How paranoid is a psychopath

Classification according to ICD-10
F60 Specific personality disorders
F60.0 Paranoid personality disorder
F60.1 Schizoid personality disorder
F60.2 Dissocial personality disorder (also called antisocial personality disorder, antisocial personality disorder, or amoral personality disorder
F60.3 Emotionally unstable personality disorder
F60.4 Histrionic Personality Disorder
F60.5 Compulsive personality disorder (also known as anankastic personality disorder)
F60.6 Anxious Avoidant Personality Disorder
F60.7 Dependent personality disorder
F60.8 Other specific personality disorders
F60.9 Unspecified personality disorders
ICD-10 online (WHO version 2006)

Psychopathy is an outdated term for a personality disorder that leads to an adjustment disorder due to character-constitutional reasons, under which the "psychopath"or their environment to suffer. The concept of Psychopaths a distinction must be made between medical and colloquial meaning.

The Pschyrembel describes psychopathy as a personality disorder in which the difficulty of adapting to the environment is in the foreground, as a result of which the person concerned or his environment suffers.


In the International Classification of Diseases, the ICD-10, the term Psychopathy not specifically named. However, some personality disorders are associated with this term. They are listed in the ICD-10 classification under the code ICD-10 F.60. These are mainly the following:

The Profound developmental disordersas they are listed under ICD-10 F84 ff Not as Psychopathies designated. That too Asperger syndrome, earlier Autistic psychopathy called, applies Not more than Psychopathybut as an autistic disorder. That is why those affected are more likely than Autistic designated. (See DIMDI and ICD-10-2007 Search engine for diagnoses, diagnosis codes and diagnosis keys).

In colloquial language, the term Psychopathy often referred to as the antisocial personality disorder.

In the very latest version of the Pschyrembel becomes the term Psychopathy labeled as obsolete.

Symptoms and ailments

For people with an antisocial personality disorder, the symptoms are sometimes not noticeable (no distress), so they are only noticed by those around them. This can be B. be a superficial charm and a strong assertiveness. Other character traits tend to be perceived as negative, such as excessive self-esteem, a strong need for recognition, frequent lying (e.g. "pseudology"), frequent stealing (e.g. "kleptomania"), a tendency to manipulative "trickery" Lack of conscience, “shallow” emotions, lack of empathy, feelings of omnipotence, certain peculiarities of affectivity or will formation as well as social relationships (sociopathy).

With their superficial charm and ability to push through tough decisions, such people are often in leadership positions.

Impostors often belong to this group of people.

People with an emotionally unstable personality disorder are more likely to have difficulties with their affect lability.

Schizoids and paranoids tend to withdraw into their "inner world", to "isolate themselves" from the outside, to develop strange and bizarre ideas and to disregard the rules of social interaction. although you know it well (important differentiating criterion for autism and Asperger's syndrome).

Histrionic and narcissistic people like to be the center of attention and tend to dramatize and emphasize their symptoms and like to stand out.

People with anxiety-avoidant or addictive personality disorder often have difficulty coping with tasks on their own, making decisions without someone else's advice, and are more prone to "leaning on" and shifting responsibility.


An abnormal development as well as social and constitutional factors are discussed as the cause. The causes of Asperger's Syndrome and the personality disorders have not yet been clarified. Psychological hospitalism, neglect or abuse are suspected to be the cause of attachment disorders and adjustment disorders. (However, the causes mentioned do not necessarily lead to the development of psychopathy.)

In colloquial terms, mental disorders can usually be triggered by bullying at school, disturbed family relationships and non-recognition among friends.

Consequences and complications

Because of their character traits, their personality and their characteristics, psychopaths often come into conflict with other people and sometimes have difficulties in their professional life and in relationships.

It is believed that psychopaths make up less than 5% of the population but commit more than 70% of serious crimes.

In Anglo-American psychiatry in particular, psychopathy is used to describe an antisocial personality. In feature films like The silence of the Lambs or Psycho Therefore, psychopaths are portrayed as evil, cruel and unpredictable people who know no inhibitions. This picture most closely corresponds to the antisocial personality disorder.


The treatment of personality disorders (or “psychopathies”) is often difficult, especially if there is no insight into the disease, no psychological stress or sociopathy. Experimental psychotherapy, behavior therapy, or psychotropic drugs. Sometimes inpatient briefing and accommodation is required (Accommodation Act), especially when there is a risk to others.

Related topics

Category: Mental Disorder