A pervasive distrust and suspiciousness of others such that their motives are interpreted as malevolent, beginning by early adulthood and present in a variety of contexts, as indicated by four (or more) of the following: • suspects, without sufficient basis, that others are exploiting, harming, or deceiving him or her • is preoccupied with unjustified doubts about the loyalty or trustworthiness of friends or associates • is reluctant to confide in others because of unwarranted fear that the …showed first 75 words of 1834 total…

…showed last 75 words of 1834 total…outpatient treatment, chronic destructive acting out, and chaotic life-styles. An inpatient program can offer an intensive milieu, which includes individual psychotherapy, family involvement, and a specialized residential environment. The structure is physically and emotionally secure enough to sustain the patient with severe ego weakness throughout the course of expressive, conflict-solving psychotherapy. The ultimate goals are of affecting a more integrated, cohesive self-concept that is less vulnerable to slights, criticisms, rejections, or general blows to self-esteem.