Cluster B Personality Disorders
As we recover from the trauma of our partner's sexual addiction and compare notes with other people who have walked in our shoes, some some of us see our addicts displaying behaviors that look like personality disorders. It becomes particularly noticeable in the process of separation and divorce.
These behaviors seen frequently in the sex addict include:
impulsive behavior
instability of moods
manipulative behavior
lack of empathy
lack of remorse, guilt or shame (but may put on a good show of fake emotions)
gaslighting
compulsive lying, and seeming to actually believe the lies
shifting blame, inability to take responsibility
lack of conscience
It seems our sexually addicted spouses tend to display the attributes of Cluster B. Cluster B's are notoriously difficult to deal with in court (just try to divorce one!) and are also known as High Conflict People (HCP). My therapist believes my husband has elements of all four of the personality disorders described below, although he is (understandably) unwilling to undergo evaluation to diagnose these.
What is a Personality Disorder?
According to the Diagnostic and Statistical Manual (DSM-IV), a personality disorder is an "enduring pattern of inner experience and behavior that:
deviates markedly from the expectation of the individual's culture,
is pervasive and inflexible,
has an onset in adolescence or early adulthood,
is stable over time, and leads to distress or impairment."
According to a study published in the Journal of Clinical Psychiatry, an estimated 30.8 millions American adults experience symptoms of at least one personality disorder (PD). There are three "clusters."
Cluster A - Odd or Eccentric Disorders (Paranoid, Schizoid, Schizotypal)
Cluster B - Dramatic, Emotional, or Erratic Disorders (Antisocial, Borderline, Histrionic, Narcissistic)
Cluster C – Anxious or Fearful Disorders (Avoidant, Dependent, Obsessive-Compulsive)
Types of personality disorders are grouped into three clusters, based on similar characteristics and symptoms. Many people with one personality disorder also have signs and symptoms of at least one additional personality disorder.
Cluster B personality disorders
Cluster B personality disorders are characterized by dramatic, overly emotional or unpredictable thinking or behavior. They include antisocial personality disorder, borderline personality disorder, histrionic personality disorder and narcissistic personality disorder. It's not necessary to exhibit all the signs and symptoms listed for a disorder to be diagnosed.
Borderline personality disorder
Impulsive and risky behavior, such as having unsafe sex, gambling or binge eating
Unstable or fragile self-image
Unstable and intense relationships
Up and down moods, often as a reaction to interpersonal stress
Suicidal behavior or threats of self-injury
Intense fear of being alone or abandoned
Ongoing feelings of emptiness
Frequent, intense displays of anger
Stress-related paranoia that comes and goes
Narcissistic personality disorder
Belief that you're special and more important than others
Fantasies about power, success and attractiveness
Failure to recognize others' needs and feelings
Exaggeration of achievements or talents
Expectation of constant praise and admiration
Arrogance
Unreasonable expectations of favors and advantages, often taking advantage of others
Envy of others or belief that others envy you
Antisocial personality disorder
Disregard for others' needs or feelings
Persistent lying, stealing, using aliases, conning others
Recurring problems with the law
Repeated violation of the rights of others
Aggressive, often violent behavior
Disregard for the safety of self or others
Impulsive behavior
Consistently irresponsible
Lack of remorse for behavior
Histrionic personality disorder
Constantly seeking attention
Excessively emotional, dramatic or sexually provocative to gain attention
Speaks dramatically with strong opinions, but few facts or details to back them up
Easily influenced by others
Shallow, rapidly changing emotions
Excessive concern with physical appearance
Thinks relationships with others are closer than they really are