Self-defeating personality disorder

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Self-Defeating Personality Disorder (Masochistic Personality Disorder)[edit | edit source]

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[edit | edit source]

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.

Cover of the DSM-IV-R, where Self-Defeating Personality Disorder was first proposed.

Criteria and Features[edit | edit source]

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[edit | edit source]

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[edit | edit source]

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)."

Cover of the DSM-5, which does not include Self-Defeating Personality Disorder. Image from Wiki Commons.

Current Usage[edit | edit source]

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[edit | edit source]

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[edit | edit source]

External Links[edit | edit source]

References[edit | edit source]


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