Passive aggressive personality disorder with panic attacks as a comorbidity. The method of manipulation

Abstract

Passive aggressive (negativistic) personality disorder lost its position among other disturbed personality disorders organized in three clusters in DSM IV. It was transferred to Appendix B and the reason for that were controversies in term of structure, content validity, co-occurring with other personality disorders, childhood experiences. In spite of losing its position in DSM classification it occurs relatively often among psychiatric patients, it should be stated that more numerous people with that type of problems do not communicate with psychiatric service at all. Those people do not realize their potential abilities of psychological and social growth, they become socially isolated. Described above case nineteen year old boy illustrates very well all those psychological and social consequences of developing that type of the personality. After the fact that he was already 19^th year old, he did not complete middle school yet, he was totally socially isolated and co-occurring mild panic attack disorder, became smokescreen justifying his passivity and his withdrawal from life activity. What is significant successful medical treatment of panic attacks did not improved his life activity after that he was treated in psychiatric day hospital for four months with everyday program of psychotherapy based on school of thought transactional analysis, it helped him to change his relations with parents in the way that he started to feel responsible to some extend for them and he decided to come back to school and to continue his education. Interview with the patient after the year reviewed that he is continuing his education and his relations with his parents maintain well.