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Carol W. Berman, M.D.

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The Case of the Passive-Aggressive Clerk

Posted: 08/19/11 09:35 AM ET

Janine* had been working as a post office clerk for 25 years. Whenever she felt inadequate, she would tell herself that she really was destined for more prestigious work, but circumstances had always gone against her. She had been born to a single, impoverished and abusive mother who discouraged Janine from even finishing high school. Then, her brief marriage to a sadistic man produced a son who lived off her salary, smoking crack whenever he could.

At the post office, customers complained that Janine was the slowest, most unpleasant clerk on the floor. No matter how many times supervisors reprimanded her, she knew she was in no danger of losing her job, so she maintained a dawdling pace.

"I'm not going to kill myself working," she'd say.

Janine was angered by all the demands customers made of her throughout the day. Instead of expressing her anger directly or trying to help herself, she passively resisted routine tasks. When someone approached her window at the post office, she would purposely ignore the person for several minutes while she straightened papers, placed paper clips in a drawer, sipped coffee. Then, when she finally accepted the customer's package or letter, she would grab it, throw it on the scale and scowl at the customer.

Janine liked making people uncomfortable and was generally perceived as punitive. When coworkers asked for help, Janine was sullen or argumentative, alternating between hostile defiance and contrition. Or, she would delay her appearance at a coworker's window or misplace documents that the person needed. Janine was quick to criticize authority and voice resentment at those more fortunate.

When her son went into a drug rehab program, the counselor asked her to join a family therapy session once per week. At first she resisted, since she didn't want anyone telling her what she had done wrong with her son.

Her son, who had been able to maintain sobriety for the first time in several months with adherence to the program, slipped back into crack use when he learned his mother refused to attend family sessions. He promised her he would stop again if she would be there for him. Janine felt manipulated and wanted to retreat into her old behavior of failure and feeling misunderstood and unappreciated, but there was something about seeing her son looking so healthy and handsome when he was sober that stopped her. She reluctantly went with him to a meeting.

The counselor understood what kind of individual he was dealing with when he met Janine and heard her exaggerated complaints of personal misfortune, instead of concern for her son. The counselor did not become enmeshed in trying to assuage Janine's claims of unjust treatment, as many clinicians do with people like Janine. Instead, he tried to get Janine to express her anger at her son's drug use. He was successful, since she exploded with rage at one point in the session. She was surprised at herself, but then agreed to attend sessions for several weeks. Her son kept his part of the bargain and maintained his sobriety for several months.

Janine had passive-aggressive personality disorder (PAPD), which consists of a pervasive pattern of negative attitudes and passive resistance to demands for adequate performance in social and occupational situations. Passive-aggressive behavior is especially harmful in the workplace as a non-active way of showing aggression. The passive-aggressive individual expresses covert hostility by procrastinating, dawdling, being inefficient and "forgetting." She refuses to adapt fully to the work given to her and instead acts out. This behavior is usually shown by employees who are powerless, although it may also be used by employers who feel this way.

Not that many people with PAPD present themselves for treatment. Instead they are busy acting out by procrastinating, complaining, resenting and generally being resistant. In Janine's situation, her desire to help her son led her to help. Co-existence of major depression or an anxiety disorder can also lead a person into treatment.

Opposition to authority is a typical symptom in PAPD, and this may be accompanied by envy and resentment of peers who succeed and who don't have problems with authority. The ambivalence and lack of ability to express anger directly leads passive-aggressives into constant disappointments and arguments. Then they complain of being misunderstood and unappreciated.

Psychotherapy should be supportive. Therapists must be careful not just to fulfill the demands of people with PAPD, because this bolsters the pathology. However, to simply refuse the demands of people with PAPD can be interpreted by them as rejection. Passive-aggressives have two opposite and conflicting needs. One is their intense need for dependence on others, and the other is a desire for independence and self-assertion. Of course, these contradictory desires make therapy difficult. Anger is turned against the self masochistically, although others may view people with PAPD as sadistic. Passive aggression is best dealt with by trying to get these individuals to ventilate their anger, since simple expression of anger and active aggression can release the imprisoned PAPD.

*Janine is not this person's real name.

Carol W. Berman, M.D. is a writer, psychiatrist and artist who lives and works in New York City. When she's not listening to patients, she's writing or painting. As an undergraduate she attended the University of California at Berkeley; she went to medical school at NYU Medical Center. Presently she is an Assistant Clinical Professor at NYU. She has practiced psychiatry for 25 years and is a member of the APA, ASJA and NWU. Her two books, "100 Questions and Answers About Panic Disorder" and "Personality Disorders," have helped thousands of patients deal with mental disorders. Read her blog on Red Room.

 
Janine* had been working as a post office clerk for 25 years. Whenever she felt inadequate, she would tell herself that she really was destined for more prestigious work, but circumstances had always ...
Janine* had been working as a post office clerk for 25 years. Whenever she felt inadequate, she would tell herself that she really was destined for more prestigious work, but circumstances had always ...
 
