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A. Significant impairments in personality functioning manifest by:
1. Impairments in self functioning (a or b):
a. Identity: Ego centrism; self esteem derived from personal gain, power, or pleasure
b. Self direction: Goal setting based on personal gratification; absence of prosocial internal standards associated with failure to conform to lawful or culturally normative ethical behavior
AND
2. Impairment in interpersonal functioning (a or b)
a. Empathy: lack of concern for feelings, needs, or suffering of others; lack of remorse after hurting or mistreating another
b. Intimacy: incapacity for mutually intimate relationships, as exploitation is a primary means of relating to others, including by deceit and coercion; use of dominance or intimidation to control others
ALSO:
Antagonism characterized by maniuplativeness, deceitfulness, callousness
Disinhibition characterized by irresponsibility, impulsivity, risk taking

Impairments in self functioning (a or b):
a. Identity: markedly impoverished, poorly developed, or unstable self image, often associated with excessive self criticism; chronic feelings of emptiness; dissociative states under stress
b. Self direction: instability in goals, aspirations, values, or career plans
AND
2. Impairments in interpersonal functioning (a or b):
a. Empathy: Compromised ability to recognize the feelings and needs of others associated with interpersonal hypersensitivity (prone to feel insulted or slighted); perceptions of others selectively biased toward negative attributes or vulnerabilities
b. Intimacy: intense, unstable, and conflicted close relationships, marked by mistrust, neediness, and anxious preoccupation with real or imagined abandonment; close relationships often viewed in extremes of idealization and devaluation and alternating between over involvement and withdrawal
ALSO
Pathological personality traits:
Negative affectivity characterized by emotional liability, anxiousness, separation insecurity, depressivity
Disinhibition characterized by impulsivity,, risk taking, antagonism
Antagonism characterized by hostility

Impairments in personality functioning:
1. Impairments in self functioning:
a. Identity: low self esteem associated with self appraisal as socially inept, personally unappealing, or inferior; excessive feelings of shame or inadequacy
b. Self direction: unrealistic standards for behavior associated with reluctance to pursue goals, take personal risks, or engage in new activities involving interpersonal contact
2. Impairments in interpersonal functioning:
a. Empathy: preoccupation with, and sensitivity to, criticism or rejection, associated with distorted inference of others' perspectives as negative
b. Intimacy: Reluctance to get involved with people unless being certain of being liked; diminished mutuality within intimate relationships because of fear of being shamed or ridiculed
ALSO
Pathological personality traits in the following domains:
1. Detachment characterized by withdrawal, intimacy avoidance, and Anhedonia: lack of enjoyment from, engagement in, or energy for life's experiences; deficits in the capacity to feel pleasure or take interest in things
2. Negative Affectivity characterized by Anxiousness

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Which of the following is a criterion for a personality disorder diagnosis?

Diagnosis of a personality disorder requires the following: A persistent, inflexible, pervasive pattern of maladaptive traits involving ≥ 2 of the following: cognition (ways or perceiving and interpreting self, others, and events), affectivity, interpersonal functioning, and impulse control.

What is criterion a personality disorder?

To diagnose a personality disorder, the following criteria must be met: A. Significant impairments in self (identity or self-direction) and interpersonal (empathy or intimacy) functioning. B. One or more pathological personality trait domains or trait facets.

What is the most common basis for making a diagnosis of a personality disorder?

However, according to the DSM-5, generally the diagnosis of a personality disorder includes long-term marked deviation from cultural expectations that leads to significant distress or impairment in at least two of these areas: The way you perceive and interpret yourself, other people and events.

What is the most commonly diagnosed personality disorder?

BPD is currently the most commonly diagnosed personality disorder. You can read more about it on our pages on borderline personality disorder (BPD). "BPD is like having no emotional buffer.