PERSONALITY DISORDERS – LEC 04
Paranoid Personality Disorder
• People often get confused and think that PPD is like schizophrenia, but this is not true.
PPD has nothing to do with psychotic episodes.Adelusion for example is a belief that is
not grounded in reality. Negative symptoms: amotivation, flat affect, anhedonia.
Disorganized symptoms refer to thought disorders (derailing), bizarre behaviour.
Catatonic symptoms: refers to immobility of the limbs.
• It is likely that someone who has PDD later develops schizophrenia in later life. Is there a
• Apervasive distrust and suspiciousness of others such that their motives are interpreted
as malevolent, beginning by early adulthood and present in a variety of contexts, as
indicated by four (or more) of the following:
• (1) Suspects, without sufficient basis, that others are exploiting, harming, or deceiving
him or her (check to see if it’s a specific belief—which means psychotic—versus a
• (2) Is preoccupied with unjustified doubts about the loyalty or trustworthiness of friends
• (3) Is reluctant to confide in others because of unwarranted fear that the information will
be used maliciously against him or her.
• (4) Reads hidden demeaning or threatening meanings into benign remarks or events.
• (5) Persistently bears grudges, i.e., is unforgiving of insults, injuries, or slights.
• (6) Perceives attacks on his or her character or reputation that are not apparent to others
and is quick to react angrily or to counterattack.
• (7) Has recurr