Secondo il DSM IV (Manuale diagnostico e statistico dei disturbi mentali) si definisce disturbo di personalità un modello di esperienza interiore e di comportamento, pervasivo e inflessibile, che devia marcatamente rispetto alle aspettative della cultura del soggetto. Esordisce nell’adolescenza o nella prima età adulta, è stabile nel tempo e determina disagio o sofferenza. In altre parole si parla di DP quando vi sono delle caratteristiche della personalità molto rigide che vanno oltre il carattere ed il temperamento, tipico di ogni persona. In base alle caratteristiche peculiari dei vari disturbi di personalità si possono identificare 3 grandi gruppi o Cluster: Cluster A: caratterizzati dal comportamento bizzarro DP paranoide: è un quadro di pervasiva sfiducia e sospettosità, in cui le motivazioni e le intenzioni degli altri sono interpretate come malevole. 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