Infantile personality disorder: symptoms, signs and treatment

What happens if you are discharged from the army for psychiatry?

Mowing while on duty is illegal and can result in a fine or imprisonment. In addition, it is also meaningless, because a psychiatrist at the military registration and enlistment office can easily distinguish a malingerer from a patient.

In order to determine the conscript’s suitability for the army as objectively as possible, the military registration and enlistment office will send him for examination to the PND - a psychoneurological dispensary. Additional examination is usually carried out in a day hospital for 1-3 weeks. During this time, the conscript must undergo a series of studies and observation by doctors.

If a young man has deviations, doctors will definitely understand this, and vice versa: if there are no deviations, doctors will see through the malingerer. For example, to check for a disease, a psychiatrist may give the recruit tests or conduct an hour-long conversation.

During such conversations with the “patient,” doctors monitor the interlocutor’s gestures and periodically repeat questions in order to catch the malingerer in a lie.

Consequences of exemption from the army due to psychiatry

It is generally accepted that exemption from the army due to psychiatry imposes responsibilities and restrictions on the conscript in later life. Young people must be registered with the PND and visit a psychiatrist. They will not be able to get a license and find a good job, they will not be able to get a license and buy a gun.

Expert opinion

Antonov Viktor Sergeevich

Practicing lawyer with 8 years of experience. Specialization: military law. Recognized legal expert.

Serious diagnoses such as schizophrenia may face similar limitations. However, Chapter 5 of the Schedule of Diseases includes other diseases that do not make changes in a man’s life.

For example, various neuroses, stress disorders and a number of other pathologies exempt from conscription, but do not always impose prohibitions on their owner. In addition, for mild disorders, if the patient does not appear in the ICP for 5 years, he may be deregistered from the dispensary.

With respect to you, Anna Nikolaeva, lawyer of the Assistance Service for Conscripts.

Personality disorder and the army

Exemption from the army due to a personality disorder or complaints of other mental disorders seems like a tempting prospect for a conscript. But this is a mistaken opinion, which is fraught with consequences and accusations of malingering and trying to avoid conscription.

However, if there is a justified diagnosis, the possibility of obtaining exemption from service exists. Especially if you involve an experienced consultant.

If an organic disorder occurs

An exacerbation of psychopathic traits can also occur after a person has suffered from some serious illness or with chronic diseases of internal organs.

Sometimes mosaic psychopathy is combined with organic personality disorder. This pathological condition is not congenital, it is acquired as a result of provoking factors and psychological trauma. A large number of diseases that affect the brain can lead to significant changes in a person’s already formed personality. The most common reasons that provoke the development of an organic disorder are:

• traumatic brain injuries;
• epilepsy;
• neuroinfections;
• alcohol addiction.

If before the disease manifested itself, a person had mixed signs of various disorders, and it was very difficult for him to find a common language with the people around him, then after a brain disease is added to such symptoms, such signs become even more intense. Reactions often include aggression, anger, anger, protest, and indignation.

This disease can cause the following symptoms:

• decreased performance;
• increased emotional instability;
• attacks of aggression or euphoria;
• delusional ideas in statements.

Long and detailed conversations are essentially not informative; a person repeats the same thing in different words.

What are dangerous personality disorders?

This pathological condition is associated with behavioral patterns and internal experiences that go beyond the generally accepted socio-cultural norms in a given society. These behavioral patterns do not change and remain irresistible for a long period of time, usually beginning in adolescence or young adulthood.

At the same time, they provoke the appearance of severe stress and negatively affect life. Such deviations are divided into three categories:

• A – disorders of the paranoid, schizoid and schizotypal type;
• B – manifestations of antisocial, borderline, hysterical and narcissistic deviations;
• B – anxiety, dependent and obsessive-compulsive disorder.

Mosaic psychopathy and the law

Often the result of antisocial behavior is a violation of the law as a result of deviant behavior. Types of deviant behavior:

• criminal;
• antisocial.

Violation of legislation in the field of administrative or criminal law leads to consequences in the form of sexual assault, fraud, hooliganism and, in the most severe cases, murder.

Violating antisocial norms and rules does not directly harm the people around you, but may indirectly affect them. This behavior includes avoidance of work duties, minor mischief, or inappropriate behavior.

Psychopathic personality traits often lead them to commit various crimes. However, sociopaths never regret breaking the law, only that they were caught.

Socially, such individuals can realize themselves as leaders of a criminal group or religious sects. The fate of many people suffering from mosaic psychopathy is associated with drug or alcohol use. Dependence is formed only to satisfy one’s own desires.

What deviations are taken into account by the medical board?

