AVPD

Question 1

DSM-5 APD

Answer 1

Pattern of social inhibition, feelings of inadequacy, hypersensitivity to negative evaluation. 4om:

1. Avoiding occupational activity involving interpersonal contact
2. Unwilling to get involved w people unless certain of being liked
3. Shows restraint within intimate relation bc fear of being shamed
4. Preoccupied w being criticised/rejected
5. Inhibited in new interpersonal situation, feeling of inadequacy
6. Views self as socially inept/unappealing/inferior
7. Unusually reluctant to take risk/new activity

Question 2

7 descriptors

Answer 2

Triggering events; close interpersonal interactions

Behavioural style: Tense, self-conscious

Interpersonal style: sensitive to rejection

Cognitive style: Hypervigilant

Affective style: shy and apprehensive

Attachment style: Preocc and fearful

Optimal diagnostic crit: Crit 1 is most optimal

Question 3

Prevalence

Answer 3

General population: 2.4%
Clinical population: 5.1-55.4%

Most frequently occurring personality disorder in 3 studies

Question 4

Differentiation with SAD

Answer 4

Related but separate. Individuals with AVPD differ in terms of;
- Higher deficit in metacognitive skills
- Avoidant behaviour
- (Early) Attachment style
- Self- concept
- Big 5

Question 5

Biosocial theory

Answer 5

Genetic constitution for shyness, combined with environmental experience process into pattern of timidity and avoidance

Environmental influence: Parental rejection
Peer rejection. The limited interaction further limits development

Genetic: Sensitivity, introverted. Overthinking leeds to feeling inferior

Question 6

CBT and ST

Answer 6

Maladaptive schema and fear of rejection form the base of avoidance behaviour. they rely heavily on perception due to lack of internal criteria.

These two therapy kinds include anxiety management, exposure targeting fear of rejection etc

Most supported treatment
group/couple therapy provide opportunity to learn mentalization skills (!)