Personality Disorder PSYC 3014
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This 2 page Class Notes was uploaded by Jess on Saturday October 15, 2016. The Class Notes belongs to PSYC 3014 at Virginia Polytechnic Institute and State University taught by Dr. John Richey in Fall 2016. Since its upload, it has received 3 views. For similar materials see Abnormal Psychology in Psychology (PSYC) at Virginia Polytechnic Institute and State University.
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Date Created: 10/15/16
Personality disorder (Part 1) - Definition: 2 defining features - 1 Patient has extreme interpersonal difficulties - 2 Patient has problems with sense- of-self (i.e. his/her identity) Was coded on ‘Axis II’ in DSM-IV - In DSM-5 no ‘axes’ at all anymore Clinical features - The prevalence of personality disorders is fairly high! - Approximately 13% in the general population - Rampant comorbidity - Comorbidity is the rule, not the exception - Both within-axis and across-axis - P.D patients almost never present for treatment complaining of P.D - Stable over time - Inflexible across situations - Onset in adolescence or early adulthood A transition a cluster A - Odd/Eccentric: A pattern of interpersonally odd, or overly bizarre behaviors Paranoid personality disorder - Clinical features: First off- this is not paranoid schizophrenia - 1 Pervasive Mistrust: Preoccupation with TRUSTWORTHNESS of others! - 2 Preoccupation with real or imagined insults/ threats - 3 Quarrelsomeness/ Hostility - Patient’s underlying assumption is that others are malevolent - Differential diagnosis: How is this different from paranoid Schizophrenia? - Patient does not have hallucinations or other psychotic symptoms Schizoid personality disorder - Not the same thing as schizophrenia - DSM-5 Criteria: - A) Pattern of detachment from social relationship - 1) Patient neither desires nor enjoys social relationship - 2) Emotionally indifferent or cold. - B) Not better accounted for by schizophrenia Schizotypal personality disorder - Not the same thing as schizophrenia - DSM-IV Criteria: - A) Social/ interpersonal deficits with cognitive or perceptual distortions - 1) Odd beliefs - 2) Suspiciousness or paranoid ideation - B) Not better accounted for by Schizophrenia - i.e. no hallucinations or delusions A Transitions to cluster B - Dramatic/erratic Histrionic personality disorder - 1) Superficially dramatic - 2) Manipulates and shallow - 3) Insatiably attention-seeking - DSM-IV criteria - 1) Patient is uncomfortable in situations where he/she is not the center of attention - 2) Inappropriate provocative or sexually seductive behavior Narcissistic personality disorder - Clinical features - Excessive self-love - Grandiose fantasy - Desire for uniqueness - Characteristic by excessive - Grandiosity (inflated self- importance) - Lack of empathy - Feelings of superiority - Demands immediate compliance from others - Excessive demands for admiration - Most people have a positive opinion of themselves, However, narcissists take this to the extreme. - What’s underneath? The vulnerable narcissist Antisocial personality disorder - Antisocial= psychopath - 1) Intelligence, superficial charm - 2) Callous, unemotional traits - 3) Lack of empathy, remorse
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