Clinical Neuroscience & Neurological Research

Haltlose Types

On a clinical level, when someone is designated as immature, this means a person whose growth process is not yet complete and who may reveal some or all of the following characteristics:

Frequently irresponsible behavior
Propensity to not fulfill their commitments and obligations
Proneness to act before thinking

Susceptible to changing plans unexpectedly
Easily seduced and manipulated by others
Mood swings that have a more pronounced amplitude than normal and are often puerile;
Emotional and behavioral manifestations that are unstable and inappropriate for their age and educational and cultural level, resulting in a level of functioning that is lower than expected (behavior, posture, that may consist of shyness, inconvenience of purposes and attitudes, negligent slights towards others, arrogance and vanity, expectation of compliance and overindulgence from others that is unsuited for their age, dependence on others, notwithstanding that they may be tyrannical within the family)

Character levity resulting in genuine and fleeting repentance for acts committed, but soon forgotten, potentiating the repetition of the inappropriate behavior

Ability to feel remorse and guilt without it necessarily meaning that it prevents the repetition of abnormal behavior (perversity and wickedness are often absent – these characteristics entail greater proximity to Antisocial Personality Disorder (ASPD) and, especially, to psychopathy

Inability to adequately manage their assets
Appetite for wonderment and consequent acquisition of goods even if it jeopardizes their own well-being or that of another

Absence of a life project, putting the focus on instant gratification

Inability to comply with a previously established plan;

Propensity to lie – with devaluation of the given word and the lie itself –, and the lie frequently emerges in a puerile and often foolish way;

Weakness of will, with consequent volubility and inconstancy, which can translate to abandoning an unfinished task or responsibility, difficulty in delaying a desire in time or resisting frustration, etc. puerile and/or absurd disinterest or devaluation of the opinions of others

Lower interest/curiosity for the consumption of cultural goods appropriate to their age and educational and cultural level

Often accompanies people with a development level significantly below the level that would be expected from that person. When they accompany people with a development level similar to the level that would be expected from that person, they almost always have a lower or signaled/stigmatized status

Greater tendency to adopt risk behavior – substance use, pathological gambling, irresponsible sexual behavior, dangerous driving
Instability in their relationships;

Unpredictable behavior

Sense of entitlement to rights they do not have Tyrannical in their demands from others

Ungrateful, even if others comply with demands they have no right to make

Excessive susceptibility to the non-fulfillment of their demands by others
Dissatisfaction with others even if they fulfill the agreed obligations

Avoidance of social situations or others that are anticipated as embarrassing

Inadequate fear of the behavior of others
May reveal excessive cowardice or reckless temerity

Feeling of superiority that even causes “perplexity” (due to that person’s limitations being very apparent, often with tunnel vision and an inability to understand others or the situation)

Theatricality, looking to stand out even if it entails excessive or unjustified personal and financial cost

Feelings of closeness or familiarity that are inexistent, with frequent invasion of the critical space of others Egotism that would be considered savage but often denied by the individual, despite being apparent; Fearful and suspicious character

Feeling of inability to assume responsibilities that the individual would be expected to assume in different stages of their life, or indifference towards fulfilling those responsibilities

Absence of mental disability

History of infantile treatment, with foolish treatment of the individual, particularly by the parents, with task substitution and the parents undertaking

responsibilities that should be assumed by the individual.

As can be seen from the abovementioned clinical characteristics, several other personality disorders present similar clinical characteristics to those mentioned above, particularly antisocial, borderline, narcissistic, histrionic personality disorders, but also others such as avoidant, dependent, and schizoid personality disorders [2]. Consulting the ICD-10 [1] or the DSM-5 [2], we found that IPD is not specifically referenced in the DSM-5 and although it is referenced in the ICD-10, which includes, in Other Personality Disorders (F60.8), the “eccentric, haltlose type, immature, narcissistic, passive-aggressive and psychoneurotic personality (disorder)”, there is no explanation of the criteria of any of the personality disorder (PD) included in F60.8.

Regarding the DSM-5 [2], this integrates the Other Specified Personality Disorder (OSPD) 301.89 (F60.89), a category used in situations where the clinician chooses to communicate the specific reason for which the presentation does not fulfill the criteria for any specific personality disorder, which is done by registering “other specific PD”, followed by the specific reason (for example, “mixed personality characteristics”). As for the Unspecified Personality Disorder (USPD) 301.9 (F60.9), it is a category that applies to presentations in which the characteristic symptoms of a personality disorder, which cause clinically significant ill-being and deficits in social and occupational functioning or in other important areas of functioning, are predominant, but do not meet all criteria for any of the disorders in the diagnostic category of personality disorders. The USPD is used in situations where the clinician chooses to not specify the reason for which the criteria are not fulfilled for a specific personality disorder and includes presentations in which there is insufficient information to make a more specific diagnosis.

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