Self-defeating personality disorder
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC
Self-defeating personality disorder | |
---|---|
![]() | |
Synonyms | N/A |
Pronounce | N/A |
Specialty | N/A |
Symptoms | Engaging in self-defeating behaviors, avoiding pleasurable experiences, choosing situations that lead to failure |
Complications | N/A |
Onset | Early adulthood |
Duration | Long-term |
Types | N/A |
Causes | Psychological factors, environmental influences |
Risks | Depression, anxiety, substance abuse |
Diagnosis | Clinical assessment, DSM criteria (historical) |
Differential diagnosis | Borderline personality disorder, depression, anxiety disorders |
Prevention | N/A |
Treatment | Psychotherapy, cognitive behavioral therapy |
Medication | N/A |
Prognosis | Variable, depends on treatment and individual factors |
Frequency | Not officially recognized in current DSM |
Deaths | N/A |
Self-defeating personality disorder (SDPD), also known as masochistic personality disorder, was a proposed personality disorder. It was included in the appendix of the revised third edition of the DSM-III-R in 1987 but was not formally admitted to the manual.
Historical Context
SDPD was first proposed for inclusion in the DSM in the late 1980s. The concept stemmed from observations of individuals who consistently engage in self-defeating behavior, seemingly without conscious awareness of doing so.
Criteria and Features
The criteria set in the DSM-III-R for SDPD included patterns of destructive behavior towards oneself, an attraction to situations or relationships in which the individual will suffer, and an inability to recognize these self-defeating acts.
Controversy and Exclusion from DSM
The disorder was met with controversy, leading to its exclusion from the DSM-IV and subsequent editions. Critics argued that the diagnosis could victim-blame or pathologize adaptive coping mechanisms in abusive situations.
Alternative Classifications
In place of SDPD, the DSM-5 continues to use the category "Personality Disorder Not Otherwise Specified (PD-NOS)" for cases that don't fit into other defined categories. A future classification proposed is "Personality Disorder-Trauma and Stressor-Related (PD-TS)."
Current Usage
Despite its exclusion from the DSM-IV and DSM-5, some researchers and therapists continue to utilize the DSM-III-R criteria for SDPD in their work.
Diagnostic Code
The official diagnostic code for SDPD in the DSM-III-R was 301.90, corresponding to the broader category of "Personality Disorder NOS."
See Also
External Links
- American Psychiatric Association - DSM Overview
- American Psychological Association - Personality Disorders
References
Transform your life with W8MD's budget GLP-1 injections from $125.
W8MD offers a medical weight loss program to lose weight in Philadelphia. Our physician-supervised medical weight loss provides:
- Most insurances accepted or discounted self-pay rates. We will obtain insurance prior authorizations if needed.
- Generic GLP1 weight loss injections from $125 for the starting dose.
- Also offer prescription weight loss medications including Phentermine, Qsymia, Diethylpropion, Contrave etc.
NYC weight loss doctor appointments
Start your NYC weight loss journey today at our NYC medical weight loss and Philadelphia medical weight loss clinics.
- Call 718-946-5500 to lose weight in NYC or for medical weight loss in Philadelphia 215-676-2334.
- Tags:NYC medical weight loss, Philadelphia lose weight Zepbound NYC, Budget GLP1 weight loss injections, Wegovy Philadelphia, Wegovy NYC, Philadelphia medical weight loss, Brookly weight loss and Wegovy NYC
WikiMD's Wellness Encyclopedia |
Let Food Be Thy Medicine Medicine Thy Food - Hippocrates |
Medical Disclaimer: WikiMD is not a substitute for professional medical advice. The information on WikiMD is provided as an information resource only, may be incorrect, outdated or misleading, and is not to be used or relied on for any diagnostic or treatment purposes. Please consult your health care provider before making any healthcare decisions or for guidance about a specific medical condition. WikiMD expressly disclaims responsibility, and shall have no liability, for any damages, loss, injury, or liability whatsoever suffered as a result of your reliance on the information contained in this site. By visiting this site you agree to the foregoing terms and conditions, which may from time to time be changed or supplemented by WikiMD. If you do not agree to the foregoing terms and conditions, you should not enter or use this site. See full disclaimer.
Credits:Most images are courtesy of Wikimedia commons, and templates, categories Wikipedia, licensed under CC BY SA or similar.
Contributors: Kondreddy Naveen, Prab R. Tumpati, MD