L10/CH19 Flashcards
Personality disorder (Schneider)
an unusually extreme and problematic degree of one or more attributes of personality
Personality disorder (DSM-5)
enduring pattern of inner experience and behavior that deviates markedly from the norms and expectations of the individual’s culture
4 key criterias of personality disorders (DSM-5)
pervasive and inflexible; has an onset in adolescence or early adulthood; stable over time; often ego-syntonic (aligns with self-image)
How are symptoms of personality disorders viewed?
maladaptive variations within the domains of traits, emotions, cognitions, motives, and self-concept
What do personality disorders lead to?
distress/impairment
What do all personality disorders involve?
impaired social relations
What must personality disorders not be attributable to?
drug abuse, medication, or other medical conditions
Cluster A or eccentric cluster
people appear odd and eccentric, and do not get along well with others
3 disorders in cluster A
paranoid, schizoid, and schizotypal
Paranoid personality disorder
a pattern of distrust and suspiciousness such that others’ motives are interpreted as malevolent
3 behaviors in paranoid personality disorder
reads hidden negative meaning into benign remarks; persistently bears grudges and unforgiving; perceives attacks on character or reputation unobserved by others
Schizoid personality disorder
pattern of detachment from social relationships and a restricted range of emotional expression
3 behaviors in schizoid personality disorder
neither desires nor enjoys close relationships; prefers solitary activities and takes pleasure in few activities; emotional coldness, detachment, flattened emotions
How does autism differ from schizoid personality disorder?
more affected by deficits in social skills than in social motivation; age of diagnosis
Schizotypal personality disorder
pattern of acute discomfort in close relationships, cognitive or perceptual distortions, and eccentricities of behavior
Behaviors common in schizotypal personality disorder
excessive social anxiety that doesn’t diminish; odd beliefs, magical thinking, meaning in unusual things; odd speech, behavior, appearance; suspiciousness or paranoid ideation; inappropriate or constricted emotion
How does schizophrenia differ from schizotypal personality disorder?
psychotic symptoms like hallucinations
Cluster B or erratic cluster
people appear erratic and emotional, and have difficulties getting along with others
4 disorders in cluster B
antisocial, borderline, histrionic, narcissistic
Antisocial personality disorder
pattern of disregard for and violation of the rights of others, criminality, impulsivity, and failure to learn from experience
Behaviors in antisocial personality disorder
failure to conform to social norms and laws; deceitfulness, impulsivity, aggressiveness, irresponsibility; reckless disregard for safety of self or others; lack of remorse
How does antisocial personality disorder differ from others?
symptoms are largely objective (e.g. must be 18; must have evidence of conduct disorder before 15)
Psychopathy
similar to APD but more severe, and emphasizes more subjective traits
Subjective traits in psychopathy
incapacity to experience guilt, superficial charm (glib), callous social attitudes
Triarchic model of psychopathy
boldness, meanness, and disinhibition (lack of impulse control)
How does sociopathy differ from psychopathy?
sociopaths are less organized/more obvious in behavior, less violent, maintain some emotions
Items from the psychopathy checklist
glibness/superficial charm; grandiose sense of self-worth; pathological lying, manipulative; lack of remorse; impulsivity, irresponsibility; early behavior problems; many short-term marital relationships
Evidence for role of nature/genetics in psychopathy
reduced fear response; functional and structural differences in the brain; 69% heritability of APD/psychopathy traits in sample of twins
Evidence of the role of nurture in psychopathy
individuals with APD/psychopathy are more likely to have been abused early in life (over 80% have history of childhood trauma)
Brain activity in a psychopath
less coordinated activity between amygdala (fear, anxiety) and prefrontal cortex (guilt, empathy)
Relationship of APD with confinement
50% prevalence among prisoners (70-100% of males); 50% of people with APD have arrest records
Prevalence of psychopathy among prisoners
25-28% of male prisoners are psychopaths and are more likely to recidivate after release
Prevalence of psychopathy among corporate professionals
between 3-21% of corporate professionals are psychopaths
Successful psychopathy
absence of negative consequences and presence of positive outcomes
What makes some psychopaths more successful?
intelligence, higher executive functioning, charisma
Borderline personality disorder
pattern of instability in interpersonal relationships, self-image, affect, and marked impulsivity