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This document presents a review of the history and conceptualization of passive-aggressive personality disorder (PAPD). It explains that PAPD was relegated to an appendix in the DSM-IV despite evidence of its validity. It reviews the theoretical conceptualizations of PAPD from psychoanalytic, cognitive-behavioral, and social perspectives, highlighting that it involves a fundamental conflict between fear and anger, inhibition and assertiveness. It also summarizes the history of the diagnosis.

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