Passive-aggressive personality disorder

Definition:
Passive resistance to demands for social and occupational performance beginning in early adulthood.

Causes, incidence, and risk factors:

The causes are unknown, but, like most personality disorders, a combination of genetic and environmental factors are probably responsible. People with this disorder resent responsibility, and show it through behaviors rather than through open expression of their feelings. Procrastination, inefficiency, and forgetfulness are behaviors used to avoid responsibility. The cause of this disorder is unknown. Biological or genetic factors do not appear to play a role.

Symptoms:
  • Procrastination
  • Intentional inefficiency
  • Avoiding responsibility by claiming forgetfulness
  • Complaining
  • Blaming others
  • Resentment
  • Sullenness
  • Does not express hostility or anger openly
  • Fears authority
  • Resists suggestions from others
Signs and tests:

A history of typical behaviors, and a psychological evaluation, are usually sufficient to diagnose passive-aggressive personality disorder.

Treatment:

Counseling may be of value in helping the person identify and change the behavior.

Expectations (prognosis):

The outcome can be good with treatment.

Complications:
  • Stunted career development despite good intelligence
  • Alcohol abuse or other drug abuse
Calling your health care provider:

Though not generally a disorder that presents for treatment, other problems such as alcohol abuse or depression may indicate an underlying personality disorder.


Review Date: 5/18/2001
Reviewed By: Christos Ballas, M.D., Department of Psychiatry, University of Pennsylvania Medical Center, Philadelphia, PA. Review provided by VeriMed Healthcare Network.
A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org). URAC's accreditation program is the first of its kind, requiring compliance with 53 standards of quality and accountability, verified by independent audit. A.D.A.M. is among the first to achieve this important distinction for online health information and services. A.D.A.M. is also a founding member of Hi-Ethics (www.hiethics.com) and subscribes to the principles of the Health on the Net Foundation (www.hon.ch).

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2003 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.