PASSIVE AGGRESSION PERSONALALITY |
People with PAPD are characterized by covert obstructionism, procrastination, stubbornness, and inefficiency. Such behavior is a manifestation of passively expressed underlying aggression. In the DSM-V the disorder is also called negativistic PD. CLINICAL FEATURES: 1 - PAPD patients characteristically procrastinate, resist demands for adequate 3 - In interpersonal relationships, these people attempt to manipulate themselves into DIFFERENTIAL DIAGNOSIS: PAPD must be differentiated from histrionic and borderline PD. Patients with PAPD, however, are less flamboyant, dramatic, affective and openly aggressive than those with histrionic and borderline PD. TREATMENT: Patients with PAPD who receive supportive psychotherapy have good outcomes, but psychotherapy for these patients has many pitfalls. To fulfill their demands is often to support their pathology, but to refuse their demands is to reject them. Therapy sessions can thus become a battleground on which the patient expresses feelings of resentment against the therapist on whom the patient wishes to become dependent. Therapists must point out the probable consequences of PA behaviors as they occur. Such confrontations may be more helpful than a correct interpretation on changing patients' behavior. |