The definition provided by DSM-5 (p.645) is very handy. DSM-5 lists 10 personality disorders (grouped into 3 clusters). Additionally, it incorporates a research model (section III; a more dimensional approach).
I find it a little unhelpful to describe some as worst, as they all represent different challenges depending on what you are doing with the diagnoses (e.g., therapy, research, etc.). There is ample research on assessment, intervention, definition, classification, and so on on personality disorders. Regards
In the beginning, every personality disorder is a psychological growth problem; if the individual does lack the vital resources (human contacts; material tools) to reinforce the natural impulse for personal development, pathological factors arise that keep the person in a mental prison and that state can chronify in various degrees. Many forms of depression, for example, are simply a psychological problem to overwork our own ego; it is always important to not getting stucked in the self-focus in this competitive age of 'collective individualization'. Socio-and psychopathology can never be disconnected.
Personal disorders are a group of mental states that suffer from a lack of flexibility in thinking, feelings and behavior. These internal characteristics of the person concerned differ from the culture and customs of the society in which he lives. The cause may be caused by different genetic and environmental influences, Childhood, and psychological disorder on the types, the worst in my opinion is schizophrenia.
One definition of a personality disorder is that it is too much of an aspect of personality that deviates from societal norms, and that it causes suffering to the person or the people around the person. There is sort of a corny joke in Psychology- What do you call a person with all the personality disorders? Normal.
The antisocial personality disorder is the worst for those around a person. Antisocial personality disorder, commonly referred to as psychopathy and sociopathy. It not only seriously impairs the functioning of the person who has it, it harms people with whom they interact. Also, people with APD typically refuse to acknowledge the problem or take responsibility for it which makes it very treatment resistant.
I have done work on these, and except for extreme illness (such as schizophrenia), I couldn't find any genuine evidence. Diagnosis appeared to rely on whether a psychiatrist liked or understood someone, their cultural and ethnic biases. Antisocial personality disorder-those who do not like or respect the physician perhaps? The DSMs list of disorders should perhaps include a tendency towards categorization of others and of making lists.
I agree with Prof. Isam. Schizophrenia is the worst. It is a long term mental disorder that finally disjoints the relationship between one's thoughts, emotions and feelings. It puts its culprit in a lasting mental prison!
Is it not possible that human beings represent a range of behaviour and characteristics and this medical tendency to pin everything down simply got out of hand through lack of challenges? So bad behaviour becomes an illness that requires their inestimable talents: spending too much of a spouses money becomes not irresponsibility but an illness: criminals are ill not those who function in a different economic environment. Psychiatry holds by and large that people do not have inner motivations. They do not have ideas-but of course psychiatrists do! What this may be is the expansion and enforcement of normative behaviour, an ideology of control without moral dimensions.
A list of recognised personality disorders-but none are quite as awful as their descriptions imply.
They simpy appear bad
1) Antisocial Personality Disorder
2) Avoidant Personality Disorder
3) Borderline Personality Disorder
4) Dependent Personality Disorder
5) Histrionic Personality Disorder
6) Multiple Personality Disorder
7) Narcissitic Personality Disorder
8) Obsessive-Compulsive Personality Disorder
9) Paranoid Personality Disorder
10) Schizoid Personality Disorder
11) Schizotypal Personality Disorder
A
lthough principally the condition means someone who cannot get along with others, each of the above can equally be ascribed to notions of character, without resort to pathologising such behaviour. An antisocial person might simply be uncouth and lacking in intelligence. Avoidant personality disorder might equally describe someone shy and lacking in confidence. The Dependent Personality Disorder can equally be ascribed to many women brought up in cultures where they are infantilised. Multiple Personality Disorder is no longer seen as a genuine manifestation. Providing names for human behaviour, which rarely follows the clear-cut patterns described above, limits awareness of many other traits, such as integrity, honour, courage (or cowardice), respect and other types of intentionality. Yes, of course each term appears formidable. But then each is really a technical term formed by doctors as part of an elite tendency to exclude, distance and obscure. It separates the professional from the lay person.
