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13 - Cluster C Anxious-Fearful Personality Pathology and Avoidance

from Part III - Individual Disorders and Clusters

Published online by Cambridge University Press:  24 February 2020

By
Charles A. Sanislow  and
Anna Darre Hector
Edited by
Carl W. Lejuez  and
Kim L. Gratz
Carl W. Lejuez
Affiliation:
University of Kansas
Kim L. Gratz
Affiliation:
University of Toledo, Ohio
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Summary

In the DSM-5 main section for clinical diagnoses, psychopathology in Cluster C (Anxious-Fearful) is represented by three personality disorders: Avoidant, Dependent, and Obsessive-Compulsive. However, characterization of persistent anxious-fearful psychopathology has varied historically, and it appears that the cluster formation may not be retained with the next iteration of personality disorder diagnoses. This chapter examines the historical development of anxious-fearful personality disorders, and examines the different ways that associated symptoms and problems have been characterized and grouped to elucidate core features in order to clarify visions looking forward. There is an emphasis on avoidant behaviors, when describing the clinical manifestation of these personality disorders, and it is suggested that focusing on mechanisms for this kind of personality pathology, as well as explicitly addressing the issue of grain size, would enhance continuing efforts to improve diagnostic conceptualizations of personality pathology involving anxiety, fear, and avoidance.

Keywords

avoidantdependentobsessive-compulsivepassive-aggressivenegativisticCluster Canxious-fearfulmechanismsinterpersonalRDoC
Type
Chapter
Information
The Cambridge Handbook of Personality Disorders , pp. 302 - 316
Publisher: Cambridge University Press
Print publication year: 2020

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