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Personality Disorder NOSThe American Psychological Institute has a category for behavior patterns that don’t match any of the specific ten personality disorders. However, just because these patterns do not match a specific personality disorders doesn’t mean they don’t have the characteristics of a personality disorder. This area of personality disorders is labeled as Personality Disorder NOS or Not Otherwise Specified. At one time Passive-Aggressive Personality Disorder and the Self-Defeating Personality Disorder were classified as Personality Disorder NOS. People who are diagnosed under the Personality Disorder NOS category often have symptoms that are mixed from more than one personality disorder. Any combination of these personality disorders results in an impairment of their social and occupational functioning ability. Sometimes psychologists will diagnosis them as have special features or traits such as Personality Disorder Not Otherwise Specified with obsessive-compulsive and narcissistic traits or paranoid features. In addition, there are those who meat the diagnostic criteria for more than one personality disorder such as both Dependent Personality Disorder and Histrionic Personality Disorder. Signs and Symptoms of Personality Disorder NOSThe signs and symptoms of personality disorder NOS closely resemble the category themselves. While doctors cannot name the personality disorders within this category they also cannot agree on what traits and behaviors should be classified as a diagnostic criteria for these unspecified personality disorders. Some psychological institutions can’t even agree on which personality disorders should and should not fall into the not otherwise specified category. For examples the ICD lists Narcissistic Personality Disorder in the not otherwise specified category because they say it is not a full fledged personality disorder. However, it is listed as an independent personality disorder by the American Diagnostic and Statistical Manual. Therefore, the signs and symptoms of not otherwise specified personality disorders is a large mixed list of any personality linked dysfunction, sign, symptom or complaint that will not fit into a specific personality disorder category. The only required sign and symptom in this category is that a person’s social or mental personality be effected or impaired in such a way that is causes a distress and dysfunction in one of more of the important areas of life. The important areas of life are classified as social, occupational, sexual and interpersonal. Effects of Personality Disorder NOSA study was conducted by a panel of psychologists to determine two things. The first is whether or not children and adults that are diagnosed with personality disorder not otherwise specified could be at higher risks for negative outcomes. The second goal was to determine whether or not this increased risk was similar to that associated with specified personality disorders. As a result of the study they determined that those who meet the criteria for a diagnosis of personality disorder not otherwise specified had a higher risk of behavioral, educational and interpersonal problems during childhood and early adulthood than those with specified personality disorder. The study also determined that those with unspecified personality disorders were at an increased risk of having later education failures, interpersonal relationship difficulties, psychiatric disorders and serious physical aggression acts by the time they became adults. Therefore, this study showed that those with personality disorder not otherwise specified were more likely than those with specified personality disorders to develop into psychopathology and have problems that are not normally associated with individuals who have two or more psychiatric conditions happening at the same time. This study helps to show that more attention should be paid towards diagnosing and treating those with personality disorder not otherwise specified than those with clearly specified personality disorder because of the increased risk and wide range of negative effects that can result. |
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