Flashcards in Personality DisordersCluster C Deck (6):
Avoidant PD Criteria
A pervasive pattern of social inhibition, feelings of inadequacy, and hypersensitivity to negative
evaluation, beginning by early adulthood and present in a variety of contexts, as indicated
by four (or more) of the following:
1. Avoids occupational activities that involve significant interpersonal contact because of
fears of criticism, disapproval, or rejection.
2. Is unwilling to get involved with people unless certain of being liked.
3. Shows restraint within intimate relationships because of the fear of being shamed or
4. Is preoccupied with being criticized or rejected in social situations.
5. Is inhibited in new interpersonal situations because of feelings of inadequacy.
6. Views self as socially inept, personally unappealing, or inferior to others.
7. Is unusually reluctant to take personal risks or to engage in any new activities because
they may prove embarrassing.
Dependent PD Criteria
A pervasive and excessive need to be taken care of that leads to submissive and clinging
behavior and fears of separation, beginning by early adulthood and present in a variety of
contexts, as indicated by five (or more) of the following:
1. Has difficulty making everyday decisions without an excessive amount of advice and
reassurance from others.
2. Needs others to assume responsibility for most major areas of his or her life.
3. Has difficulty expressing disagreement with others because of fear of loss of support
or approval. (Note: Do not include realistic fears of retribution.)
4. Has difficulty initiating projects or doing things on his or her own (because of a lack of
self-confidence in judgment or abilities rather than a lack of motivation or energy).
5. Goes to excessive lengths to obtain nurturance and support from others, to the point
of volunteering to do things that are unpleasant.
6. Feels uncomfortable or helpless when alone because of exaggerated fears of being
unable to care for himself or herself.
7. Urgently seeks another relationship as a source of care and support when a close relationship
8. Is unrealistically preoccupied with fears of being left to take care of himself or herself.
Obsessive-Compulsive PD Criteria
A pervasive pattern of preoccupation with orderliness, perfectionism, and mental and inteφersonal
control, at the expense of flexibility, openness, and efficiency, beginning by
early adulthood and present in a variety of contexts, as indicated by four (or more) of the
1. Is preoccupied with details, rules, lists, order, organization, or schedules to the extent
that the major point of the activity is lost.
2. Shows perfectionism that interferes with task completion (e.g., is unable to complete a
project because his or her own overly strict standards are not met).
3. Is excessively devoted to work and productivity to the exclusion of leisure activities and
friendships (not accounted for by obvious economic necessity).
4. Is overconscientious, scrupulous, and inflexible about matters of morality, ethics, or
values (not accounted for by cultural or religious identification).
5. Is unable to discard worn-out or worthless objects even when they have no sentimental
6. Is reluctant to delegate tasks or to work with others unless they submit to exactly his
or her way of doing things.
7. Adopts a miserly spending style toward both self and others; money is viewed as
something to be hoarded for future catastrophes.
8. Shows rigidity and stubbornness.
Diff Diagnosis for Avoidant PD
ANXIETY - social phobia can look very similar
DEPENDANT - BOTH HAVE INADEQUACY, SENSITIVE TO CRITICISM, NEED REASSURANCE, - but Avoidant = avoids rejection and dependent = focus on being taken care of - can co-occur
SCHIZOID/SCHIZOTYPAL - all have social iso., but avoid ant WANT relations with others
PARANOID - both don't confide in others, but paranoid think malcontent and avoidant fear rejection
Diff Diagnosis of Dependent PD
*most distinguished by predominantly submissive, reactive, and clinging behavior = BPD, Hist, Avoidant