 
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06:49 AM on 08/23/2011
An attitude adustment is in order and it should not take a pill to to this.
01:33 PM on 08/22/2011
The banking system definately can be classifed with this disorder. They were everyone's friends when they took out 60% interest loans and they said they were trying to help us all.
Now they ignore our phone calls and blame their mistakes on others and robo signing.
Since a corporation is a person under the constitution-I think they qualify for psychological help.
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MollieinATL
Liberal Tinman on a mission
09:33 AM on 08/22/2011
Sounds as if there are a lot of PAPDers in this comment section! Using this story to lash out at "Janine" and everyone like her AND the post office.

I was taken by the characteristic of being anti-authority and angry at anyone who isn't anti-authority. That explains a lot about the PA's in my life - and American society as a whole.

I am one of those people who falls in line. I do what I'm supposed to and very rarely question authority. Besides preventing a lot of grief in my life, I find that picking one's battles frees up a lot of time and energy for things that really make a difference. (Like volunteerism)
10:17 PM on 08/20/2011
The problem is not the clerk; the problem is that she cannot be fired.
11:09 AM on 08/20/2011
Yet another disorder. Perhaps she simply had a poor-me attitude.

I've met people whose behavior matches the description above. My first instinct tells me they just don't have the nads to honestly say what's really going on. Further, they seem to sabotage those around them, as a means to justify their attitude.

Not a disorder, just an aversion to becoming accountable for one's own life.
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honky1234
Choose wisely
02:47 AM on 08/20/2011
"Janine* had been working as a post office clerk for 25 years. Whenever she felt inadequate, she would tell herself that she really was destined for more prestigious work, but circumstances had always gone against her."

Give me a break. Nobody works a job for 25 years that they hate. Yeah, it's not the most prestigious job in the world, but United States Postal employees make good money, especially considering that it's largely unskilled work. And the benefits are top notch. As a result, turnover at the USPS is very low. People get those high paying jobs and keep them for decades. That's probably why the USPS is in such bad shape financially and has been for a long time.

The problem wasn't that she has Passive-Aggressive disorder, but the fact that she earned good money and couldn't be fired from her job, despite the fact that she was a lousy worker who seemed to resent having to work. You put anyone in a situation where they can't be fired and don't be surprised when their quality of work goes down.
12:21 AM on 08/20/2011
goody, just another unsuccessful way to dump pills down our throats
GOOOD bless america my home............................
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sporttrac
errinjohnson
10:20 PM on 08/19/2011
What is the treatment offered for Bi-Polar, Border Line Personality, Anxiety, Depression that has actually been successful. Medicine only treats the symptoms and not the illness. Mental Illness recognition is long overdue. There are many Americans that have some form of mental illness at one time or another, some are becoming increasingly chronic and yet we ignore dealing with it, Medically there is not solution and things have gotten worse and more disorders are coming through and some have Bi-Polar and Border Line Personality, and other co illness. Where is the solution? When are we going to address the mental illness in this country as an epidemic. Time to start a conversation on Mental Illness and its growth spurts and what can we do. Where is the research? Well, I have started a conversation on this blog and hope others will join in and bring an awareness to the Public.
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french queen13
my beloved is mine and I am his
08:00 PM on 08/19/2011
Hang on, hang on - is this taking the examples of people who've been in extremely bad situations, as Janine had, and grown in the 'as the twig is bent, so it grows' fashion and suggesting that they're representative of all passive-aggressive behaviour? Or that all passive-aggression is a disorder? This reads awfully like yet another example of pathologising every last little human behaviour. Yes, Janine needed help. She's been abused, ferchrissakes, who'd expect her to come out of it unscathed? Does this mean everyone who gets stuck in the situation of the crappy, powerless job and reacts by digging the heels in has some sort of disorder? I really hope that's NOT what the article's saying, because if it is it's just too damn silly for words. Nothing like making more money for the shrinks and the pharmaceuticals by putting everything under the "disorder" heading.
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Kalie
Left of Center
08:37 PM on 08/19/2011
More than analyzing Janine, they were focusing on the effect her disorder had on her son. And the power she had to help him. You are right that the headline about Passive Agressive disorder led you to believe it would be more in depth about that subject, and it really wasnt.
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french queen13
my beloved is mine and I am his
12:39 AM on 08/20/2011
Yes, and advice and support for parents - whether good, bad or indifferent parents - in helping their kids deal with drug issues has SFA to do with so-called personality disorders!
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bryanzth
Honest to Goodness USA Patriot!
03:14 PM on 08/19/2011
Vegan. I couldn't do 100%, but heck my raw food vegan friends said to me that even if I do 80% vegan (even raw food vegan) I would be way ahead. And the 20% COULD BE prime rib, turkey, chicken or anything else. But good for him, but he needn't be super religious about it! About anything, these days. There's plenty of candidates these days who are religious about quite enough that the rest of us don't need bother.

BZ.
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french queen13
my beloved is mine and I am his
08:01 PM on 08/19/2011
Hi BZ - are you in the right article? (Careful, there's probably a Commenting In The Wrong Article disorder they can label people with too ...)

