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Paranoid personality disorder
Paranoid personality disorder is a psychiatric diagnosis that denotes
a personality disorder with paranoid features.
The use of the term paranoia in this context is not meant to refer to
the presence of frank delusions or psychosis, but implies the presence
of ongoing, unbased suspiciousness and distrust of people.
Diagnostic Criteria
The Diagnostic and Statistical Manual of Mental Disorders defines
paranoid personality disorder as the following:
Pervasive distrust of others in which motives are perceived as
malevolent, beginning in early adulthood, as indicated by four (or more)
of the following criteria:
- suspects, without sufficient basis, that others are maliciously
exploiting or deceiving him or her.
- reluctant to confide in others due to unwarranted suspicion that
information will be used against him or her.
- preoccupied with unsubstantiated doubts of loyalty of friends or
acquaintances.
- reads slight or threatening meanings into benign remarks.
- quick to react angrily to perceived attacks on his or her character.
- persistently bears grudges, unforgiving of perceived insult or
slight.
- unjustified recurrent suspicions of fidelity of spouse.
For these behaviors to be attributed to Paranoid Personality Disorder,
they cannot occur exclusively during the course of Mood Disorder with
Psychotic Features or Schizophrenia.
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