Masochistic (Self-defeating) Personality Disorder
(The Loyalist)
Self-defeating Personality Disorder is a pervasive pattern of
self-defeating behavior, beginning by early adulthood and present in a
variety of contexts. The person may often avoid or undermine pleasurable
experiences, be drawn to situations or relationships in which he or she will
suffer, and prevent others from helping him or her, as indicated by at least
five of the following:
- chooses people and situations that lead to disappointment, failure, or
mistreatment even when better options are clearly available;
- rejects or renders ineffective the attempts of others to help him of
her;
- following positive personal events (e.g., new achievement), responds
with depression, guilt, or a behavior that produces pain ( e.g., an
accident);
- incites angry or rejecting responses from others and then feels hurt,
defeated, or humiliated (e.g., makes fun of spouse in public, provoking an
angry retort, then feels devastated);
- rejects opportunities for pleasure, or is reluctant to acknowledge
enjoying himself or herself (despite having adequate social skills and the
capacity for pleasure);
- fails to accomplish tasks crucial to his or her personal objectives
despite demonstrated ability to do so, (e.g., helps fellow students write
papers , but is unable to write his or her own);
- is uninterested in or rejects people who consistently treat him or her
well, (e.g., is not attracted to caring sexual partners);
- engages in excessive self-sacrifice that is unsolicited by the
intended recipients of the sacrifice;
The behaviors do not occur exclusively in response to, or in anticipation
of , being physically, sexually, or psychologically abused.
The behaviors do not occur only when the person is depressed.
Source: The Diagnostic and Statistical Manual of Mental Disorders,
Fourth Edition
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