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2018 ; 11
(ä): 55-66
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Avoidant personality disorder: current insights
#MMPMID29563846
Lampe L
; Malhi GS
Psychol Res Behav Manag
2018[]; 11
(ä): 55-66
PMID29563846
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Avoidant personality disorder (AVPD) is a relatively common disorder that is
associated with significant distress, impairment, and disability. It is a chronic
disorder with an early age at onset and a lifelong impact. Yet it is
underrecognized and poorly studied. Little is known regarding the most effective
treatment. The impetus for research into this condition has waxed and waned,
possibly due to concerns regarding its distinctiveness from other disorders,
especially social anxiety disorder (SAD), schizoid personality disorder, and
dependent personality disorder. The prevailing paradigm subscribes to the
"severity continuum hypothesis", in which AVPD is viewed essentially as a severe
variant of SAD. However, areas of discontinuity have been described, and there is
support for retaining AVPD as a distinct diagnostic category. Recent research has
focused on the phenomenology of AVPD, factors of possible etiological
significance such as early parenting experiences, attachment style, temperament,
and cognitive processing. Self-concept, avoidant behavior, early attachments, and
attachment style may represent points of difference from SAD that also have
relevance to treatment. Additional areas of research not focused specifically on
AVPD, including the literature on social cognition as it relates to attachment
and personality style, report findings that are promising for future research
aimed at better delineating AVPD and informing treatment.
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