Behaviour is not readily modifiable by adverse experience, including punishment. There is gross disparity between behaviour and the prevailing social norms. Personality disorder characterized by disregard for social obligations, and callous unconcern for the feelings of others. There is a limited capacity to express feelings and to experience pleasure. Personality disorder characterized by withdrawal from affectional, social and other contacts with preference for fantasy, solitary activities, and introspection. There may be excessive self-importance, and there is often excessive self-reference. Personality disorder characterized by excessive sensitivity to setbacks, unforgiveness of insults suspiciousness and a tendency to distort experience by misconstruing the neutral or friendly actions of others as hostile or contemptuous recurrent suspicions, without justification, regarding the sexual fidelity of the spouse or sexual partner and a combative and tenacious sense of personal rights. These are severe disturbances in the personality and behavioural tendencies of the individual not directly resulting from disease, damage, or other insult to the brain, or from another psychiatric disorder usually involving several areas of the personality nearly always associated with considerable personal distress and social disruption and usually manifest since childhood or adolescence and continuing throughout adulthood. They are frequently, but not always, associated with various degrees of subjective distress and problems of social performance. Such behaviour patterns tend to be stable and to encompass multiple domains of behaviour and psychological functioning. They represent extreme or significant deviations from the way in which the average individual in a given culture perceives, thinks, feels and, particularly, relates to others. Specific personality disorders (F60.-), mixed and other personality disorders (F61.-), and enduring personality changes (F62.-) are deeply ingrained and enduring behaviour patterns, manifesting as inflexible responses to a broad range of personal and social situations. Some of these conditions and patterns of behaviour emerge early in the course of individual development, as a result of both constitutional factors and social experience, while others are acquired later in life. This block includes a variety of conditions and behaviour patterns of clinical significance which tend to be persistent and appear to be the expression of the individual's characteristic lifestyle and mode of relating to himself or herself and others. Disorders of adult personality and behaviour
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