Let's consider some of the above conditions in a different fashion. Avoidant Personality Disorder sufferers (sic) may instead be choosy about who they interact with. Dependent Personality Disorder sufferers (sic) may prefer such relationships, finding them pleasurable and with the certainty that many modern relationships lack, with their constant fickleness and threat of rejection. They are also supposed to be pessimistic and passive, but I certainly know very independent types who are the same. Although Schizoid Personality Disorder sounds formidable it merely means someone unable to show anger and confront others.
Each of these is an expression of an attitude to the world worthy of respect not as an excuse to proscribe one of the many useless psychotropic drugs on the market.
Taking the above very powerful drugs can in fact simulate one or more of the above so-called disorders. All such drugs addictive with some evidence that they cause emotional instability (Borderline Personality Disorder), aggression and paranoia (Paranoid Personality Disorder) and, in some cases, a bit of all the above symptoms.
The Disorder conveys groups of particular human responses around a central core of mythical normality. It is developed by individuals with limited experience of and interest in the world who observe others within an isolated setting and imagine that the visible tips of personality they constantly view in such artificial settings are all individuals consist of. There is no normality, which psychiatrists often confuse with conformity, but individuals displaying all the above traits throughout their lives in different times and circumstances. The normative drive is a component of capitalist societies. The normal type psychiatrists identify suggests a calm, patient and steadfast individual who achieves modest success in a modest career. It excludes risk takers, explorers, artists and writers. It appears to have a subjective and not scientific basis.
This is an old question of mine, which describes an actual psychiatric condition-actual in the sense of thought up by psychiatrists. It states that if you disobey or challenge authority, you are mentally ill. Come, now. Does anyone really believe this? It worries me; does it worry you?
Are psychiatric ideas genuine, or un-critiqued authoritative discourses camouflaged by technical language?
In explanation, it has been suggested that conspiracist beliefs require a rejection of official mechanisms of information generation and expert opinion, as well as a high degree of suspiciousness of mainstream sources of information, which may be motivated by high schizotypy (Barron et al., 2014; Dagnall et al., 2015; Holm, 2009; Swami et al., 2016).This has been taken from a psychiatric paper and in essence is extraordinary in its implications. It is nevertheless, not unusual in its approach, which is that psychiatrists and their associates define human characteristics without need to consult other sources and disciplines in a arbitrary fashion enclosed within a pathological frame.Schizotypy-means of course within the framework of schizophrenia, again defined by psychiatrists only, which tends to be regularly extended. More and more human characteristics have been enveloped by these references.In essence, the above quote decides that if an academic (I am referencing everyone on this site) decides that what they've been taught isn't correct, and new paradigms fit the problem better-you, sir, madam, are crazy. If you challenge your rulers, sir, madam, you are crazy. If you challenge any authority-sir, madam, you are crazy.Suspiciousness is in fact very often a valuable human trait, rejecting official m echanisms produced Einstein, da Vinci, Michaelangelo. Accepting them, produced the administrator, etc.
Personality disorders in DSM defined as “an enduring pattern of inner experience and behaviour that deviates markedly from the expectations of an individual's culture. This pattern is manifested in two or more of the following areas—cognition, affectivity, interpersonal functioning, impulse control. The enduring pattern is inflexible and pervasive across a broad range of personal and social situations, leads to clinically significant distress or impairment in social, occupational or other important areas of functioning, is stable and of long duration, and its onset can be traced back at least to childhood or early adulthood, and is not better accounted for by other mental disorder or effects of a substance.”
The cluster A groups are probably the severe once.
Regarding the question, which one is the worst, it's in my experience not really black or white in any way. Often people suffering from PDs overlap and are diagnosed with a particular grade of traits from more than one PD, and in the end, the grade of traits, severity, can in my experience be very different from person to person.
A person with a very high grade of Paranoid PD, is absolutely terrible to be around and to try to deal with, as no matter what you do, you risk being a threat against the person, and not even actual facts proving there's no threat, will help convincing the person, it may only make the situation worse...
There are cases of people suffering with Schizophrenia who have led or lead useful lives. There are methods apparently devised that enable the sufferer to control symptoms. I had a client who worked on a casual basis as a sales-woman, with only occasional downturns.
I also knew of a another woman suffering from psychosis who set up and ran a charity.