Dr. David B. Adams – Psychological Blog

Psychology of Illness, Pain, Anxiety and Depression

The Abnormal Personality

abnormalAbnormal personality functioning: A personality disorder is a developmental defect. It is an enduring and inflexible pattern of behavior that effects social and occupational functioning.

A personality disorder impacts the way the patient perceives himself, events and others (cognition), his/her range, intensity, appropriateness, and lability of mood (affectivity) and it influences interpersonal functioning and impulse control (behavior).

Knowing if a personality disorder, abnormal functioning, has influence on patient behavior enables us to understand, predict and ideally control any inappropriate behaviors that arise, including non-compliance.

Thus, if we know a patient is a (socially) avoidant personality, a paranoid personality, a dependent personality, a negativistic personality or an anti-social personality, or even an amalgam of several personality disorders, we are able to predict how the patient will respond to the stressors and demands of his/her illness or injury.

Conversely, if we do not have a formal measure of their personality functioning, we jump through hoops, trying to adjust our own behaviors to suit them, a process that is destined to failure.

The earlier we assess personality functioning, and abnormal variants, the sooner we have reasonable understanding and control over the health management process.


Care Dash

Comments for this post are closed.

or Just Plain Mean

Whether a patient is being mean and inappreciative or irritable due to depression is an important differentiation. Àô What …
Read Blog Post


Medicating the Patient

Medicating the patient requires the realization that most patients will lie to protect themselves from admitting humiliating …
Read Blog Post

medication overuse

Pills and Pill Popping

Pills and Prescribing “As a Western Society, we have evolved a preference, if not demand for, “a pill for all …
Read Blog Post