Personality disorders covered by Art. 18 RB, take into account a large group of conditions. These include:

• disorders in personality aspects and deviations in the area of ​​habits and inclinations;
• deviations in gender identification and preferences of a sexual nature;
• behavioral and emotional disorders associated with sexual orientation, as well as deviations that develop in childhood and adolescence;
• disturbances in the process of psychological development.

This is important to know: Are they recruited into the army with an open foramen ovale?

Types of infantile disorders

Depending on the symptoms and emotional state of the patient, 4 types of infantile disorders can be distinguished:

• Borderline represents severe mood swings. The disease most often persists after puberty.
• Antisocial disorder involves a complete reluctance to interact with society and form partnerships and friendships.
• Narcissistic disorder is an unhealthy, uncontrollable tendency toward power and authoritarianism.
• Theatrical disorder is expressed in envy, the desire to manipulate, and attracting attention through eccentric, overly emotional behavior.

Obtaining exemption from service

If a conscript is diagnosed with personality disorders that are pronounced with frequent repeated decompensations or are accompanied by pathological reactions, then he is assigned category “D” and is completely released from service due to unfitness for it. When the disorders are moderate in severity in the presence of compensation that is unstable in nature, the young man is assigned category “B”.

With limited serviceability, a conscript is decommissioned to the reserve. Such diseases include:

• moderate disorders accompanied by disruptions of an affective nature, a reactive type of state, manifestations of vegetative reactions;
• transient personality disorders;
• deviations in gender identification and sexual preferences.

Treatment of infantile antisocial disorder

Antisocial disorder is difficult to treat. Doctors often use psychotherapy, but this method is rarely effective. He is powerless if the symptoms of the disease are severe or the patient does not want to admit that he has serious problems. Often, diagnosing a disease is possible only by clarifying the patient’s relationship with loved ones.

There are no specific medications to treat antisocial disorder. Psychotherapists prescribe medications only to relieve specific symptoms, such as aggression, anxiety, or depression.

Antisocial personality disorder in most cases brings a lot of suffering to those around them. To help cope with aggression and protect against violence and anger, there are support groups for families and friends of people with antisocial disorder. If you have a loved one with this personality disorder, it is important that you also receive psychological help.

Until now, diagnosing infantile personality disorders is extremely difficult, since it is impossible to classify all patients under one pattern of disease development. The most important thing in treatment is to find a qualified doctor who can draw up an individual treatment plan that takes into account all the features of the course of the disease.

Article 18a

This item includes clearly manifested disorders that cannot be compensated. These are pronounced psychological disorders, prone to prolonged, repeated pathological decompensations or reactions.

These types of mental problems are serious disorders in which a person is unable to control his behavior and cannot adapt among others. Therefore, service with such a diagnosis is impossible.

Article 18b

The letter “b” in the title of the article indicates the presence of some psychological disorders in a person that appear periodically. In this case, the attacks do not reach a pathological nature. This article includes both the general infantilism of the conscript and violations of sexual self-determination and sexual preferences.

If a future soldier demonstrates such behavior intentionally, and it is not based on pathologies in human development, then such behavior is not considered a mental disorder.

Article 18b describes moderately manifested mental disorders with unstable compensation - these are:

• personality disorders;
• disorders of hobbies and habits;
• disorders of sexual preference and sexual identity;
• behavioral disorders resulting from loss of sexual orientation;
• disorders in emotions and behavior that began in childhood;
• disturbance or delay in psychological development;
• moderately expressed types of personality disorders, manifested in affective breakdowns, reactive states, manifestations of vegetative reactions;
• partial (transient) personality disorders.

Demonstration of premeditated behavior, staged indiscipline, which does not follow from the general pathological characteristics of the personality, are not considered as signs of a mental disorder.

Citizens with psychopathic and similar changes and personality disorders that are associated with certain external causes and factors (traumas, diseases, poisonings and others) are examined according to the relevant items from the schedule of diseases provided for in nosological forms for neuropsychic pathologies.

Military medical examination

The note about Article 18b or 18a is placed precisely after an examination by a psychiatrist. If a conscript is found to have characteristic behavioral or personality disorders, he will be sent for examination to a specialized institution for a more thorough check and a military medical examination.

Such an examination is carried out for four categories of citizens, these include:

• persons registering for military service for the first time;
• young people undergoing military service for the next conscription;
• reserve officers who have not previously served in military service, as well as contract military personnel;
• persons who are or will be in military service in the submarine fleet.

For the first three categories, the presence of mark 18b on the military ID at the end of the medical examination means that such citizens do not serve in peacetime and are transferred to the reserve. But these citizens can be called up, if necessary, for military service in the second place under martial law.

