Lecture 45 - Personality D/o Flashcards
general def of PD
at what age is personality and PD typically described?
Personality disorder – inflexible and maladaptive
their traits –> disorders are problematic; functional impairment (usually) or distress (less)
teens/early adulthood
ego syntonic
in line with one’s own personality
General diagnostic criteria for a PD
enduring pattern personality that deviates from expectations of culture.
2 or more: Cognition -- way the person perecieves the world Affect -- Interpersonal Impulse control
Long duration
inflexible, maladaptive
clinically significant distress or impairment in social, occupational, or other important areas of functioning.
NON PSYCHOTIC
Cluster A
weird
Paranoid Personality Disorder
Schizoid Personality Disorder
Schizotypal Personality Disorder
Cluster B
loud/obnoxoius
Antisocial Personality Disorder
Borderline Personality Disorder
Histrionic Personality Disorder
Narcissistic Personality Disorder
Cluster C
Quiet and worried
Avoidant Personality Disorder
Dependent Personality Disorder
Obsessive-Compulsive Personality Disorder
Paranoid Personality
pervasive distrust and suspiciousness of others
“the world isn’t trustworthy, people are out to get me”
but not psychosis
people who are gloomy and pessimisitic; conspirators
Schizoid Personality
People who are split (“schizo”) off from other people
“people who don’t need people” and they are happy with that
Asocial – but not due to anxiety or anything
Neither desires nor enjoys close relationships, including being part of a family
Shows emotional coldness, detachment, or flattened affectivity
Schizotypal Personality
social and interpersonal deficits marked by acute discomfort with, and reduced capacity for, close relationships as well as by cognitive or perceptual distortions and eccentricities
Odd beliefs or magical thinking that influences behavior.
Lack of close friends or confidants other than first-degree relatives
The people who hang out in weird book stores
“residual phase of schizophrenia” – just oddly eccentric
Antisocial Personality Disorder
Antisocial = Against Society
disregard for and violation of the rights of others occurring since age 15 years Failure to conform to social norms Lying Impulsivity or failure to plan ahead Irritability and aggressiveness Lack of remorse
Doesn’t imply only criminals
Borderline Personality Disorder
“chaotic personality d/o”
instability of interpersonal relationships, self-image, and affects, and marked impulsivity beginning by early adulthood
Frantic efforts to avoid real or imagined abandonment
unstable and intense interpersonal relationships
Instablity of affect
Poor self of sense
Recurrent suidial or self mutilating behaviors
Feelings of emptiness
Intense anger
Hyperintesnity of affect and abandonment (college girlfriend, gets dump, high intensity, takes a bunch of pills)
Histrionic Personality Disorder
excessive emotionality and attention seeking,
uncomfortable in situations in which he or she is not the center of attention
inappropriate sexually seductive or provocative behavior
Narcissistic Personality Disorder
pervasive pattern of grandiosity; sense of self importance
preoccupied with fantasies of unlimited success
he or she is “special” and unique
sense of entitlement
interpersonally exploitative, i.e., takes advantage of others
Lacks empathy
Avoidant Personality Disorder
how is this different from social phobia
social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation
Avoids occupational activities that involve significant interpersonal contact
restraint within intimate relationships
preoccupied with being criticized or rejected
Views self as socially inept
Lacks the prominent anxiety component that is seen in social phobia
Dependent Personality Disorder
pervasive and excessive need to be taken care of that leads to submissive and clinging behavior and fears of separation
difficulty making everyday decisions without an excessive amount of advice and reassurance from others
Often live and depend on their parents or life partner
debilitating dependency, across the board
