Match each clinical vignette with the most appropriate personality disorder diagnosis.
- A 45-year-old physician demands a dedicated parking spot, frequently belittles nursing staff for 'lacking intellectual depth,' and reacts with explosive rage when patients request a second opinion.Narcissistic personality disorder
- A 32-year-old manager refuses to delegate tasks because others 'cannot do them correctly,' frequently misses deadlines due to endless formatting revisions, and rigidly adheres to scheduling rules.Obsessive-compulsive personality disorder
- A 50-year-old engineer repeatedly files HR grievances claiming baseless sabotage by colleagues, meticulously guards personal information, and constantly questions the loyalty of his team without exhibiting bizarre delusions.Paranoid personality disorder
- A 26-year-old artist uses idiosyncratic phrasing, believes he possesses a 'sixth sense' to read emotional auras, and has severe social anxiety that remains intense despite prolonged familiarity with peers.Schizotypal personality disorder
Answer
The 45-year-old physician matches Narcissistic personality disorder. The 32-year-old manager matches Obsessive-compulsive personality disorder. The 50-year-old engineer matches Paranoid personality disorder. The 26-year-old artist matches Schizotypal personality disorder.
Each vignette represents a distinct personality disorder characterized by pervasive, inflexible, and maladaptive patterns of behavior. The physician demonstrates Narcissistic PD through grandiosity and entitlement. The manager demonstrates OCPD through rigid perfectionism. The engineer demonstrates Paranoid PD through unwarranted suspiciousness. The artist demonstrates Schizotypal PD through magical thinking and eccentric behavior.
Step-by-Step Solution
Key Concept
Differentiating personality disorders based on core clinical features, defense mechanisms, and interpersonal deficits across Clusters A, B, and C.