Abnormal Psychology - Lecture Nine Flashcards
Personality Disorders
Personality disorders
Persistent maladaptive or culturally infrequent, thoughts, feelings, and behaviour
Significant distress or impairment
Persistent maladaptive or culturally infrequent, thoughts, feelings, and behaviour includes
Cognition, affectivity, interpersonal relationships and maladaptive behaviour
How do people with personality disorders act across situations?
Inflexible and pervasive
How far back can personality disorders be traced?
To adolescence
Conceptualisations of personality disorders
Categorical, dimensional and normal vs abnormal traits
Categorical conceptualisations of personality disorders
Psychiatric classification
Dimensional conceptualisations of personality disorders
Ranges from normality to severe
Normal vs. Abnormal traits conceptualisations of personality disorders
Extreme variants of normal traits and abnormal traits that only exists is disordered individuals
Cluster A
Odd and eccentric
Odd and eccentric
Paranoid, Schizoid and Schozotypal
Cluster B
Dramatic, emotional, or erratic
Dramatic, emotional, or erratic
Antisocial, Borderline, Histrionic and Narcissistic
Cluster C
Anxious of fearful
Anxious of fearful
Avoidant, Dependent and Obsessive-compulsive
Cluster A: Odd or Eccentric Personality Disorders
People with these disorders display behaviors similar to, but not as extensive as, schizophrenia
Schizophrenia-spectrum disorders
Mild schizophrenia disorder but not a psychotic disorder
Treatment for Odd or Eccentric Personality Disorders
Little is known
Paranoid Personality Disorder symptoms
Deep suspicion or mistrust of others, hypersensitivity, vigilance, and caution, pathological jealousy, control, and anger/hostility
Schizoid Personality Disorder symptoms
Persistent avoidance, limited emotional expression, withdrawn and reclusive. They have little interest in other people, other than first degree relative
Fewer than 1% of the population have been diagnosed with Schizoid Personality Disorder
It is slightly more likely to occur in men than in women
Schizotypal Personality Disorders
Psychoticism, Suspiciousness or paranoid ideation and excessive social anxiety/withdrawal
Psychoticism examples
Ideas of reference, odd beliefs or magical thinking, unusual perceptual experiences, and odd thinking and speech
Does Cluster A have a genetic link to schizophrenia?
Family members of schizophrenics at higher risk for schizotypal
Schizotypal with schizophrenia
Schizotypal (conceptually) linked to positive symptoms of schizophrenia (less severe)
Schizoid with schizophrenia
Schizoid (conceptually) linked to negative symptoms of schizophrenia but there’s no empirical evidence for a genetic link
Antisocial Personality Disorder symptoms
Disregard for social norms, reckless behaviour, impulsivity, irresponsibility, prone to anger/aggression, deceitfulness and manipulative and lack of guilt or remorse
Problems with Antisocial Personality Disorder diagnosis
50-80% inmates are diagnosed with Antisocial Personality Disorder
Low cut-off criteria (3)
Mostly based on behaviour
Alternative diagnosis for Antisocial Personality Disorder
Psychopathy
Psychopathy
Psychopaths can be described as intraspecies
predators who use charm, manipulation,
intimidation, and violence to control others and
satisfy their own selfish needs. Lacking in
conscience and feelings for others, they cold-
bloddedly take what they want and do as they
please, violating social norms and expectations without the slightest sense of guilt or regret
Psychopathy symptoms (in addition to the symptoms of Antisocial Personality Disorder)
Superficial charm, grandiosity, social potency, low anxiety, shallow emotions, lack of empathy, guilt, and remorse, inability of form deep relationships
and fearlessness
Two-process model for aetiology factors
Factor 1 - affective/interpersonal
Factor 2 - Antisocial behaviour
Affective/interpersonal
Amygdala – poor fear conditioning, inability to read distress cues
Antisocial Behaviour
Orbitofrontal cortex – disinhibition, poor emotional decision making
