By Committee on Nomenclature and Statistics of the American Psychiatric Association, M.D. Ernest M. Gruenberg
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Extra info for Diagnostic and Statistical Manual - Mental Disorders
Will produce clinical pictures resembling a personality disorder. In such instances, the condition is properly diagnosed as a Chronic Brain Syndrome (of appropriate origin) with behavioral reaction. The personality disorders are divided into three main groups with one additional grouping for flexibility in diagnosis (Special symptom reactions). Although the groupings are largely descriptive, the division has been made partially on the basis of the dynamics of personality development. The Personality pattern disturbances are considered deep seated disturbances, with little room for regression.
The diagnosis may be modified by the appropriate qualifying phrase, when, in addition to the intellectual defects, there are significant psychotic, neurotic, or behavioral reactions. DISORDERS OF PSYGHOGENIG ORIGIN OR WITHOUT CLEARLY DEFINED PHYSICAL CAUSE OR STRUCTURAL CHANGE IN THE BRAIN PSYCHOTIC DISORDERS These disorders are characterized by a varying degree of personality disintegration and failure to test and evaluate correctly external reality in various spheres. In addition, individuals with such disorders fail in their ability to relate themselves effectively to other people or to their own work.
It is preferred to the term "somatization reactions," which term implies that these disorders are simply another form of psychoneurotic reaction. These disorders are here given a separate grouping between psychotic and psychoneurotic reactions, to allow more accurate accumulation of data concerning their etiology, course, and relation to other mental disorders. These reactions represent the visceral expression of affect which may be thereby largely prevented from being conscious. The symptoms are due to a chronic and exaggerated state of the normal physiological expression of emotion, with the feeling, or subjective part, repressed.