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Personality Disorders


Schizoid personality disorder Antisocial personality disorder sociopath Pepe LePew is another sadly disturbed character. He is preoccupied with fantasies of ideal ... – PowerPoint PPT presentation

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Title: Personality Disorders

Personality Disorders
  • Dr. Ashlea Smith

  • Pick out topics for individual in-class
    presentation small group pair
  • Personality disorders
  • Charades of different personality disorders
  • Worksheet on PD

Personality disorder
  • Falls under AXIS II
  • A rigid pattern of inner experience and outward
  • Visible in how a person acts, thinks, and feels
  • Usually accompanied by AXIS I
  • DSM-IV-TR10 personality disorders, 3 groups
  • Table 13-1
  • Pattern of behavior that deviates from the
    individuals culture(cognition, affect,
    interpersonal functioning, impulse control
  • Pattern inflexible pervasive in personal and
    social situations
  • Onset in adolescence early adulthood
  • Significant distress or impairment

Vanity Smurf
  • Vanity Smurf is never without a mirror in sight.
    Vain to an extreme, Vanity is constantly worried
    about his appearance. Vanity wears a flower in
    his cap and is demonstrably effete.

  • Schizoid personality disorder

  • Antisocial personality disorder sociopath

Tweety Sylvester
Pepe Le Pew
  • Pepe LePew is another sadly disturbed character.
    He is preoccupied with fantasies of ideal love
    and therefore follows and victimizes a helpless
    feline. He lacks the empathy to see that his
    feelings are unrequited and shows an unreasonable
    sense of entitlement to the affections of the
    poor cat. Obviously we are dealing with a
    narcissistic personality disorder here, cluster
    B, diagnostic code 301.81. The cat herself shows
    signs of pathological passivity in that she does
    not seem to express her rejection in an effective
    and assertive manner to Pepe. Her half-hearted
    attempts to escape make one wonder if she enjoys
    the victim role. Perhaps at a subconscious level
    she enjoys the attention.

Daffy Duck
  • Moving on to Daffy Duck, the diagnosis of
    paranoia immediately takes wing. This whining,
    overbearing, insecure creature must surely be
    more pitied than blamed. He has strong
    goal-seeking behavior and yet his poor social
    skills and outbursts of temper often sabotage his
    success. Daffy thinks the world is out to get
    him. He is suspicious of everyone's motives,
    bears grudges and trusts no one. This behavior
    consistently alienates him from others, only
    further exacerbating his paranoid
    ideation. Clearly he has had some bad
    experiences as a duckling. Label him paranoid
    personality disorder, cluster A, diagnostic code

Cinderellas Stepmother

Jessica Rabbit
  • http//
  • Histrionic Personality Disorder

Betty Boop
  • Betty Boop began as dog. By 1930 she had evolved
    into a coy flapper whose innocent skirt-lifting
    and trademark line "boop-boop-a-doop" were
    sweetly suggestive of more than just singing and
    dancing. She starred in over 100 cartoons from
    1931 to 1939, getting increasingly less saucy
  • Borderline Personality Disorder

Odd Personality disorders
  • Odd, eccentric behaviors
  • Suspicious, socially withdrawn, strange ways of
    thinking perceiving world
  • Schizotypal personality disorder
  • Paranoid personality disorder
  • Schizoid personality disorder

Paranoid Personality Disorder
  • Distrust others and suspicious of motives
  • Harm/threats
  • Avoid relationships
  • Grudges
  • Critical
  • 0.5-3 of adults more men than women

What the experts say treatment of paranoid
personality disorder
  • Lack of research
  • Psychodynamic-demanding parents, distant, rigid
    fathers, over-controlling rejecting mothers
  • Abuse during childhood
  • People are evil, People will attack you if given
    the chance
  • Do not see as a problem
  • Patients viewed as inferior/distrust for
  • Object relations therapist-view relationships
  • CBT-faulty beliefs and cognitions
  • Drug therapy limited help

Schizoid Personality Disorder
  • Avoid social relationships
  • Show little to no EMOTION
  • Prefer to be alone, not suspicious of others,
  • No effort to start/keep friends/significant
  • No interest in intimate relationships
  • Lack social skills
  • Focus on self
  • No need for acceptance or attention
  • Dull or cold
  • Less than 1 of pop, mostly men

Theorists on Schizoid Personality
  • Psychodynamic-unsatisfied need for human contact
  • Unaccepting and abusive parents
  • Cope by avoiding relationships
  • Difficulty reading emotions of others
  • Rarely enter therapy unless self medicating ex
    use of alcohol and drugs
  • CBT-list work, social skills, and group therapy