:)
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bryanzth
Honest to Goodness USA Patriot!
11:06 PM on 08/19/2011
Um, yeah, that could be. Touch the wrong button or area, and there you go.

This was for Clinton going vegan. I guess the article got moved as I turned my head.... Dang.

BZ.
02:08 PM on 08/19/2011
What? Everything is now a disorder. They will probably start saying having a personality is a disorder too.
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french queen13
my beloved is mine and I am his
08:14 PM on 08/19/2011
Give them time. Really makes you wonder about the personalities (or lack thereof) behind this sort of thing. Couldn't they just say of someone like Janine - who seems an extreme example and someone who's copped a lot of abuse - that she needs help because she's been messed around? Labelling her behaviour a disorder rather than saying it's how she learned to relate to the world just sounds like pathologising everyone who isn't perfect.
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french queen13
my beloved is mine and I am his
12:37 AM on 08/20/2011
I just saw a cartoon in today's Age (Melbourne broadsheet paper) a cartoon where a woman, reading a paper, says to her feller, "Oh darling ... what a pity ... I think your interesting personality has just been classified as a personality disorder."

Says it all, methinks!
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WillofthePeople
Do YOU consent to toxic govt? Change ur thinking!!
01:37 PM on 08/19/2011
A large percentage of people in the U.S. are passive aggressive... unfortunately due to how parents and others train children to suppress anger rather than "process" our feelings constructively. By CHOOSING to learn how to cope with our anger in a healthy way, we can all live much more powerfully... and do so very quickly if we're willing to learn and retrain ourselves. We wouldn't have so many crazies in our society to cope with too.
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darquelourd
You Get What You Play For
01:44 PM on 08/19/2011
I like what you are saying. Lots people have lots of anger, question is HOW you process it?
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Calculator
Found guilty of Witchcraft, through Witch-hunt
03:08 PM on 08/19/2011
The "crazies" are the passive aggressives.
01:34 PM on 08/19/2011
That explains everyone who works at the USPS, Duane Reade, and every other retail store in New York City. How do we get them all into treatment?? :)
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darquelourd
You Get What You Play For
01:45 PM on 08/19/2011
yes, blame the working poor not the economic system. just deal with symptoms rather than the disease.
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main945
02:19 PM on 08/19/2011
yes, the american way. Keep those people down so we can kick them till they die. No good jobs, no money, no health care, no choice and no chance to be sucessful and happy.
I fought this all my life and still feel worthless after a good career as a software developer for major corporations and proud of my son. Those cold cruel remark and put downs as a child and young adult stay with you all your life and I was one of the lucky ones. Depression, aniety, hypertension, along with the high blood pressure, collesteral, cancer survior and what ever else awaits me.
07:59 AM on 08/20/2011
I agree with you. I'm not blaming the working poor (read all of my comments and you'll see where i stand), BUT when you're at work, be polite. I am even when I don't want to be. The good thing is: once you've lived in NYC long enough, you learn how to either ignore it or give it right back to them, which always shuts them up.
08:23 PM on 08/19/2011
Maybe by giving them a living wage? I dunno.
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Found guilty of Witchcraft, through Witch-hunt
01:25 PM on 08/19/2011
This is in the DSM-IV now? I always knew being passive aggressive was some type of mental defect. Hopefully they come out with some type of corrective medication for it in the future.
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Vajara
vajara
04:49 PM on 08/19/2011
I'm sure the rats will be avoiding and aggressing one another in their cages while Dr. Pharma works up a coctail for them to learn how to relate better with one another. Hey, it's only our egos playing around with their Yin-Yang games....courage and openness may come with experience, but leave those pills and kids alone. Stop coding, labeling and drugging people who move from social to anti-social, eventually they may appreciate their shadow.
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french queen13
my beloved is mine and I am his
08:04 PM on 08/19/2011
Well said! I hate the way every last thing in human behaviour is getting labelled a disorder of some sort. Medicate 'em into being good little Stepford bots (men and women), that's the way.
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WoodsideCraig
Author of the blog "The Weiler Psi"
01:08 PM on 08/19/2011
This disorder is the unfortunate consequence of my-way-or-the-highway parenting, that emphasizes control over more subtle and less hostile forms of parenting.

The child gets a slave mentality and being young, the pattern sticks as the preferred method of coping. I know what it's like. Reading this article is like looking in a mirror of how I was when I was younger. I can still find traces of this in myself even today. While these people are annoying to others, they deserve at least some pity because they lead truly miserable, unfulfilled lives. They don't know what makes them happy and don't know how to resolve their issues.

Another painful aspect of this is that they don't know how to take charge of their lives, (or anything for that matter.) They know only how to be told what to do, but they resent when that happens. They end up in service jobs with little control over their lives. While the case presented was extreme, many people have this issue to some degree or another. It is particularly true for highly sensitive people.
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darquelourd
You Get What You Play For
01:47 PM on 08/19/2011
another geat comment. I think very true. The key is to unlock what leads to a sense of personal fufillment. I think also obviously there are self-esteem issues. Often the way these folks treat others EXTERNALLY is how they treat themselves INTERNALLY.