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Personality Disorders

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Personality Disorders Definitions Personality trait a stable, recurring pattern of human behavior Personality type a constellation of personality traits recognizable ... – PowerPoint PPT presentation

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Title: Personality Disorders


1
Personality Disorders
2
Definitions
  • Personality trait
  • a stable, recurring pattern of human behavior
  • Personality type
  • a constellation of personality traits
  • recognizable as a frequent and familiar
    combination

3
Definitions
  • Personality disorder
  • a constellation of personality traits that are
  • Inflexible
  • Maladaptive
  • lead to difficulties in work or interpersonal
    relations, subjective distress, and usually both.
    (Global Criteria)

4
Why Should We Care?
as doctors
5
Presentation
  • In Medical Settings
  • doctor-patient relationship
  • Noncompliance
  • Difficulty coping
  • Hospitalization
  • Disability
  • medical restrictions

6
Presentation
  • In the Family
  • Marital conflicts
  • Sexual dysfunction
  • Child rearing
  • Domestic violence

7
Presentation
  • Within the individual
  • Anxiety
  • Depression
  • External problems/losses
  • resulting from maladaptive behavior
  • Divorce
  • job loss
  • legal troubles
  • poor outcome from a medical condition
  • When circumstances prevent living according to
    usual personality style

8
Comorbidity
9
Making a Personality Diagnosis
  • Collateral sources
  • Social and developmental history
  • Personality tests (ex. MMPI)
  • current strengths and weaknesses

10
Speculations on Etiology
11
DSM-IV Personality disorders
PCategorical PArranged by clusters
12
The Clusters
  • A Odd
  • B Dramatic
  • C Anxious

13
A The Odd Cluster
PParanoid PSchizoid PSchizotypal
14
B The Dramatic Cluster
  • Narcissistic
  • Antisocial
  • Borderline
  • Histrionic

15
C The Anxious Cluster
  • Avoidant
  • Obsessive-Compulsive
  • Dependent

16
The Odd Cluster
17
Paranoid Personality Disorder
  • Paranoid personality
  • mistrustful of everyone
  • but still able to test reality

18
Schizoid personality
  • lacks intimate relationships
  • frightened by closeness
  • incapable of warmth
  • Anxious about any closeness

19
Schizotypal personality
  • odd and eccentric ideas
  • influence daily behavior
  • but not psychotic

20
The Anxious Cluster
21
Avoidant personality
  • Social inhibition
  • Feelings of inadequacy
  • Hypersensitivity to criticism

22
Obsessive-Compulsive Personality
  • preoccupied w/ work/duty
  • not enjoying life
  • Often rigid and inflexible

23
The Dependent Personality
  • clings to stronger person
  • Submissive
  • seeks help/advice
  • anxious when having to make decision

24
The Dramatic Cluster
  • Narcissistic
  • Antisocial
  • Borderline
  • Histrionic

25
Narcissistic personality
  • Exaggerated sense of self-importance, Unrealistic
    fantasies, Wants recognition for being special
  • Arrogant, Entitled, Requires admiration
  • Exploitative, Unempathic towards others
  • Envious of others
  • Unconcerned about effect on others

26
Antisocial personality
  • the "psychopath
  • violates laws/social conventions
  • Dishonest
  • unconcerned about effect on others

27
Borderline personality
  • emotionally intense
  • unstable
  • impulsive behavior
  • self-destructive
  • inner emptiness
  • intolerance of being alone

28
Histrionic personality
  • Dramatic
  • attention-seeking
  • caricature of femininity/masculinity

29
Treatment
30
Treatment Psychotherapy
  • Acute symptom focused
  • Ex. Dialectic behavioral therapy
  • Fundamental
  • Focused on changing personality
  • Long term psychotherapy

31
Treatment Pharmacotherapy
  • Symptom Focused
  • Ex.
  • Depression
  • Anxiety
  • Psychosis
  • More fundamental treatment?
  • Forme frustre approach

32
Treatment In Medical Settings
  • Identify and treat problems acute symptoms
  • Separate medical diagnosis from behaviors
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