Self-defeating personality disorder


Self-defeating personality disorder was a proposed personality disorder. As a descriptor for "Other personality disorder" it was included in the DSM-III in 1980. It was discussed in an appendix of the DSM-III-R in 1987, but was never formally admitted into the manual. The distinction was not seen as clinically valuable because of its significant overlap with other personality disorders. Both the DSM-III and DSM-III-R separated the condition from sexual masochism.
It was entirely excluded from the DSM-IV. Since the DSM-5, the diagnoses other specified / unspecified personality disorder have mostly replaced its use.

Diagnosis

Definition proposed in DSM III-R for further review

Self-defeating personality disorder is:

Millon's subtypes

Theodore Millon has proposed four subtypes of masochist. Any individual masochist may fit into none, one or more of the following subtypes:
SubtypeFeaturesTraits
Virtuous masochistIncluding histrionic featuresProudly unselfish, self-denying, and self-sacrificial; self-ascetic; weighty burdens are judged noble, righteous, and saintly; others must recognize loyalty and faithfulness; gratitude and appreciation expected for altruism and forbearance.
Possessive masochistIncluding negativistic featuresBewitches and ensnares by becoming jealous, overprotective, and indispensable; entraps, takes control, conquers, enslaves, and dominates others by being sacrificial to a fault; control by obligatory dependence.
Self-undoing masochistIncluding avoidant featuresIs "wrecked by success"; experiences "victory through defeat"; gratified by personal misfortunes, failures, humiliations, and ordeals; eschews best interests; chooses to be victimized, ruined, disgraced.
Oppressed masochistIncluding depressive featuresExperiences genuine misery, despair, hardship, anguish, torment, illness; grievances used to create guilt in others; resentments vented by exempting from responsibilities and burdening "oppressors".

History

Historically, masochism has been associated with submissiveness. This disorder became politically controversial when associated with domestic violence, which was considered to be mostly caused by males. However, a number of studies suggest that the disorder is common. In spite of its exclusion from DSM-IV in 1994, it continues to enjoy widespread currency amongst clinicians as a construct that explains many facets of human behaviour.