Passive-Aggressive Personality Disorder: The Demise of a Syndrome

This article presents an explanation and critique of the rationale for dropping passive-aggressive personality disorder (PAPD) from DSM-IV. The clinical and research literature on PAPD is reviewed along with the historical changes in definition, diagnostic criteria, and usage. PAPD can be reliably d...

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Bibliographic Details
Published in:Psychiatry (Washington, D.C.) D.C.), 1999-04, Vol.62 (1), p.49-59
Main Authors: Wetzler, Scott, Morey, Leslie C.
Format: Article
Language:English
Subjects:
Adult and adolescent clinical studies
Biological and medical sciences
Classification
Diagnosis, Differential
Humans
Medical sciences
Mental disorders
Passive-Aggressive personality disorder
Passive-Aggressive Personality Disorder - classification
Passive-Aggressive Personality Disorder - diagnosis
Passive-Aggressive Personality Disorder - epidemiology
Personality
Personality disorders
Personality Disorders - classification
Personality Disorders - diagnosis
Personality Disorders - epidemiology
Prevalence
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychometrics
Psychopathology. Psychiatry
Terminology as Topic
United States - epidemiology
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Summary:This article presents an explanation and critique of the rationale for dropping passive-aggressive personality disorder (PAPD) from DSM-IV. The clinical and research literature on PAPD is reviewed along with the historical changes in definition, diagnostic criteria, and usage. PAPD can be reliably diagnosed, is fairly prevalent, and has good internal consistency. Because PAPD is no less valid than other personality disorders, and describes clinical phenomena that are unique among personality disorders, we recommend the reinstatement of PAPD in the official diagnostic nomenclature.
ISSN:0033-2747
1943-281X
DOI:10.1080/00332747.1999.11024851