Also, these categories of civilian conscripts can receive a military specialty if desired.

If mental inconsistencies are detected among citizens of the fourth group who are already serving or are about to serve in the submarine fleet, the restrictions are more stringent. Such military personnel and conscripts are recognized as unfit for military service both in peacetime and in wartime.

Consequences of Article 18b and 18a in civil life

A person with mental disorders and exemption from conscription under Article 18a has such serious health problems that his adaptation into society is often impossible. The presence of Article 18b in a military ID after passing a military medical commission not only exempts the soldier from serving, but also imposes restrictions on civilian life, in particular, on driving cars and other vehicles.

And this happens even though a person may outwardly be absolutely adequate.

When undergoing a medical examination to obtain a driver’s license, a psychiatrist will definitely look at your military ID (if you have one).

Expert opinion

Antonov Viktor Sergeevich

Practicing lawyer with 8 years of experience. Specialization: military law. Recognized legal expert.

If there is an entry about Article 18b on a military ID, then the psychiatrist will not give permission for such an applicant to obtain a driver’s license.

In addition, an Article 18b entry will likely have an impact on employment. Most managerial and simple positions in government bodies are inaccessible to people with mental problems.

There is a high probability that employers will refuse to hire a person with such an article on his military ID. Also, having a record of this article can create a number of significant problems when finding employment in the banking sector and other industries.

Species and types

Infantilism is a rather multifaceted concept.

For this reason, there are different classifications of this phenomenon.

Infantilism is of the following types:

1. Physiological . This is an underdevelopment of the physiological systems of the body, which outwardly manifests itself in bodily immaturity. The reason usually lies in fetal development disorders during pregnancy, oxygen starvation, serious illnesses in infants, and the presence of endocrine or sexual problems.
2. Psychic .
   The behavior exhibited by a person is not appropriate for the age at which he is. The cause may be congenital mental disorders or exposure to adverse factors. The lag is manifested by the underdevelopment of the emotional-volitional sphere, the inability to bear responsibility for one’s life. A person judges life superficially and immaturely.
3. Social . Manifests itself in a disruption of the natural process of socialization. The individual is unable to demonstrate behavior consistent with his social role. He tries to avoid responsibility and avoids solving serious problems. Currently, this phenomenon has become widespread due to the fashion for a consumerist attitude to life. People strive to get everything they want without thinking about the consequences. A typical example of social infantilism is the purchase of a desired item on credit without having adequate income to pay for this loan.
4. Legal .
   Ignorance of one's rights and responsibilities, combined with a lack of desire to study them. People do not seek to understand the principles of operation of the legal system of their state, have a poor understanding of the laws, do not take part in elections, and are not interested in the current political situation. Such self-elimination is associated with the desire to relieve oneself of responsibility for everything that happens in society.

Infantilism is also divided into two types:

• total , simultaneous lag in physical and mental development,
• partial , when physical parameters correspond to age standards, there is mental immaturity.

Infantilism is also divided into two types based on gender :

1. Male. Usually occurs due to the upbringing of a boy in an incomplete family. The mother replaces both parents for the child and gives all of herself. As a result, he grows up without a model of male behavior before his eyes and gets used to getting what he wants without effort on his part. In adulthood, such men demonstrate strong dependence on their mother, indulge her in everything, and constantly consult with her. Often these are frivolous, merry fellows who do not know how to plan their own budget. For fear of responsibility, they avoid serious relationships with women, and if they get married, they try to bring their wife to their parents’ house. As a rule, they look younger than their age. They take offense at any minor criticism of their behavior.
2. Female. In this case Usually the reason lies in overprotection on the part of the father. Accustomed to the role of a “princess,” the girl expects everyone around her to indulge her whims. She expects the same degree of care and admiration from her future husband as from her father. Often this mental feature is not regarded by the opposite sex as a disadvantage, since many men are satisfied with this distribution of roles. The husband of an infantile woman becomes the undisputed head of the family, and his wife is solely responsible for the home and children.
   Female infantilism becomes a problem when it interferes with building a harmonious relationship with a partner who wants to see a mature person nearby.

   Also, a negative situation develops if a person unadapted to adult life finds herself alone with her problems. Often, infantile women demonstrate an inability to experience deep feelings and sincere affection. A partner for them is a way to escape problems.

Do they take gays into the Russian army?

Published by Maxim Bezzubov 01/05/2020

The answer to the question “are gays accepted into the army” is ambiguous. The schedule of diseases, which determines the conscript’s fitness category, classifies disorders of sexual preference as Ch. 5 “Mental disorders.”

