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Passive-aggressive personality disorder
Classification & external resources

ICD-10	F60.8
ICD-9	301.84

Passive-aggressive behavior refers to passive, sometimes obstructionist resistance to following authoritative instructions in interpersonal or occupational situations. It can manifest itself as resentment, stubbornness, procrastination, sullenness, or repeated failure to accomplish requested tasks for which one is assumed, often explicitly, to be responsible. It is a defense mechanism and, more often than not, only partly conscious. For example, people who are passive-aggressive might take so long to get ready for a party they do not wish to attend, that the party is nearly over by the time they arrive. Alternatively, leaving notes to avoid face-to-face discussion/confrontation is another form of passive-aggressive behavior.

Contents 1 Passive-aggression as a personality disorder 2 History 3 Common signs of passive-aggressive personality disorder 4 Interpretation in Transactional Analysis 5 See also 6 References 7 External links

Passive-aggressive personality disorder (also called negativistic personality disorder) is a controversial personality disorder said to be marked by a pervasive pattern of negative attitudes and passive, usually disavowed resistance in interpersonal or occupational situations. It was listed as an Axis II personality disorder in the DSM-III-R, but was moved in the DSM-IV to Appendix B ("Criteria Sets and Axes Provided for Further Study") because of controversy and the need for further research on how to also categorize the behaviors in a future edition. On that point, Cecil Adams writes:

Merely being passive-aggressive isn't a disorder but a behavior — sometimes a perfectly rational behavior, which lets you dodge unpleasant chores while avoiding confrontation. It's only pathological if it's a habitual, crippling response reflecting a pervasively pessimistic attitude.^[1]

When the behaviors are part of a person's disorder or personality style, repercussions are usually not immediate, but instead accumulate over time as the individuals affected by the person come to recognize the disavowed aggression coming from that person. People with this personality style are often quite unconscious of their impact on others, and thus may be genuinely dismayed when held to account for the inconvenience or discomfort caused by their passive-aggressive behaviors. In that context, there is a failure to see how they might have provoked a negative response, so they feel misunderstood, held to unreasonable standards, and/or put upon.

Treatment of this disorder can be difficult: efforts to convince the patient that their unconscious feelings are being expressed passively, and that the passive expression of those feelings (their behavior) inspires other people's anger or disappointment with the patient, are often met with resistance. Individuals with the disorder will frequently leave treatment claiming that it did no good. Since the effectiveness of various therapies have yet to be proven, these individuals may be correct.

Passive aggressive disorder is said to stem from a specific childhood stimulus (e.g. overbearing parental figures, or alcohol/drug addicted parents).

The term "passive-aggressive" was first used by the U.S. military during World War II, when military psychiatrists noted the behavior of soldiers who displayed passive resistance and reluctant compliance to orders. ^[2]

There are certain behaviors that help identify passive-aggressive behavior. ^[3]

• Ambiguity
• Avoiding responsibility by claiming forgetfulness
• Blaming others
• Chronic lateness and forgetfulness
• Complaining
• Does not express hostility or anger openly - (e.g., expresses it instead by leaving notes)
• Fear of authority
• Fear of competition
• Fear of dependency
• Fear of intimacy (infidelity as a means to act out anger)
• Fosters chaos
• Intentional inefficiency
• Making excuses
• Losing things
• Lying
• Obstructionism
• Procrastination
• Resentment
• Resists suggestions from others
• Sarcasm
• Stubborness
• Sullenness

A passive-aggressive may not have all of these behaviours, and may have other non-passive-aggressive traits.

In the psychoanalytic theory of transactional analysis, many types of passive-aggressive behavior are interpreted as "games" with a hidden psychological payoff, and are classified with names like "Why Don't You...? Yes, But...", "See What You Made Me Do", "Look How Hard I've Tried", and "I didn't do it on purpose, I forgot or it was an accident" into stereotypical scenarios.^{[citation needed]}

• Malicious compliance

• Eliminating Passive Aggressiveness
• What is "passive-aggressive?" The Straight Dope.com

v • d • e WHO ICD-10 mental and behavioural disorders (F · 290–319)
Neurological/symptomatic	Dementia (Alzheimer's disease, multi-infarct dementia, Pick's disease, Creutzfeldt-Jakob disease, Huntington's disease, Parkinson's disease, AIDS dementia complex, Frontotemporal dementia) · Delirium · Post-concussion syndrome
Psychoactive substance	alcohol (drunkenness, alcohol dependence, delirium tremens, Korsakoff's syndrome, alcohol abuse) · opiods (opioid dependency) · sedative/hypnotic (benzodiazepine withdrawal) · cocaine (cocaine dependence) · general (Intoxication, Drug abuse, Physical dependence, Withdrawal)
Psychotic disorder	Schizophrenia (disorganized schizophrenia) · Schizotypal personality disorder · Delusional disorder · Folie à deux · Schizoaffective disorder
Mood (affective)	Mania · Bipolar disorder · Clinical depression · Cyclothymia · Dysthymia
Neurotic, stress-related and somatoform	Anxiety disorder (Agoraphobia, Panic disorder, Panic attack, Generalized anxiety disorder, Social anxiety) · OCD · Acute stress reaction · PTSD · Adjustment disorder · Conversion disorder (Ganser syndrome) · Somatoform disorder (Somatization disorder, Body dysmorphic disorder, Hypochondria, Nosophobia, Da Costa's syndrome, Psychalgia)  · Neurasthenia
Physiological/physical behavioural	Eating disorder (anorexia nervosa, bulimia nervosa) · Sleep disorder (dyssomnia, insomnia, hypersomnia, parasomnia, night terror, nightmare) · Sexual dysfunction (erectile dysfunction, premature ejaculation, vaginismus, dyspareunia, hypersexuality) · Postpartum depression
Adult personality and behaviour	Personality disorder · Passive-aggressive behavior · Kleptomania · Trichotillomania · Voyeurism · Factitious disorder · Munchausen syndrome · Ego-dystonic sexual orientation
Mental retardation	Mental retardation
Psychological development (developmental disorder)	Specific: speech and language (expressive language disorder, aphasia, expressive aphasia, receptive aphasia, Landau-Kleffner syndrome, lisp) · Scholastic skills (dyslexia, dysgraphia, Gerstmann syndrome) · Motor function (developmental dyspraxia) Pervasive: Autism · Rett syndrome · Asperger syndrome
Behavioural and emotional, childhood and adolescence onset	ADHD · Conduct disorder · Oppositional defiant disorder · Separation anxiety disorder · Selective mutism · Reactive attachment disorder · Tic disorder · Tourette syndrome · Speech (stuttering · cluttering)