Schizotypal personality disorder
  • Discomfort in close/intimate relationships
  • Anxious around others
  • Isolation
  • Few friends
  • More Severe than paranoid schizoid
  • Having Special powers, Magic
  • Belief that unrelated events pertain to them
  • 2-4 of pop mostly men
  • Humorless
  • Idle unproductive life
  • Undemanding jobs w/ little to no social

Theorists view on schizotypal Treatment
  • Resemble schizophrenia
  • Linked to family conflict
  • Mental illness in parents
  • Defects in attention short term memory
  • High levels of dopamine
  • Enlarged brain ventricles
  • Smaller temporal lobes
  • Loss of gray matter
  • CBT-reconnect with others
  • Antipsychotics

Dramatic personality disorders
  • Antisocial personality disorder
  • Borderline personality disorder
  • Histrionic personality disorder
  • Narcissistic personality disorder
  • Dramatic
  • Emotional
  • Erratic
  • Impossible to have satisfying relationships
  • More common
  • Only antisocial borderline received research

Antisocial personality disorder
  • Psychopaths,sociopaths
  • Disregard for others, and their rights
  • Linked to criminal behavior
  • Truancy, running away, cruelty to animals or
    people, destroying property
  • moral insanity
  • Lie repeatedly
  • Difficulty working
  • Impulsive
  • Aggressive
  • Reckless
  • Profit at the expense of others
  • 3.5 of pop, Anglo more than African Americans
  • 4X more common in men

What theorists say treatment
  • Psychodyamic-absence of parents
  • Stressful childhoods
  • Behavioral-learned
  • Less anxiety
  • Low arousal levels
  • ¼ receive treatment but ineffective-lack of
  • No insight
  • Treatment forced by judicial system
  • Cognitive therapy

Borderline personality disorder
  • Impulsive in at least 2 areas spending, sex,
    substance abuse, reckless driving, and eating
  • Recurrent suicidal behavior, gestures, threats,
    or self mutilation
  • 8-10 complete suicide
  • All or none thinking
  • Staff splitting
  • 1.5-2.5, pop, 75 women
  • Self mutilation relieve anxiety, emotional pain,
    punish self
  • Chronic feelings of emptiness
  • Inappropriate intense anger/difficulty
    controlling anger
  • 70 positive hx of childhood abuse
  • Disturbance in relationships

Theorists/treatment and bpd
  • Psychodynamic-parental relationship, abandonment
  • Lack of acceptance
  • Antidepressants
  • Antianxiety
  • Antipsychotic
  • Dialectical Behavior Therapy (DBT)

Histrionic personality disorder
  • Hysterical personality disorder
  • Emotional Emotionally charged
  • Center of Attention
  • Mood Swings
  • On stage
  • Approval Praise
  • Overreact
  • Sexual Seduction
  • Feign illness
  • Self centered
  • More common in women, 2 of pop

HPD Theories Treatment
  • Explain Hysteria
  • Cold controlling parents
  • Cognitive therapy
  • Psychodynamic therapy
  • Group therapy

Narcissistic Personality Disorder
  • Grandiose
  • No empathy
  • Need admiration
  • Convinced by own success, power, beauty
  • Expect attention
  • Exaggerate their achievements
  • Arrogant
  • Not interested in the feelings of others
  • Take advantage of others
  • 1 pop, 75 men

Theorists Narcissistic Personality disorder
  • Cold rejecting parents
  • CBT
  • Family values and social ideals
  • Difficult to treat
  • Depression

Anxious personality disorders
  • Avoidant
  • Dependent
  • Obsessive compulsive
  • Anxiety
  • Fear

Avoidant personality disorder
  • Uncomfortable in social settings
  • Hypersensitive
  • Rejection
  • Disapproval
  • No close friends
  • Depressed and lonely

Theorists apd treatment
  • Same cause as anxiety disorders
  • Trauma, fears, upsetting beliefs
  • Psychodynamic
  • CBT

Dependent personality disorder
  • Want to be taken care of
  • Clingy
  • Fear separation
  • Needs assistance with everything
  • Inadequate/helplessness
  • 2 of pop, more women

Dependent pd theory treatment
  • Conflicts during oral stage Freud
  • Parents
  • Reward clingy behavior
  • Behavior therapy assertiveness training
  • Group therapy

Obsessive compulsive personality disorder
  • Order, perfection, control
  • Doing everything just right
  • Unreasonable high standards
  • Rigid
  • Stubborn
  • Trouble expressing affection
  • Stingy
  • Pack rats
  • 2-5 of pop
  • Anglo, educated, married, employed highest

Oc pd theory and treatment
  • Not likely to seek treatment
  • Anxiety/depression
  • Fixated in the anal stage
  • CBT