A 35-year-old man comes to the psychiatrist at the insistence of his wife. She reports that for as long as she has known her husband, he has been exceedingly suspicious of those around him. She states that he trusts no one and is always convinced that friends and neighbors are trying to take advantage of him in some way. Once slighted, he holds onto grudges for a very long time. The patient is guarded and mildly hostile toward the physician, convinced that he is not interested but, rather, is just “earning too much money” from the encounter. Which of the following is true of patients with this disorder?

a. They usually also suffer from paranoid psychosis

b. They have a predisposition to develop schizophrenia

c. They often have a preoccupation with helping the weak and the powerless

d. They usually present themselves in a quiet and humble fashion

e. They are often litigious

the answer is below…

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