780 Alternative DSM-5 Model for Personality Disorders
ANTAGONISM (vs. 
Agreeableness)Behaviors that put the individual at odds with other people, includ-
ing an exaggerated sense of self-importance and a concomitant 
expectation of special treatment, as well as a callous antipathy 
toward others, encompassing both an unawareness of others’ 
needs and feelings and a readiness to use others in the service of 
self-enhancement.
Manipulativeness Use of subterfuge to influence or control others; use of seduction, 
charm, glibness, or ingratia tion to achieve one’s ends.
Deceitfulness Dishonesty and fraudulence; misrepresentation of self; embellish-
ment or fabrication when relating events.
Grandiosity Believing that one is superior  to others and deserves special treat-
ment; self-centeredness; feelings  of entitlement;  condescension 
toward others.
Attention seeking Engaging in behavior designed to attract notice and to make oneself 
the focus of others’ attention and admiration.
Callousness Lack of concern for the feelings or problems of others; lack of guilt 
or remorse about the negative or harmful effects of one’s actions 
on others.
Hostility See Negative Affectivity.
DISINHIBITION 
(vs. Conscientiousness)Orientation toward immediate gratification, leading to impulsive 
behavior driven by current though ts, feelings, and external stim-
uli, without regard fo r past learning or consideration of future 
consequences.
Irresponsibility Disregard for—and failure  to honor—financial and other obliga-
tions or commitments; lack of respect for—and lack of follow-
through on—agreements and promises; carelessness with others’ 
property.