Secondo il DSM IV (Manuale diagnostico e statistico dei disturbi mentali) si definisce disturbo di personalità un modello di esperienza interiore e di comportamento, pervasivo e inflessibile, che devia marcatamente rispetto alle aspettative della cultura del soggetto. Esordisce nell’adolescenza o nella prima età adulta, è stabile nel tempo e determina disagio o sofferenza. In altre parole si parla di DP quando vi sono delle caratteristiche della personalità molto rigide che vanno oltre il carattere ed il temperamento, tipico di ogni persona. In base alle caratteristiche peculiari dei vari disturbi di personalità si possono identificare 3 grandi gruppi o Cluster: Cluster A: caratterizzati dal comportamento bizzarro DP paranoide: è un quadro di pervasiva sfiducia e sospettosità, in cui le motivazioni e le intenzioni degli altri sono interpretate come malevole. IL soggetto ha paura che gli altri lo sfruttino, lo danneggino, lo ingannino; dubitano della lealtà degli altri e sono per questo riluttanti a confidarsi; possono reagire con rabbia e aggredendo. DP schizoide: è una modalità pervasiva di distacco dalle relazioni sociali, senza che via sia un segnale di desiderio per i rapporti con gli altri, preferendo passatempi solitari piuttosto che di compagnia, mostrando indifferenza verso ciò che gli altri possono pensare o desiderare. DP schizotipico: in questa modalità si associano una ridotta capacità e desiderio verso le relazioni sociali con una marcata sfiducia e stranezze comportamentali. azithromycin medscape The first thing to realize about a “secret account” sometimes referred to by the euphemism “offshore account” is that in order to be kept secret from your potential enemies (creditors and tax collectors) it must be kept secret from everyone! 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