personality disorder.
The main characteristics of paranoid personality disorder are:
Suspicion
With little basis, people with paranoid personality disorder will fear that
others want to harm and exploit them. They may believe that spouses and
friends are being unfaithful or betraying them. Some file lawsuit after
lawsuit in an attempt to keep people from taking advantage of them.
Hold grudges
People with this disorder do not f****ve insults, slights, or injuries
easily. They are known for blaming others for their problems.
Paranoia
As the disorder 's name suggests, they perceive insults and threats from
benign statements or events. They may see character and reputation attacks
that are not apparent to others and may react with anger and counterattacks.
Problems with intimacy
People with paranoid personality disorder may have difficulty getting
intimate with others because they are apprehensive about trusting people.
This pattern of thinking is typically established by early adulthood. It may
affect .5 to 2.5% of the population.
Dual Diagnosis Treatment for the Paranoid Personality Disorder
Clients with PPD may not stay in a treatment program long enough to be
accurately diagnosed. They are so reactive to confrontation that they may
leave treatment despite potential negative consequences, e.g., violation of
probation. Direct and/or early confrontation will provoke hostility and
escalation of dysfunctional defenses. It may be difficult to identify the
intolerance and self-destructive response to confrontation in these clients
as they can so easily confront others. They do not appear particularly
fragile interpersonally. In fact, they have many narcissistic qualities and
both personality disorders may be present. If the paranoid features are
prominent, the underlying fear of malice and harm will become apparent. If
the narcissistic features are prominent, the entitlement and assumption of
personal superiority will become evident. This is an important
differentiation as the individual with a paranoid personality disorder will
respond very badly to direct confrontation (to the point of initiating
litigation) and the individual with a narcissistic personality disorder will
be indifferent to anything short of confrontation. Since substance abuse
treatment requires some reflection, if not confrontation, of drug and
alcohol use, assessing the individual's tolerance for seeing themselves in a
negative light is important. Individuals with narcissistic personality
disorder may be indignant and vulnerable to shame but will return happily to
a psychological place of specialness if they are supported and reassured.
People with PPD, on the other hand, may develop, in response to
confrontation, an intractable view of the service provider(s) as being of
malicious intent and impossible to trust. The damage can be considerable; a
cautious approach with ongoing assessment of level of trust and receptivity
is essential. Clients with PPD may well respond most immediately to a
psychoeducational approach that does not contain personal data, or limits
personal issues to self-reflection. To provide education regarding drugs and
alcohol may well initiate a cognitive recognition and acceptance for
individuals with PPD that they do not want these substances in their lives
doing them harm--all without confrontation or igniting the paranoid defenses
Crackwalker
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