Immature personality disorder

Immature personality disorder (IPD[4]) is an ICD-10 diagnosis characterized by lack of emotional development, low tolerance of stress and anxiety, inability to accept personal responsibility, and reliance on age-inappropriate defense mechanisms.[4] The disorder has been "gaining prominence"[5] in the 21st century.[6] It is listed under "F60.8 Other specific personality disorders".[7] A study in Denmark found that together, these 6 "Other" types constituted 2.4% of all personality disorder diagnoses.[8]

Immature personality disorder
SpecialtyPsychiatry
Symptoms-Lack of stamina [1]
-Poor adaptation capabilities[1]
-Inability to deal with stress[2]
Diagnostic methodBased on reported symptoms
Differential diagnosisBipolar[3]

While borderline personality disorder is the most common personality disorder among those who commit non-suicidal self-harm, the overall rate of deliberate self-harm is highest among those with immature personality disorder.[9]

It has been noted for displaying "an absence of mental disability",[4] and demonstrating "ineffectual responses to social, psychological and physical demands."[10]

Mechanics

IPD involves a weakness of the ego, which limits the ability to restrain impulses or properly model anxiety.[4] They fail to integrate the aggressive and libidinal factors at play in other people, and thus are not able to parse their own experiences.[4]

It can be caused by a neurobiological immaturity of brain functioning, or through a childhood trauma, or other means.[4]

In law and custom

In the 1980s, it was noted that immature personality disorder was one of the most common illnesses invoked by the Roman Catholic Church in order to facilitate annulment of undesired marriages.[11]

In 1978, David Augustine Walton was tried in Barbados for killing two passersby who had offered his mother and girlfriend a ride following an argument, and pleaded diminished capacity resulting from his immature personality disorder; he was nevertheless convicted of murder.[12]

In 1989, a former employee of the Wisconsin Department of Transportation had his claim of discrimination dismissed, after alleging that his employment had been terminated due to his Immature Personality Disorder alongside a sexual fetish in which he placed chocolate bars under the posteriors of women whose driving capabilities he was testing.[13]

A 1994 Australian case regarding unemployment benefits noted that while "mere personal distaste for certain work is not relevant, but a condition (such as immature personality disorder) may foreclose otherwise suitable prospects".[14]

In 2017, an individual whose sole diagnosis was Immature Personality Disorder was allowed to die through Belgian euthanasia laws that require a medical diagnosis of a life-long condition that could impair well-being.[15]

References

  1. "Personality disorders". medicineworld.org. Retrieved November 26, 2020.
  2. "Peter Pan Syndrome: The Science Behind It, What It Is & How To Treat It | Betterhelp". www.betterhelp.com.
  3. Department of Veterans Affairs Regional Office in Winston-Salem, NC, Docket No 04-12 158A
  4. Almeida, Fernando; Ribeiro, Patrícia; Moreira, Diana (September 16, 2019). "Immature Personality Disorder: Contribution to the Definition of this Personality" (PDF). Clinical Neuroscience and Neurological Research International Journal. Amsterdam, Netherlands: Elsevier. 2 (2).
  5. Ostrow, Ruth (May 18, 2017). "Forever young: immature personality disorder". The Australian. Retrieved December 28, 2020.
  6. "2009 ICD-9-CM Diagnosis Code 301.89 : Other personality disorders". www.icd9data.com.
  7. Buck, Carol J. (June 16, 2016). 2012 ICD-10-CM Draft Standard Edition -- E-Book. Amsterdam, Netherlands: Elsevier Health Sciences. ISBN 978-1-4557-7499-9.
  8. Pedersen, Liselotte; Simonsen, Erik (November 17, 2014). "Incidence and prevalence rates of personality disorders in Denmark—A register study". Nordic Journal of Psychiatry. Abingdon, England: Taylor & Francis. 68 (8): 543–548. doi:10.3109/08039488.2014.884630. ISSN 0803-9488. PMID 24520919.
  9. Krishnaram, Vaithiyam Devendran; Aravind, Vaithiyam Krishnaram; Vimala, A. Rupavathy (March 2016). "Deliberate Self-harm seen in a Government Licensed Private Psychiatric Hospital and Institute". Indian Journal of Psychological Medicine. Thousand Oaks, California: SAGE Publishing. 38 (2): 137–141. doi:10.4103/0253-7176.178808. PMC 4820553. PMID 27114626.
  10. "Personality disorders :From MedicineWorld.Org". medicineworld.org.
  11. Severino, Sally K.; Mcnutt, Edith R. (March 1984). "The Psychiatrist as Expert Witness: The Roman Catholic Church Marriage Tribunal". Journal of the American Academy of Psychiatry and the Law. Bloomfield, Illinois: American Academy of Psychiatry and the Law. 12 (1): 49–66. doi:10.1177/009318538401200106. S2CID 158806167.
  12. Kok, Lee Peng; Cheang, Molly; Chee, Kuan Tsee (1990). Diminished Responsibility: With Special Reference to Singapore. Kent Ridge, Singapore: NUS Press. pp. 157–158. ISBN 9789971691387.
  13. "Decision order" (PDF). werc.wi.gov. 1989. Retrieved November 26, 2020.
  14. Carney, Terry (2003). "Disability and Social Security: Compatible or Not?". Australian Journal of Human Rights. Abingdon, England: Taylor & Francis. 9 (2): 139–172. doi:10.1080/1323238X.2003.11911110.
  15. Dierickx, Sigrid; Deliens, Luc; Cohen, Joachim; Chambaere, Kenneth (December 2017). "Euthanasia for people with psychiatric disorders or dementia in Belgium: analysis of officially reported cases". BMC Psychiatry. London, England: BioMed Central. 17 (1): 203. doi:10.1186/s12888-017-1369-0. ISSN 1471-244X. PMID 28641576. S2CID 3237745.
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