This is important to know: What they teach in the army

At the end of Article 18 there is a small postscript according to which sexual orientation itself is not a reason for receiving a deferment. That is, homosexuals, in theory, have the right and can serve in the army.
In reality, things are often different.

Homosexuality and the schedule of diseases

Non-traditional sexual orientation is classified as a personality disorder in the list of diseases. According to Art. 18, with persistent disorders that cannot be treated, the conscript receives fitness category D, that is, he will not serve in the army.

Moderately severe disorders allow the conscript to receive fitness category B, that is, the young man will be sent to the reserve in peacetime.

General patterns of treatment

Treatment for infantile personality disorder is usually difficult. The complexity of treatment can be explained by the fact that psychotherapists most often have to work with people who have an advanced stage of the disease with pronounced symptoms. The success of therapy also largely depends on high-quality diagnostics.

Most often, specialists provide treatment using psychotherapeutic methods. When symptoms of other disorders are added to infantile personality disorder, specialists treat with medication.

What problems does Art. 18

The article includes not only homosexuality, but also other disorders:

• personality disorders;
• disorders of habits and desires;
• disorders of gender identity and sexual preference;
• behavioral disorders associated with sexual orientation;
• behavioral and emotional disorders that arose in adolescence and childhood;
• problems of psychological development.

To understand the essence of these problems, it is worth understanding each of them a little more carefully.

Personality disorders

Personality disorders are a mental problem associated with a person’s disturbance of perception of the environment, behavioral disturbances that prevent the patient from having normal contact with society and building social connections.

As a rule, such mental problems are formed in childhood or adolescence and develop throughout subsequent life. Therefore, in order to be excluded from the army due to a personality disorder, it will be necessary to submit documents confirming the diagnosis, observation in a hospital, etc.

Disorders of habits and desires

This category of disorders is characterized by the presence in the patient of some manias and habits that do not have any rational motivation, and in general contradict not only the interests of others, but also the patient himself.

The patient is not able to control his desires and desires, and his irritability and agitation disappear only after he performs one or another action.

This group of disorders includes:

• mania - a passion for gambling, expressed by frequent episodes;
• pyromania – the patient’s passion for committing arson and explosions;
• kleptomania – causeless pathological theft;
• trichotillomania – the patient’s urge to pull out hair. Most often, this behavior is preceded by a stressful situation.

As a rule, these diseases also develop at a young age, which means that the conscript must have documents confirming that he has one of the listed manias.

Disorders of gender identity and sexual preference

These disorders are formed from childhood. Sexual development in children begins around 3-5 years, when children of one sex begin to become interested in the structure of the genitals of children of the other sex.

Subsequently, when growing up, this self-identification can develop into sexual interest in people of the same sex. In fact, this is not homosexuality, because a person, according to his internal perception, experiences sexual attraction to a person of the opposite sex.

Violations of sexual preference include:

• fetishism - passion for various things (underwear, shoes, bows, toys, etc.);
• fetishistic transvestism - violations in gender identification, expressed in the desire to dress like the opposite sex. This is not a constant desire, but an episodic one, for example, dressing up as a way to get sexual release;
• exhibitionism - public nudity, demonstration of genitals;
• voyeurism – the patient experiences sexual arousal only from spying on other sexual partners;
• pedophilia – sexual attraction to children;
• sadomasochism - obtaining pleasure from physical pain.

Any of these manifestations in severe form prevents military service.

Behavioral disorders associated with sexual orientation

This group specifically includes the homosexual and bisexual preferences of the conscript.

Homosexuality is sexual attraction to a person of the same sex.

Bisexuality is sexual attraction to people of any gender.

Behavioral or emotional disturbances since childhood or adolescence

This group of diseases includes various disorders that usually develop in childhood or adolescence:

• hyperkinetic disorders: aggressiveness, loss of attention, impaired activity, hyperactivity, impulsivity, etc.;
• behavioral disorders;
• emotional disorders.

Expert opinion

Antonov Viktor Sergeevich

Practicing lawyer with 8 years of experience. Specialization: military law. Recognized legal expert.

The diagnosis of conduct disorder is made only before the age of 18, if severe symptoms have been present for at least 6 months in a row. Disorders include:

• theft;
• shoots;
• frequent lies;
• participation in arson;
• frequent absenteeism from school;
• outbursts of anger;
• cruelty to animals or people;
• breaking into other people's houses, etc.

Emotional disorders also develop in childhood:

• fear of losing contact with a loved one - such attachment is most often formed at the age of 6-11;
• various phobias (fear of insects, animals, etc.);
• and other disorders.