Borderline Personality Disorder symptoms
Instability of self-image and relationships, affective instability and impulsive, unpredictable and destructive behaviour
Instability of self-image and relationships
Identity disturbance
Intense interpersonal attachments
Idolization vs. devaluation
Affective instability
Dysphoria and chronic feelings of emptiness
Prolonged/violent emotional outbursts
Extreme emotional response to abandonment
Impulsive, unpredictable and destructive behaviour
Bouts of anger/violence
Suicidal gestures
Substance abuse
Reckless behaviour
Borderline Personality Disorder aetiology
Psychodynamic and Biopsychosocial theory
Psychodynamic aetiology
Early parent relationship e.g. objectives-relations - lack of early acceptance by parents
Biopsychosocial theory aetiology
Invalidation childhood environments - child might be punished for appropriate emotional expression yet parents model inappropriate expression of emotion which causes confusion towards the child
Borderline Personality Disorder treatment
Dialectical behavior therapy (DBT)
Histrionic Personality Disorder symptoms
Extremely dramatic Shallow emotions Centre of attention Engage in attention - seeking behaviours Vain, self-centered, and demanding
Histrionic Personality Disorder aetiology and treatment
No research on aetiology or treatment
Narcissistic Personality Disorder symptoms
Grandiose, need much admiration
Lack of empathy
Seldom interested in feelings of others
Expect constant attention and admiration from those around them
Association with superiority
Exaggerate achievements, appear arrogant/haughty
Narcissistic Personality Disorder aetiology
Psychodynamic theorists and behavioural and cognitive theorists
Psychodynamic theorists
Cold, rejecting parents. Narcissistic Paradox - reaction formation
Behavioural and cognitive theorists
Too much positive reinforcement
Narcissistic Personality Disorder treatment
No known treatments
Avoidant Personality Disorders symptoms
Uncomfortable and inhibited in social situations Feelings of inadequacy Sensitive to negative evaluation Feel unappealing or inferior Few close friends
Dependent Personality Disorders symptoms
Central feature: difficulty with separation
Pervasive, excessive need to be taken care of
Clingy and obedient
Rely on others for decisions
Feel distressed, lonely, and sad; dislike selves
Obsessive-Compulsive Personality Disorders symptoms
Preoccupied with order, perfection, and control
Unreasonably high standards for selves and others
Rigid and stubborn; trouble expressing affection
Preoccupied with order, perfection, and control
Lose all flexibility, openness, and efficiency
Unreasonably high standards for selves and others
Rigid moral code
Rigid and stubborn; trouble expressing affection
Relationships often stiff and superficial
Obsessive-Compulsive Personality Disorders
Different Obsessive-Compulsive Disorder
Limitations with DSM-5 systems
Excessive comorbidity Inadequate coverage Excessive within-diagnosis heterogeneity No clear boundary between normal and pathological personality Inadequate scientific base
Solution for the DSM-5 systems
Dimensional personality traits define disorders
Analogous to Intellectual Disability
Dimensional personality traits define disorders
Individuals vary in degree rather than in kind
Constellation of extreme manifestation of personality traits results in a disorder
Analogous to Intellectual Disability
Extreme standing on a dimension (intelligence) Impairment in functioning - disorder
DSM-5 III Model Criterion A
Significant impairments in self (identity or self-direction) and interpersonal (empathy or intimacy) functioning
DSM-5 III Criterion B
Personality Profile
DSM-5 III Model Self
Identity and self-direction
DSM-5 III Model Interpersonal
Empathy and intimacy
DSM-5 III Five Personality Trait Domains
Negative Affectivity
Detachment
Antagonism
Disinhibition & Compulsivity Psychoticism
Personality types - defined by trait profiles
Antisocial Avoidant Borderline Narcissistic Obsessive-Compulsive Schizotypal
PDTS
Personality Disorder Trait Specific