Mistrustful and Misunderstood: A Review of Paranoid Personality Disorder ![]() Available data lead to a reconsideration of the disorder as more closely related to trauma than to schizophrenia. PPD continues to be an important construct in the clinic and the laboratory. We identify important similarities to and differences from Borderline Personality Disorder. The descriptive data largely confirm previously identified relationships between Paranoid Personality Disorder and childhood trauma, violence, and race. Descriptive data on a sample of 115 individuals with Paranoid Personality Disorder is examined in comparison with a group of individuals with Borderline Personality Disorder. Available data indicate that PPD has a close relationship with childhood trauma and social stress. ![]() PPD has long been the subject of a rich and prescient theoretical literature which has provided a surprisingly coherent account of the psychological mechanism of non-delusional paranoia. ![]() This review provides an update on what is known about PPD regarding its prevalence, demographics, comorbidity, biological mechanism, risk factors, and relationship to psychotic disorders. Paranoid Personality Disorder (PPD) has historically been neglected by science out of proportion to its prevalence or its association with negative clinical outcomes. Mistrustful and Misunderstood: A Review of Paranoid Personality Disorder.
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