Ch 17 Mental and Physical Flashcards
To be classified as a personality disorder, one’s way of thinking, feeling, and behaving deviates from the expectations of the culture, causes distress or problems functioning, and lasts over time
- Often begin in childhood/adolescence
- Can affect social relationships and interactions
- Stable over time, but some PD symptoms may decrease as an individual gets older
Personality Disorders
- Provides a common language for clinicians to communicate about their patients
- Establishes consistent and reliable diagnoses that can be used in research on mental disorders
Diagnostic Statistical Manual (DSM) of Mental Disorders 5-TR
Their PD is compatible with the ego or conscious self-concept and so may not think anything is wrong
ego-syntonic
Refers to troubling thoughts, feelings, beliefs, or behaviours that one experiences as foreign and would like to get rid of (depression, anxiety,etc.)
ego-dystonic
odd + eccentric patterns of thinking (ex. narcissistic, anti-social)
Cluster A
Impulsive and erratic patterns of behavior
Cluster B
Anxious and avoidant emotional styles
Cluster C
- Extremely odd thoughts, strange ideas, unconventional behaviour, superstitious beliefs, difficulty in close relationships
- Slightly more common in men
- Similar to schizophrenia at its extreme
- Prevalence: 0.6–4.6 percent
Schizotypal Personality Disorder (A)
- Grandiosity
- Belief that one is superior
- Expects and needs recognition from others
- Expects special treatment and feels entitled
- Lack of empathy
- difficult/impossible to treat (ex. Hitler, Stalin, Mussolini)
Narcissistic Personality Disorder (A)
- Failure to conform to social norms (DSM 5)
- Deceitfulness
- Irritable, aggressive, and irresponsible
- Lack of remorse
- Associated with low economic status and urban
settings - Much more common in men (ex. Ted Bundy)
Antisocial Personality Disorder (B)
- Pervasive pattern of instability of relationships, self-image and affects
- Frantic efforts to avoid abandonment (DSM 5)
- Recurrent self-harm
- Feelings of emptiness
- Interpersonal relationships are confusing, chaotic,
noisy, unpredictable, and unstable (Partly due to
splitting) - Treatment: dialectical behavioral therapy
Borderline Personality Disorder (B)
- Preoccupation with orderliness, perfectionism and mental and interpersonal control
- Perfectionism interferes with task completion
- Overconscientious, scrupulous and inflexible about matters of morality.
- Workaholism
- Inability to throw things away
- Can be ego-syntonic
- Not the same as obsessive-compulsive disorder
obsessive-compulsive Personality Disorder (C)
Pathologizing (over-diagnosing) tells us almost nothing about the nature of mental health
positive psychology aims to promote meaningful and happy living
improving mental health requires an understanding of normal personality
Personality and Disorder: Mental Health
there is a clear positive relationship with conscientiousness and
physical health (better ability to handle stress)
A complex, fully elaborated, and well-integrated psychological world helps
for the most optimal well-being of an individual’s mental health