Match each of the following patient clinical vignettes with the most appropriate personality disorder diagnosis.
- A 28-year-old man with a history of childhood conduct disorder frequently lies to coworkers for financial gain, acts aggressively when confronted, and shows no remorse for exploiting his peers.Antisocial Personality Disorder
- A 32-year-old woman declines a promotion to team lead because she is terrified her colleagues will criticize her performance, despite expressing a deep longing to have closer work friendships.Avoidant Personality Disorder
- A 45-year-old executive demands to be evaluated only by the CEO, frequently takes credit for his subordinates' work, and becomes visibly enraged when he is not praised during meetings.Narcissistic Personality Disorder
- A 36-year-old accountant spends hours perfectly aligning his spreadsheets, insists that his team follow his exact rigid protocols, and consistently misses project deadlines due to his extreme perfectionism.Obsessive-Compulsive Personality Disorder
Answer
The correct matches are Antisocial PD for the deceitful man, Avoidant PD for the anxious woman desiring connection, Narcissistic PD for the grandiose executive, and Obsessive-Compulsive PD for the rigid perfectionist.
Each personality disorder can be identified by its core pervasive pattern. Antisocial PD is marked by disregard for others' rights. Avoidant PD involves social inhibition and hypersensitivity to negative evaluation. Narcissistic PD requires grandiosity and need for admiration. Obsessive-Compulsive PD involves pervasive preoccupation with order, perfection, and control.
Step-by-Step Solution
Key Concept
Differentiating personality disorders based on core clinical features across Clusters B and C.