Problems of psychological development

The first disorders begin to appear at the age of 3-5 years:

• speech disorders;
• autism;
• developmental disorders of learning skills.

Combinations of different types of psychopathy

The combination of hysteria, instability of character and desire disorders can cause a number of addictions in a person, for example, addiction to games, drugs or alcohol.

Mixed personality disorder combines schizoid and psychasthenic traits, which lead to the emergence of overvalued ideas in a person. In fact, these are absolutely ordinary thoughts, which the patient elevates to the level of especially significant ones and tries to implement them without fail.

Such people experience serious difficulties in adapting to life in society, since they do not have the skill of establishing contacts with new people, but at the same time they always and everywhere try to put into practice their obsessive thoughts, which seem brilliant to them.

When paranoid-type disorders are layered with excessive temperament, a person’s behavior is fully manifested, the basis of which is an unhealthy desire to achieve recognition of one’s opinion as the only correct one, thereby attracting various social institutions.

The basis of the life of such individuals is the constant struggle for their “infringed” views: appeals to the court, complaints to various authorities, and the result is always a challenge to any decision of these authorities, which will often go against the patient’s opinion

Specialists should be most concerned about the situation when a person combines initially incompatible signs of various disorders (for example, increased excitability and asthenia), since in this case there is a high probability that the disorder will eventually develop into schizophrenia.

Is it worth declaring homosexuality at a medical examination?

In many European countries, where a positive attitude towards homosexuality has been developed for quite some time, life for gays during service turns into real hell. In Russia, things are even more difficult with this.

This is important to know: Will you be accepted into the army with a tattoo?

We sincerely do not advise declaring homosexuality at the military registration and enlistment office (no matter whether it is true or false), because if a young man does go to serve in the army, he will have to face bullying, cruelty, hazing, etc.

We also do not recommend asking the question “are gays accepted into the army” in order to obtain a military ID, since in this case you will receive a military ID for a psychological illness, and this, in the future, can become a big problem when finding a job and even when enrolling in an educational institution!

We know how easy it is to get rid of the army

For many years now, the Military Medical College has been helping young conscripts obtain a military ID on an absolutely legal basis. During our work, we were able to make more than 5,000 conscripts happy!

Our staff includes experienced lawyers and medical specialists who will not only help you determine which disease from the Schedule of Diseases you can get a military ID for, but will also help you, if necessary, prepare documents, draw up a complaint or file a lawsuit.

Call us right now and we will sign you up for a consultation with our military lawyer. The first consultation is free!

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Therefore, expert consultants work for you around the clock!

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Categories of suitability for military service with mental disorders

According to Article 18 of the Schedule of Diseases (approved by Decree of the Government of the Russian Federation of February 25, 2003 No. 123), citizens diagnosed with a personality disorder cannot be called up for military service. In accordance with the diagnosis, a category is assigned:

• B (limitedly suitable) for moderately severe personality disorders (Article 18b); • D (unfit) for severe mental disorders with a tendency to pathological reactions or repeated long-term decompensations (Article 18a);

Let's take a closer look at what Article 18 says.

Paragraph 18a includes pronounced mental disorders, serious deviations in which a person cannot fully control his behavior or finds it difficult to adapt among others. Therefore, service with such diagnoses is impossible.

Item 18b includes personality disorders that are not pathological in nature and appear only periodically. This includes violations such as:

• personality disorders; • disorders of hobbies and habits; • disorders of sexual preference and sexual self-identification; • behavioral disturbances, loss of sexual orientation; • deviations in emotional expressions and behavior that begin in childhood; • lag in psychological development or its impairment; • transient personality disorders; • moderately manifested disorders, expressed in affective breakdowns, reactive states or vegetative reactions;

Reasons for the development of mental infantilism

The main reasons for the development of this mental illness are disturbances in the functioning of the nervous system, hormonal imbalances, and improper upbringing. This also includes genetic predisposition. Let's take a closer look.

Brain damage is considered one of the factors provoking the development of mental infantilism. They are the result of infections, intoxication, various injuries, asphyxia, oxygen starvation (hypoxia). This disease is a common companion with cerebral palsy (cerebral palsy).

The next factor is mental disorders. These include: mental retardation, autism, schizophrenia, developmental delay. In children and adults with such diagnoses, the risk of developing infantilism is significantly higher than in healthy people.

What can we say about heredity? A child receives many characteristics, including infantility, from his parents. In many ways, it is genetics that determines the level of inertia of the nervous system, the speed of metabolic processes, etc.

And finally, education. If from an early age a child is faced with prohibitions, overprotection or despotism from his parents, he will grow up to be a mentally immature, infantile adult.