.According to DSM-V, Personality Disorders classified to three classes and 10 types
Class 1. Odds and bizarre:
Paranoid Personality Disorder
Schizoid Personality Disorder
Schizotypal Personality Disorder
Class 2. Emotional and Impulsive
Antisocial Personality Disorder
Narcissistic Personality Disorder
Borderline Personality Disorder
Hysterionic Personality Disorder
Class 3. Anxious:
Avoidant Personality Disorder
Dependant Personality Disorder
Obsessive Compulsive Personality Disorder.
it seems there is another type of personality disorder that has negative role in substance abuse and harmful trill- seeking. I have denominated this type as Epicurean Personality Disorder. According to genetic and acquired causes these patients have intensive tendency to pleasure seeking and finally would trapped in physiologic or pathologic pleasures and have obsessions about pleasure as same as creativity for escaping from pain or discomfort. Pleasure is such important that he or she threaten his or her health or social credity for sensing pleasure. These patients don’t have any boundaries for pleasure and ignore social rules and norms. final results of pleasure seeking and discomfort avoiding is spectrum of these signs and sympyoms:
Substance or drug abuse or alcoholism.
Hypoactivity or laziness.
Addictive sex
Addiction to internet
Opposition with study and working hard.
Profligacy and Tramping
Gambling
Persistent Participation in Parties
Addiction to tobbaco
Bulimia and Gluttony
Laugh it off or to make fun off
Harmful exciting activities
Epicurean Personality Disorder has two subtypes:
A. Hypoactive. Laziness and passive pleasure seeking and introversion in this subtype is dominant.
B. Hyperactive. Active pleasure seeking and extraversion.
Intensity of Epicurean Personality Disorder is enough for destruction in somatic health or job quality and social relationships.
This disorder isn’t a result of organic problems or substance abuse or drugs and starts in adolescence.
Epicurean Personality Disorder has some overlaps with Antisocial Personality Disorder and Borderline Personality Disorder. In Antisocial Personality Disorder Dominant trait is ignoring Human rights with or without pleasure seeking and in Borderline Personality Disorder is Mood Sewing and pleasure seeking isn’t in depression period. Comobidity of Epicurean Personality with Antisocial Personality Disorder and Borderline Personality Disorder is common.
Treatment
Epicurean Personality Disorder is resistant in therapy. Comprehensive or Integrative Psychotherapy with focus on Scheama therapy and Existential therapy in patients who participated longer than one year in weekly therapy was favourable.
