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  • Chapter 7.3 - Antisocial and Other Personality Disorders, Impulse Control Disorders, and Non-substance Addictive Disorders

  • Edited by David Kingdon, University of Southampton, Paul Rowlands, Derbyshire Healthcare NHS foundation Trust, George Stein, Emeritus of the Princess Royal University Hospital
  • Book:
    Seminars in General Adult Psychiatry
    Published online:
    04 April 2024
    Print publication:
    18 April 2024, pp 444-459

  • Summary

    Other categories of personality disorders, apart from borderline personality disorder are encountered in clinical practice and these are described and named in DSM-5 but not in ICD-11. The clinical features and diagnostic criteria of all these types are reviewed here. They are grouped into three clusters: Cluster A, the eccentric PDs – which include paranoid, schizoid and schizotypal PDs – and Cluster B, the dramatic group. The most important of these is antisocial personality disorder as well as borderline and histrionic PDs. Cluster C, which are the avoidant or fearful PDs, include avoidant, dependent and obsessive-compulsive types.

    Also included in this chapter are a category of conditions known as ’impulse disorders’, where subjects experience an impulse to commit some action which may give them pleasure and are said to be ego-syntonic, yet result in distress to the individual or harm to others. These include gambling, gaming disorder, intermittent explosive disorder, kleptomania and pyromania.