The ICD-10 Classification of Mental and
Behavioral Disorders
World Health Organization, Geneva, 1992
F60.6 Anxious (Avoidant) Personality Disorder
Personality disorder characterized by at least
3 of the following:
(a) persistent and pervasive feelings of
tension and apprehension;
(b) belief that one is socially inept, personally unappealing, or inferior to
others;
(c) excessive preoccupation with being criticized or rejected in social
situations;
(d) unwillingness to become involved with people unless certain of being liked;
(e) restrictions in lifestyle because of need to have physical security;
(f) avoidance of social or occupational activities that involve significant
interpersonal contact because of fear of criticism, disapproval, or rejection.
Associated features may include
hypersensitivity to rejection and criticism.
Personality Disorders
A personality disorder is a severe disturbance
in the character logical constitution and behavioral tendencies of the
individual, usually involving several areas of the personality, and nearly
always associated with considerable personal and social disruption. Personality
disorder tends to appear in late childhood or adolescence and continues to be
manifest into adulthood. It is therefore unlikely that the diagnosis of
personality disorder will be appropriate before the age of 16 or 17 years.
General diagnostic guidelines applying to all personality disorders are
presented below; supplementary descriptions are provided with each of the
subtypes.
Diagnostic Guidelines
Conditions not directly attributable to gross
brain damage or disease, or to another psychiatric disorder, meeting the
following criteria:
(a) markedly disharmonious attitudes and
behavior, involving usually several areas of functioning, e.g. affectivity,
arousal, impulse control, ways of perceiving and thinking, and style of relating
to others;
(b) the abnormal behavior pattern is enduring, of long standing, and not limited
to episodes of mental illness;
(c) the abnormal behavior pattern is pervasive and clearly maladaptive to a
broad range of personal and social situations;
(d) the above manifestations always appear during childhood or adolescence and
continue into adulthood;
(e) the disorder leads to considerable personal distress but this may only
become apparent late in its course;
(f) the disorder is usually, but not invariably, associated with significant
problems in occupational and social performance.
For different cultures it may be necessary to
develop specific sets of criteria with regard to social norms, rules and
obligations. For diagnosing most of the subtypes listed below, clear evidence is
usually required of the presence of at least three of the traits or behaviors
given in the clinical description.
ICD-10 copyright © 1992 by World Health
Organization.
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