From Wikipedia, the free encyclopedia.
Dependent personality disorder (DPD), formerly known as
asthenic personality disorder, is a
personality disorder that is characterised by a pervasive
psychological dependence on other people. The difference between a
'dependent personality' and a 'dependent personality disorder' is
somewhat subjective, which makes a diagnosis sensitive to cultural
influences such as
gender role expectations.
Diagnostic criteria (DSM-IV-TR)
The
DSM-IV-TR, a widely used manual for diagnosing
mental disorders (see also:DSM
cautionary statement), defines dependent personality disorder
as a "pervasive and excessive need to be taken care of that leads
to submissive and clinging behavior and fears of separation,
beginning by early adulthood and present in a variety of contexts,
as indicated by five (or more) of the following:
- has difficulty making everyday decisions without an
excessive amount of advice and reassurance from others
- needs others to assume responsibility for most major areas
of his or her life
- has difficulty expressing disagreement with others because
of fear of loss of support or approval ([this does not] include
realistic fears of retribution)
- has difficulty initiating projects or doing things on his or
her own (because of a lack of self-confidence in judgment or
abilities rather than a lack of motivation or energy)
- goes to excessive lengths to obtain nurturance and support
from others, to the point of volunteering to do things that are
unpleasant
- feels uncomfortable or helpless when alone because of
exaggerated fears of being unable to care for himself or herself
- urgently seeks another relationship as a source of care and
support when a close relationship ends
- is unrealistically preoccupied with fears of being left to
take care of himself or herself
Problems caused by dependence
Because of their high need for approval, people who are
afflicted with DPD try hard to please others. They can get
frustrated because they feel they are 'forced' to do things that
they do not want to do, or because they feel they cannot express
their feelings. Furthermore, their clinging behaviour can make
close relationships difficult to establish and maintain. When
these relationships end, a person with DPD will feel desperate and
unable to take care of herself/himself. People with DPD often have
a very low
self-esteem and are vulnerable to other mental disorders,
especially
depression and
anxiety disorders.
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See also
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