[From American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 4th ed. Text rev. Washington, DC: American Psychiatric Association; copyright 2000.] ...
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An enduring pattern of inner experience and behavior that deviates markedly from the expectations of the individual's culture. This pattern is manifested in two (or more) of the following areas:
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cognition (i.e., ways of perceiving and interpreting self, other people, and events)
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affectivity (i.e., the range, intensity, lability, and appropriateness of emotional response)
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interpersonal functioning
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impulse control
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The enduring pattern is inflexible and pervasive across a broad range of personal and social situations.
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The enduring pattern leads to clinically significant distress or impairment in social, occupational, or other important areas of functioning.
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The pattern is stable and of long duration, and its onset can be traced back at least to adolescence or early adulthood.
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The enduring pattern is not better accounted for as a manifestation or consequence of another mental disorder.
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The enduring pattern is not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition (e.g., head trauma).
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