4-13 Flashcards
Unique and long-term pattern of inner experience and outward behavior
personality
Particular characteristics that lead us to react in a predictable manner
personality traits
(1)long-term, rigid, patters of inner experience and behavior that leads to dysfunction in at least two-cognition, emotion, social interactions, impulsivity, (2) pattern is different from usual in culture, (3) significant distress or impairment
Dx for personality disorder
Significant distress or impairment in personality disorder typically affects who
those around you, because you are clueless
Enduring, rigid pattern of inner experience and outward behavior that impairs sense of self, emotional experience, goals, and capacity for empathy and/or intimacy
personality disorder
Personality disorder typically becomes recognizable when
adolescence or early adulthood, lasts for years
Has been estimated that ____ percent of all adults may have a personality disorder
10-15%
Personality disorder is often ______ with another disorder
COMORBID
Is it usually the personality disorder or the comorbid disorder that gets someone in for treatment
the comorbid condition
Three groups of DSM-5 personality disorder clusters
(1) odd or eccentric behavior, (2) dramatic, emotional, or erratic behavior, (3) anxious or fearful behavior
Three W’s A, B, C mnemonic for personality disorder clusters
A=weird, B=wild, C=worried
DSM-5 personality disorder cluster A described as paranoid, schizoid, and schizotypal personality disorders
Odd or eccentric behavior
DSM-5 personality disorder cluster B described as Antisocial, borderline, histrionic, and narcissistic personality disorders
Dramatic, emotional, or erratic behavior
DSM-5 personality disorder cluster C described as Avoidant, dependent, and obsessive-compulsive personality disorders
Anxious or fearful behavior
The DSM-5 uses an approach in classifying personality groups that assumes that traits are either present or not, displayed or not, person is not troubled by traits outside disorder
categorical approach
DSM-5 categorical ______ are frequently contradicted in clinical practice
assumptions
Paranoid personality disorder, Schizoid personality disorder, Schizotypal personality disorder are part of what personality disorder cluster
Cluster of “odd” personality disorders, cluster A
People with these disorders display behaviors similar to, but not as extensive as, schizophrenia, some clinicians call them “SCHIZOPHRENIA-SPECTRUM DISORDERS”
“Odd” Personality Disorders
Disorder that is distrustful and paranoid of people, but does not equal delusion, see threats everywhere, hidden meaning everywhere, quick to challenge people especially loyalty, come off as cold and distant, see people they work with as weak and incompetent, +men than women, 4% total pop, eg Stalin, Hussein, Nixon, Hitler
Paranoid personality disorder
These theorists explain paranoid personality disorder by tracing back to demanding parents, distant, rigid fathers, mothers rejecting and overcontrolling
psychodynamic theorists
These theorists explain paranoid personality disorder by suggesting that maladaptive assumptions cause disorder, eg “people are evil and eill attack you if given chance”
cognitive theorists
These theorists explain paranoid personality disorder by looking at genetic causes eg twin studies that support this model
biological theorists
Treatment for paranoid personality disorder is hard because
Few come to treatment willingly; others distrust and rebel against their therapists
Therapy approach that works on a persons deep with for a satisfying relationship to treat paranoid personality disorder
object relations therapy
Therapy approach that involves getting control of anxiety and improving interpersonal skills, looking at more realistic interpretation of other’s words and actions to treat paranoid personality disorder
cognitive-behavioral therapy
Therapy approach that is not useful for treating paranoid personality disorder
drug therapy
Personality disorder that avoids relationships with people, limited emotional expression, withdrawn and reclusive, self-focused, flat, cold, dull, genuinely prefer to be alone, no effort to make friends, little interest in sex, indifferent to families, unaffected by praise or criticism, rarely show feelings at all, no need for attention or acceptance, succeed at being ignored, 3.1% pop, more men than women
Schizoid Personality Disorder
These theorists explain schizoid personality disorder by linking schizoid personality disorder to unsatified need for human contact
psychodynamic / object relations theorists
These theorists explain schizoid personality disorder by proposing that those with schizoid personality disorder also suffer from deficiencies in their thinking, inaccurate perceptions from environment, inability to pick up emotional cues from other people and respond
cognitive theorists
Treatment for schizoid personality disorder is hard because
Social withdrawal and reluctance to enter into or participate in therapy
Therapy approach to treat schizoid personality disorder that focuses on thinking about emotions, learning how to identify people’s emotions and self-emotions
Cognitive-behavioral therapists
Therapy approach to treat schizoid personality disorder that focus on teaching social skills
Behavioral therapists
Therapy approach to treat schizoid personality disorder that offers a safe environment for social contact
Group therapy
Therapy approach to treat schizoid personality disorder that is of little benefit
Drug therapy
Personality disorder that looks and feels the most like schizophrenia, involves a range of interpersonal problems like ideas of reference or bodily illusions, avoid interpersonal relationships, bizarre magical superstitious thinking, trouble paying attention, going off on tangents, loose associations
Schizotypal Personality Disorder