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Paranoid Personality Disorder
Paranoid personality disorder
David P.BernsteinMaastricht University
J. DavidUsedaUniversity of Rochester School of Medicine
Description of the Disorder

Paranoid personality disorder (PPD) is characterized by a pervasive mistrust of other people (American Psychiatric Association [APA], 1994; Bernstein, Useda, & Siever, 1995; Miller, Useda, Trull, Burr, & Minks-Brown, 2001). Other common features of the disorder include quarrelsomeness, hostility, emotional coldness, hypersensitivity to slights or criticism, stubbornness, and rigidly held maladaptive beliefs of others’ intents (APA, 1994; Bernstein et al., 1995; Miller et al., 2001). The prototypical picture is of someone who is preoccupied with real or imagined slights or threats, mistrusts the intentions or motives of others, and rarely trusts the seemingly benign appearance of things. The guiding underlying assumption is that others are malevolent—they can betray, hurt, ...

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